Christina Williams
Chesapeake,VA
Summary
Proudly offering over 8 plus years' of dedicated service, experience at Medicaid Eligibility Specialist. Polished professional known for interactions that are fair, compassionate and respectful. Promoting issue resolution expertise in fast-paced environments. Committed to engaging others delivering exceptional service. Ready to tackle new challenges. secure a position with a well established organization with a stable environment will lead to a lasting relationship Reliable professional, boasting expertise in managing eligibility information for human services. Encouraging manager and analytical problem-solver with talents for team building, leading and motivating, as well as excellent customer relations aptitude and relationship-building skills. Proficient in using independent decision-making skills and sound judgment to positively impact company success. Dedicated to applying training, monitoring and morale-building abilities to enhance employee engagement and boost performance.
Overview
7
7
years of professional experience
Work History
Benefit Programs Specialist II - Medicare /Medicaid Eligibility Specialist
Department Of Human Services - City Of Norfolk
09.2016 - Current
- Investigates, verifies accuracy of information provided by recipients, referring agencies under Medicaid programs to determine compliance with State and Federal laws, rules and regulations.
- Verifies accuracy of information listed on applicant's applications including but not limited to income, bank accounts, any/all financial accounts and other assets opened or closed within a 5 year look back period.
- Makes determination of applicant's eligibility based upon established criteria.
- HIPPA making sure patient/family personal/financial information is safeguarded at all times.
- Work with customers/representative to collect all documents requested by DSS needed to determine eligibility to obtain Medicaid approval.
- Encourage customers to complete Medicaid application on-line using the VA Commonhelp website.
- Consistently served as liaison between collecting agencies, medical facilities, developing professional relationships through quick problem resolution and response to questions.
- Assist customers/representative with applying for Social Security Benefits to allow for Medicaid approval.
- Attend training in-person or online services to increase skill/level knowledge.
- Assumes responsibility for Medicaid eligibility determination caseload for designated zip codes.
- Communicated with people from various cultures and backgrounds on application process.
- Interviewed applicants and explained scope of different available benefits.
- Assisted clients with accurate eligibility form, application and document completion.
- Processed and certified documents for accuracy and compliance with government regulations.
- Established databases to track, analyze and automate eligibility application processes.
- Resolved discrepancies with client applications to verify eligibility.
- Trained staff on current eligibility requirements and policies.
- Assisted clients with completion of applications and paperwork.
Education
Associate of Applied Science - Medical Billing And Coding
Fortis College- Winter Park
Winter Park, FLAssociate of Applied Science - Nursing
College of Staten Island of The City University of New York
Staten Island, NYHigh School Diploma -
Edward R Murrow High School
Brooklyn, NY2006
Skills
- Extensive knowledge of Medicaid Eligibility requirements
- Microsoft Office, Microsoft Outlook and Word
- Dedicated, Supportive, Team Player
- Prioritize, Organize, Time Management,
- Effectively communicate with team members, customers/family representatives from all backgrounds, area professionals and community partners, computers, oral, documenting
- Customer Rapport
- Team Motivation
- Customer Relationship Management (CRM)
Timeline
Benefit Programs Specialist II - Medicare /Medicaid Eligibility Specialist
Department Of Human Services - City Of Norfolk
09.2016 - Current
Associate of Applied Science - Medical Billing And Coding
Fortis College- Winter Park
Associate of Applied Science - Nursing
College of Staten Island of The City University of New York
High School Diploma -
Edward R Murrow High School
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