Christine Verde
Victoria,TX
Summary
With over 15 years of experience in case management and Medicaid eligibility planning, I have a strong background working with the state of Texas. Alongside this, I have accumulated 30 years of valuable experience in customer service and banking. Now, I am eager to secure a role where I can leverage my eligibility and customer service skills to contribute towards an organization\'s mission of meeting clients\' healthcare, eligibility, and socioeconomic requirements.
Overview
15
15
years of professional experience
Work History
Contractor as a Surge Support Specialist
Millennium Software, Inc
11.2023 - Current
- Accurately determined eligibility for MSP programs, Children’s Medicaid and Medicaid for the Elderly and People with Disabilities
- Processed case data and with correct eligibility results
- Processed case applications, changes, renewals, and inquiries, received from the clients submitted to the State of Arkansas
- Communicated effectively with internal supervisors and co-workers in the project
- Worked alone in absence of a supervisor
- Completed assignments assigned to my personal queue daily
- Followed policy regarding roles and responsibilities from the vendor
- Assisted co-workers with questions about processing and policy.
Medicaid Eligibility Specialist
Regency Integrated Health Services, LLC
01.2022 - 06.2023
- Reviewed financial documents and completed detailed case plans, step-by-step processes to assist individuals qualify for Texas nursing facility Medicaid
- Provided education and guidance to residents and their families regarding all aspects of Medicaid eligibility process, including case planning, application submission to Texas Health and Human Services, and eligibility approvals for short and long-term care residents
- Verified case data and assisted with resolving eligibility issues
- Served as a financial advisor responsible for screening patients for Medicaid financial and non-financial criteria prior to admission or a payer change to Medicaid pending
- Served as a Medicaid policy subject matter expert.
Out-Stationed Worker Program Medicaid Eligibility Specialist
Texas Health and Human Services
11.2009 - 01.2022
- Accurately determined eligibility for SNAP and Medicaid for the Elderly and People with Disabilities
- Interviewed clients in person or by phone, documented information, verified case data, by reviewing multiple sources
- Explained program benefits and requirements
- Conducted annual and special reviews of eligibility of clients for ongoing services
- Processed changes to client status, overpayments, and adjusts or restoration of benefits
- Obtained, verified, and calculates income and resources to determine client financial eligibility
- Conducted collateral cold calls to obtain verification of record for each client
- Communicated effectively with internal and external customers
- Answered inquiries and addressed issues to resolve problems or complaints
- Contacts insurance carriers and medical providers to identify and resolve disputes
- Investigated reports of abuse, neglect, or exploitation of elderly or disabled adults to assess the urgency of the problem by interviewing clients, family members and others to gather social, functional, physical, and mental-emotional information for evaluation
- Provided services after normal working hours and on weekends to maintain 24-HR coverage, including receiving reports of alleged abuse, neglect, or exploitation.
Education
Associate Of Business Administration - Accounting And Business Management
Victoria College
Victoria, TXState of Texas Administrative Assistant Certification -
Victoria College
Victoria, TX01.2005
Skills
- Superior Customer Service
- Bilingual
- Case Management
- Medicaid Policy
- Teamwork and Collaboration
- Planning and Coordination
- Documentation
Timeline
Contractor as a Surge Support Specialist
Millennium Software, Inc
11.2023 - Current
Medicaid Eligibility Specialist
Regency Integrated Health Services, LLC
01.2022 - 06.2023
Out-Stationed Worker Program Medicaid Eligibility Specialist
Texas Health and Human Services
11.2009 - 01.2022
Associate Of Business Administration - Accounting And Business Management
Victoria College
State of Texas Administrative Assistant Certification -
Victoria College