To seek and maintain a full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
16
16
years of professional experience
Work History
Medicaid Analyst
State Of Louisiana
Monroe , LA
09.2019 - Current
Conducts interviews with clients and makes other necessary collateral contacts for verification in determining eligibility for Medicaid Programs.
Examines application packets for timeliness, completeness, and appropriateness prior to authorization of reimbursement.
Makes decisions on complex eligibility factors and determines the level of benefits for federal and state funded programs as a result of the rolldown procedure.
Interprets and applies complex federal, state, and agency policies for each program.
Conducts special investigations and compiles reports concerning fraud and location of absent parents.
Counsels and refers potentially eligible recipients or applicants to other agencies.
Contacts individuals, companies, businesses, local, state and federal agencies as needed to obtain or to verify information.
Records findings, recommendations, and services provided; completes case record forms and necessary correspondence in connection with assigned cases.
LOAN COLLECTION REPRESENTATIVE
Coast Professional Inc.
West Monroe , Louisiana
08.2018 - 09.2019
Deployed automated system tracking and skip tracing to locate hard-to-find, re-located customers.
Processed debtor payments and updated accounts to reflect new balance.
Advised customers of alternative actions and strategies for debt repayment and attempted to avoid adversarial communications.
Entered client details and notes into system for interdepartmental access and review.
Worked with customer to create debt repayment plan based on current financial condition.
Customer Service Representative
Vantage Health Plan, Inc.
Monroe, LA
02.2016 - 07.2018
Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
Offered advice and assistance to customers, paying attention to special needs or wants.
Cultivated customer loyalty, promoted repeat customers and improved sales.
Improved customer satisfaction ratings by addressing issues and fostering timely resolution.
Answered all member calls and inquiries
Insured callers are answered accurately and efficiently in allotted time frame
Documented call specifics in Call Tracking module
Responded to member and provider inquiries via email request with same day turn-around
Completed weekly breakdown of member, provider, and/or broker inquiry calls for auditing purposes
Reviewed weekly audits and provided to the member service representative by the member service auditor
Efficiently and accurately gathered and inputted patient/guarantor demographic and financial information; explained insurance benefits and informed of co-pays, deductibles and self-pay portions due •
Researched prescription drug issues
Assisted daily walk-in's
Operations Associate
JPMorgan Chase
Monroe, LA
08.2009 - 01.2016
Reviewed loans for accuracy and forwarded for processing
Scanned loans into WinCMSS software and routed to several locations as needed
Generated reports to check loans for errors before being forwarded to Quality Review
Assisted with updating and requesting archived files from Iron Mountain • Extensive Research on dated request
Employee addendums
Performed extensive research on dated loan request
Responsible for coordinating meetings with our offsite storage facility and process improvements
Retrieved Foreclosure and Bankruptcy files from Attorneys