Results-driven Disabled Veterans Outreach Specialist with proven skills in outreach program development, claims evaluation, and regulatory compliance. Adept at enhancing customer relationships and conducting effective risk assessments.
Determined initial and ongoing eligibility for Medicaid programs under Health Care Authority.
Applied federal and state eligibility regulations to assess specific household circumstances.
Managed multiple electronic systems, including ACES, Health Plan Finder, Provider One, and Microsoft Office.
Researched and resolved complex eligibility issues while ensuring compliance with established procedures.
Conducted interviews with clients and providers to gather documentation for eligibility verification.
Established effective working relationships with clients, advocates, and community organizations.
Collaborated with various stakeholders to clarify processes and resolve disputes related to program eligibility.
Resolved complex error codes related to immigration, spenddown, and reimbursement reviews.
Collaborated with parents, attorneys, and advocates to establish child support obligations and enforce compliance.
Independently established administrative child support orders through income research and complex financial calculations.
Calculated arrears balances, prepared legal notices, and negotiated settlements as required.
Analyzed and applied state, federal, and international laws regarding paternity, financial, and medical child support.
Reviewed court and administrative orders to assess suspension or termination of obligations.
Utilized signature authority to initiate and sign legal notices, including client and court correspondence.
Located individuals and assets using state interfaces and federal services efficiently.