JORDAN THOMAS

• Followed all company policies and procedures to deliver quality work.
• Maintains a broad understanding of eligibility rules for Medicaid and CHPlus.
• Broad understanding of the multiple systems used by the Department of Health (BackOffice, EmedNY, etc..)
• Maintains suitable knowledge of Excel and/or other software used to analyze data, develop review samples and/or identify cases at risk for irregularities or vulnerabilities.
• Attends meetings with other OHIP staff to assist in the

discussion of Medicaid and/or CHPlus program,

policy and/or systems matters. Aids in the resolution

of problem issues.

• Improved team collaboration by initiating regular strategy meetings.
• Reduced errors in eligibility determination through comprehensive training sessions provided to new employees.
• Appropriately applies knowledge of review standards

and procedures, as well as the eligibility rules and

regulations governing Medicaid and CHPlus, when

performing and documenting reviews, including

quality control (QC) reviews..

• Increased workflow efficiency through regular evaluations of existing processes, identifying areas for improvement, and implementing changes as needed.

• Responded to customer requests for products, services and company information
• Supported customer needs by fielding diverse questions about issues such as available merchandise, current prices, and upcoming company changes
• Provided primary customer support to internal and external customers in fast-paced environment
• Answered customer telephone calls promptly and in appropriate manner
• Counted cash in register drawer to balance register at beginning and end of shift
• Reviewed and resolved differences between accounting information and cash drawer

• Broad understanding of the multiple systems used by the Department of Health (BackOffice, EmedNY, etc..)
• Knowledge of eligibility rules regarding CHPlus and Medicaid when analyzing data and performing reviews
• Adapts quickly to different and new assignments
• Properly prepares and scans review files and store them in their appropriate location
• Fosters positive and professional work environment with fellow coworkers
• Accurately assists supervisors with updating/revising standardized review worksheets and training materials
• Observes HIPAA and other confidentiality mandates that require safeguarding data information
• Performed Medicaid Eligibility Quality Control (MEQC) reviews in accordance with program eligibility requirements
• Demonstrates a basic understanding of the review processes and structures implemented and/or monitored by the Bureau/Division
• Complies with the DOH Administrative Policy and Procedure Manual (APPM) items, statewide mandated trainings and general conduct standards

• Checked data from completed forms to verify accuracy and completeness before database entry.
• Entered and updated information in required databases.
• Corrected errors and organized data to facilitate swift and accurate capturing.
• Evaluated reliability of source information by weighing data to make data easier to interpret.
• Maintained excellent attendance record, consistently arriving to work on time.

• Kept drawers accurate, current and secure by checking bills for counterfeit markers, storing large bills and keeping adequate change.
• Completed special procedures for customers such as ordering new checks, stopping payments or investigating identity theft.
• Assisted customers with setting up or closing accounts, completing loan applications and signing up for new services.
• Promoted products or services to each customer to consistently achieve sales targets.
• Logged cashier's checks and other transactions to maintain accuracy of account records.
• Built and strengthened customer relationships by leveraging excellent interpersonal and communication skills.
• Accessed computerized financial information to answer questions related to specific accounts.
• Observed all procedures regarding financial and customer information to prevent possible breaches and data misuse.