Overview
Work History
Education
Skills
Certification
Languages
Timeline
Generic

Dinara Keldibayeva

Overview

6
6
years of professional experience
1
1
Certification

Work History

Senior Retention Advocate

Healthfirst
11.2022 - Current

•Contacted members or primary caregivers by phone to arrange a telephonic or in person interview to assess Medicaid//Medicare Savings Program eligibility. Ensured all calls are in accordance toapproved scripts•Had full and complete access to patient records and reports as well as to personal/financial profiles anddocuments. •Served as an advocate between all parties maximizing the participant’s support network and obtainingneeded services•Researched ePACES and/or Marx for Medicaid and Medicare eligibility, exclusion, and exemption codes•Consulted with Human Resource Administration (HRA)/Local Department of Social Services (LDSS)Medicaid staff as needed and reported to supervisor any need for HRA/LDSS consultation•Tracked the Medicaid/Medicare/MSP status for all members on an ongoing basis until all memberentitlements are gained•Completed Medicaid/MSP application in a timely, organized fashion and assisted participants or primarycaregivers in the completion of the application•Assisted in collecting all required documents for applications•Submited documentation to HRA/LDSS within specified timeframe to assure Medicaid coverage forparticipants•Monitored all applications according to HRA/LDSS/Social Security office/Medicare time frames•Documented all client calls /outcomes in database system and spreadsheets•Responsible for prolonged cycles of work, maintained accurate data to follow up promptly•Prepared monthly reports to Management. •Successfully passed audit exams

Medicare Sales Representative

Healthfirst
04.2024 - 08.2024

Drove membership growth by acquiring new members while also meeting retention targets.•Worked directly with community-based organizations, providers, sales locations, and other sources todevelop self-generated referral channels resulting in increased enrollments.•Identified potential members and designed plans to educate them on the available benefits plans andfeatures that are tailored to the member’s needs and eligibility.•Ensured a superior customer experience through consistent and timely service, follow-up, and planbenefit reviews.•Ensured the right member is in the right plan.•Delivered effective sales presentation to consumer groups, individual prospects and community orprovider partners. •Strictly adhered to all CMS regulations and Healthfirst marketing guidelines.•Ensured all documentation is complete, comprehensive, clear, appropriately filled out includingApplication, Application Confirmation Form, Scope of Appointment and Application Submission Form, andSalesforce.•Provided competitive intelligence to management on any activities Healthfirst’s market competitors areengaging in: e.g. marketing approach, branding campaign, new designs or benefit changes.•Successfully passed audit exams.

Home Health Aide

Carring Professionals
02.2022 - 11.2022
  • Provided compassionate personal care and assistance with daily living activities for clients.
  • Monitored client health, reporting changes to healthcare professionals promptly.
  • Administered medications and managed medical equipment as required by care plans.
  • Developed and maintained positive relationships with clients and their families to ensure satisfaction.
  • Implemented personalized care strategies to enhance client comfort and well-being effectively.
  • Helped patients maintain personal hygiene through bathing, grooming, and toileting assistance when necessary for dignity preservation.
  • Maintained a clean and safe home environment for patients, reducing falls and accidents.
  • Assisted clients with daily living activities, enhancing their independence and quality of life.
  • Performed light housekeeping duties including laundry linen changes sweeping vacuuming and mopping ensuring a clean and organized living space for patients.
  • Assisted patients with dressing, grooming and feeding needs, helping to overcome, and adapt to mobility restrictions.
  • Improved patient well-being by providing compassionate and attentive personal care.
  • Assisted with meal planning and preparation according to dietary restrictions, meeting nutritional needs while adhering to personal preferences.

HR Assistant

City Choice Home Care
02.2021 - 02.2022

•Ensured new hires and existing paraprofessional employees (HHA/PCA) are in compliance with DOHregulations including pre-employment physicals, annual updates, and in-service requirements.•Processed new applicants for employment as well as procure and authenticate documents required foremployment such as I9.•Entered compliance information into software system HHA exchange.•Utilized software system HHA exchange to track ongoing compliance via reporting tools.•Ensured annual performance evaluations/supervisions are being performed for all paraprofessionalemployees.•Coordinated and scheduled on going in-service education for all paraprofessional employees.•Proficient in Microsoft Office Suite and HHA Exchange

  • Streamlined administrative tasks by implementing organizational systems for improved efficiency in HR operations.
  • Collaborated with management on employee performance evaluations, providing insights for continuous improvement strategies.

Admission Officer

Clinton Institute
05.2020 - 02.2021
  • Evaluated and processed student applications, ensuring adherence to institutional standards.
  • Delivered personalized guidance to prospective students throughout admissions process.
  • Maintained accurate records in admissions database, ensuring data integrity and compliance.
  • Trained new team members on admissions policies, procedures, and best practices for applicant engagement.
  • Provided exceptional customer service to prospective students, answering inquiries via phone or email promptly and professionally.
  • Utilized data analysis tools to identify areas of improvement within the admissions department''s processes and procedures.
  • Assisted in development and implementation of faculty development plans.

Education

Bachelor of Science - Languages

Kostanay State University
Kazakhstan
06-2013

Skills

  • Health insurance knowledge
  • Health insurance sales
  • Document filing
  • Ethics and professionalism
  • Attention to detail
  • Time management
  • Problem-solving
  • Multitasking
  • Flexible and adaptable
  • Computer skills
  • Organizational skills
  • Teamwork and collaboration
  • Customer service

Certification

Accident & Health Insurance License

Languages

English
Full Professional
Russian
Native or Bilingual

Timeline

Medicare Sales Representative

Healthfirst
04.2024 - 08.2024

Senior Retention Advocate

Healthfirst
11.2022 - Current

Home Health Aide

Carring Professionals
02.2022 - 11.2022

HR Assistant

City Choice Home Care
02.2021 - 02.2022

Admission Officer

Clinton Institute
05.2020 - 02.2021

Bachelor of Science - Languages

Kostanay State University
Dinara Keldibayeva