Cherise Hearne
Portage,IN
Summary
Dependable Coordinator provides excellent office management and administrative support. Possesses strong communication and interpersonal skills with demonstrated ability to manage competing priorities and meet deadlines. Creative problem solver with strong analytical and critical thinking skills.
Overview
11
11
years of professional experience
Work History
Coordinator/Eligibility Specialist
Maximus
Crown Point, IN
09.2023 - Current
- Handle a variety of incoming and outgoing calls regarding new and/or existing members/caregivers' needs
- Multitask using multiple computer applications/programs
- Creation of new member accounts.
- Review/Update all demographic and personal health information in the member’s account, including but not limited to the following: address – both mailing and shipping if different, phone number(s), e-mail address(es),
- Access and enter data in existing patient accounts following HIPAA guidelines.
- Insurance verification following established verification processes.
- Communicated regularly with clients regarding their application status or changes in policies or procedures that may affect them.
- Assisted clients with completing forms required for processing applications.
Transaction Processing Specialist
Conduent
Crown Point, IN
03.2014 - 12.2021
- Follows established unit procedures to determine eligibility for public assistance benefits within designated time frames, as required by Federal and State laws, and Department policy and procedures.
- Ensures electronic case records are documented thoroughly and properly, as required by Departmental procedures.
- Reviews case reading errors with the Eligibility Self-Sufficiency Specialist I and ensures corrections are completed accurately and timely.
- Researched complex transactions to ensure proper processing.
- Communicated regularly with clients regarding their application status or changes in policies or procedures that may affect them.
- Ensured compliance with all applicable laws and regulations governing benefit programs.
- Prepared detailed reports outlining the reasons why an individual was denied benefits.
- Processed client applications in accordance with established guidelines.
- Developed strategies to improve efficiency in the processing of applications and customer service delivery.
- Researched case histories, statutes, and other data pertinent to determination of eligibility.
Education
Studying Medical Billing and Coding -
University of Arkansas Grantham
Skills
- Microsoft (Word, Excel)
- Typing 55 WPM
- Medicaid knowledge
- Application processing
- Eligibility Determination
- Documentation and paperwork
- Data Entry
- Medical Terminology
- Schedule Coordination
- CRM Software
- Critical Thinking Skills
- Inbound and Outbound Calling
- Empathetic and compassionate
- Active Listening
Timeline
Coordinator/Eligibility Specialist
Maximus
09.2023 - Current
Transaction Processing Specialist
Conduent
03.2014 - 12.2021
Studying Medical Billing and Coding -
University of Arkansas Grantham
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