Francesca Jean-Baptiste

• Provide eligibility support for Medicaid and Public Assistance during the unwinding of the public health emergency.
• Fostered positive relationships with clients and coworkers alike, promoting a supportive and professional work environment.
• Learn, understand, and research both federal and state Medicaid LIC regulations.
• Managed time effectively to balance competing priorities while maintaining high-
quality work standards in a tast-paced environment
• Utilized advanced software tools to efficiently manage applicant records
enhancing organization and accessibility of data.
• Work closely with the client to securely collect application documents via digital files (pdf, jpg, etc.)
• Track and notate all case management details using company database.

• Leveraged strong attention to detail when verifying income, employment history, and other critical factors impacting client eligibility determination processes.

• Conducted interviews for large amount of COVID-19 positive cases
• Entering Highly confidentially information into database
• Provide health education and guidance
• Provide instructions for self-quarantine, and make appropriate referrals to testing, clinical services, and other essential support services
• Assist with communicable disease outbreak investigations and disease control efforts
• Strong attention to detail in documentation and data management as multiple investigations would be conducted simultaneously
• Heavy data entry
• Confirming current demographic information and updating when necessary
• Heavy Outbound Calls
• Investigated clusters within clinical and non-clinical settings
• Maintained energy and enthusiasm in fast-paced environment
• Proved successful working within tight deadlines and fast-paced atmosphere
• Participated in extensive diversity and equity training in order to identify and remove case's barriers.

• Contact providers to confirm all current information
• Maintain and update existing credentialing information for providers, verifying professional licenses and certifications of medical facilities
• Follow up with providers on missing information received from credentialing and re-credentialing applications
• Mail and track provider contracts and notice of determinations
• Additional credentialing functions: bundle, log applications and send appropriate letters
• Authorized to examine HIPAA sensitive files
• Played pivotal role in meeting demanding deadlines
• Handled provider contracts and amendments, clerical duties, heavy data entry
• Transmitted documents, organized revisions and tracked changes
• Prepared digital files, physical documents and work requests in compliance with company guidelines.

• Managed 300+ client portfolios daily within internal database
• Performed high volume of data entry
• Answered incoming phone calls from clients, attorneys, and providers
• Supervised overall client services and acted as liaison between clients, caregivers and service providers
• Maintained high level of client confidentiality, following strict guidelines and recommendations.