Christy Forrest
Mocksville,NC
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Advanced clerical knowledge with exceptional skills in data archiving and record filing. Excellent interviewing talents to gather, assemble, analyze, evaluate and calculate client information to determine benefit eligibility. Considerable knowledge of most agency programs and community program services. I'm very reliable and professional offering a positive customer experience. Sharp eligibility specialist skills in managing and eligibility information for members and groups and handling multiple projects. I'm a Major Team player, reliable and dedicated who is usually promoting positive behavior within the team.
Overview
31
31
years of professional experience
Work History
Income Maintenance Caseworker II
Rowan County Department Of Social Services
03.2022 - Current
- Gathered information via telephone, mail or in person from clients applying for assistance.
- Operated computer and imaging equipment to retrieve and enter data into electronic case records.
- Developed individual plans for self-sufficiency.
- Determined if applicants met eligibility for public assistance programs.
- Made referrals to appropriate services.
- Assisted clients with completion of applications and paperwork.
- Scheduled appointments with applicants to gather information and explain benefits processes.
- Followed guidelines when reviewing applicant data to determine eligibility for economic assistance.
- Skilled at working independently and collaboratively in a team environment.
- Self-motivated, with a strong sense of personal responsibility.
- Worked well in a team setting, providing support and guidance.
- Worked effectively in fast-paced environments.
Income Maintenance Caseworker II
Davie County Social Services
07.2006 - 02.2022
- Analyzed public assistance applications and determined eligibility for benefits.
- Performed careful reviews of applicant data to to be in compliance with eligibility criteria for economic assistance.
- Explained eligibility details and affordability options to patients with kindness and respect.
- Conducted interviews with applicants, explaining benefits process and which programs were available.
- Called applicants to set up appointments and explain benefits processes.
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
- Prioritized and organized tasks to efficiently accomplish service goals.
- Juggled multiple projects and tasks to ensure high quality and timely delivery.
- Demonstrated self-reliance by meeting and exceeding workflow needs.
- Demonstrated leadership by making improvements to work processes and helping to train others.
- Operated computer and imaging equipment to retrieve and enter data into electronic case records.
- Gathered information via telephone, mail or in person from clients applying for assistance to determine if applicants met eligibility for public assistance programs.
- Made referrals to appropriate services within and outside the agency.
- Reviewed applications for different aid programs and determined which qualification criteria for individuals.
- Scheduled appointments with applicants to gather information and explain benefits processes.
- Followed guidelines when reviewing applicant data to determine eligibility for economic assistance.
- Communicated with people from various cultures and backgrounds on application process.
- Skilled at working independently and collaboratively in a team environment.
- Self-motivated, with a strong sense of personal responsibility.
- Worked well in a team setting, providing support and guidance.
- Worked effectively in fast-paced environments.
Medical Claims Caseworker
ACS Benefit Services
03.1997 - 07.2006
- Evaluated medical claims for accuracy and completeness and researched missing data.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Verified patient insurance coverage and benefits for medical claims.
- Monitored and updated claims status in claims processing system.
- Managed large volume of medical claims on daily basis.
- Paid or denied medical claims based upon established claims processing criteria.
- Used administrative guidelines as resource or to answer questions when processing medical claims.
- Researched and resolved complex medical claims issues to support timely processing.
- Reviewed provider coding information to report services and verify correctness.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures. This included ICD-9 and CPT coding.
- Maintained confidentiality of patient finances, records, and health statuses.
- Processed Medical claims for employers and their employees. Responsible for medical claims processing up to $75,000.
Assistant Claims Manager/Processor
Savers Life Insurance Company
09.1992 - 04.1997
- Handled claims consistent with client and corporate policies, procedures, best practices and regulations.
- Documented and communicated timely claims information while supporting accurate outcomes.
- Determined proper course of action for claims processing.
- Complied with established internal controls and policies.
- Established internal audit procedures to validate and improve accuracy of claims processing.
Education
Certificate of Completion - Medical Terminology
Forsyth Technical Community College
Winston-salem, NCCertificate of Completion - Leadership Training Program
Sage Garden
Mocksville, NCCertificate - Notary Public of North Carolina
Davidson-Davie Community College
Mocksville, NC06.2022
High School Diploma -
Davie County High School
Mocksville, NC05.1991
Skills
- Data archiving
- Computational abilities
- Customer Service
- Program understanding and advisement
- Telephone etiquette
- Caseload Management
- Applicant support and service
- Reliable and trustworthy
- Communications Strategies
- Friendly, positive attitude
- HIPAA Compliance
Accomplishments
- Consistently maintained high customer satisfaction ratings.
- Consistently maintained or exceeded performance job evaluation requirements.
Affiliations
I have a certificate in Medical terminology and I am currently a NC Notary Public.
Timeline
Income Maintenance Caseworker II
Rowan County Department Of Social Services
03.2022 - Current
Income Maintenance Caseworker II
Davie County Social Services
07.2006 - 02.2022
Medical Claims Caseworker
ACS Benefit Services
03.1997 - 07.2006
Assistant Claims Manager/Processor
Savers Life Insurance Company
09.1992 - 04.1997
Certificate of Completion - Medical Terminology
Forsyth Technical Community College
Certificate of Completion - Leadership Training Program
Sage Garden
Certificate - Notary Public of North Carolina
Davidson-Davie Community College
High School Diploma -
Davie County High School
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