Jemima Pierre
EARLY LEARNING COALITION OF BROWARD COUNTY, INC.
Summary
Professional experienced in eligibility determination, compliance, documentation review, case management, and database management. Currently serving as a Family Services Specialist with the Early Learning Coalition of Broward County, managing complex cases and ensuring compliance with program requirements. Skilled in identifying discrepancies, maintaining accurate records, monitoring deadlines, and working with clients and providers.
Work History
Family Services Specialist
- Determine eligibility for childcare assistance programs by reviewing client information and documentation in accordance with applicable program and Coalition requirements.
- Manage complex cases involving vulnerable populations, including families experiencing homelessness, financial hardship, employment barriers, family displacement, and children placed with relatives following the death or displacement of a parent.
- Review and verify income, household, identification, custody/placement, employment, special-needs, and other eligibility documentation for completeness and accuracy.
- Identify missing, inconsistent, inaccurate, or potentially fraudulent documentation and take appropriate action in accordance with established policies and program requirements.
- Conduct redeterminations, cross-check case information, and monitor deadlines, missing documentation, enrollment requirements, and other time-sensitive case activities.
- Process provider changes and special-needs cases, including reviewing IEP-related documentation and applicable requirements for enhanced provider reimbursement.
- Maintain accurate client and case information in EFS MOD and CRM, including case actions, eligibility information, demographic updates, and required documentation.
- Coordinate with clients and childcare providers to obtain information, resolve issues, and ensure services are processed according to program requirements.
Referral Coordinator
- Coordinated specialist referrals and obtained insurance authorizations for medical visits, diagnostic testing, procedures, and surgeries.
- Reviewed patient, insurance, and referral documentation for completeness and accuracy while following authorization requirements and established procedures.
- Managed referral and authorization deadlines and coordinated communication between primary care providers, specialists, insurance companies, and patients.
- Maintained accurate, confidential patient records and resolved referral and authorization issues through research, follow-up, and effective communication.
- Reviewed and maintained confidential patient and clinical information with attention to accuracy and privacy.
- Communicated with patients, providers, and insurance representatives to resolve referral and authorization issues while managing multiple priorities.
Referral Coordinator
- Coordinated patient referrals to specialists and processed insurance authorization requirements.
Education
Associate of Science - Health Information Management
Medical Billing & Coding Certification
Phlebotomy Certification
High School Diploma
Skills
ELC Systems: EFS MOD
CRM
Microsoft Office: Excel
Word
Outlook
PowerPoint
Healthcare Systems: EPIC
MD Flow
Intergy
Practice Fusion
CORE COMPETENCIES
Quality Assurance & Compliance | Eligibility Determination | Documentation Review | Case Management | Data Accuracy | Discrepancy Identification | Program Requirements | Provider Coordination | Deadline Management | Problem Solving | Confidential Records
Timeline
North Miami Senior High School
High School Diploma
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Miami Dade College
Phlebotomy Certification
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Miami Dade College
Medical Billing & Coding Certification
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Referral Coordinator
COMMUNITY MEDICAL GROUP OF OPA-LOCKA
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Referral Coordinator
MIAMI BEACH COMMUNITY HEALTH CENTER
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Family Services Specialist
EARLY LEARNING COALITION OF BROWARD COUNTY, INC.
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Miami Dade College
Associate of Science from Health Information Management
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