Kay Anglero
New York,NY
Summary
Professional with strong background in eligibility assessment and client service. Skilled in analyzing applications, verifying information, and ensuring compliance with regulations. Known for effective teamwork, adaptability, and achieving results. Proficient in managing caseloads, problem-solving, and maintaining confidentiality with focus on accuracy and efficiency.
Overview
31
31
years of professional experience
Work History
Eligibility Specialist II, (Medicaid Assistance Program)
New York City Human Resources Administration
01.2002 - Current
- Over Nineteen years of progressive experience working diligently with applicants to determine initial and continuing eligibility for Medicaid assistance. Ascertain applicant/recipient’s Medicaid entitlements utilizing financial criteria readily available through interviewing clients and research involving Social Security payments, Veterans’ benefits, pensions, salaries, wages and/or interest from bank accounts, annuities and other sources of income.
- Ensure proper compliance of policies and procedures enabling conformity of rules and requirements as well as federal and state laws by reviewing incoming applications and cases for evaluation or re-determination by appropriately coding and budgeting Medicaid cases to determine eligibility of various applications including Vanguard, FHP, Surplus, MSP and DAB cases.
- Retrieve, enter, update and check information to facilitate clearance and verification assuring appropriate data assessed, agency criteria, and formulas properly applied utilizing WMS, EDITS, EMEDNY and the HRA One Viewer.
- Ensured compliance with local, state, and federal regulations during all phases of the eligibility determination process.
Eligibility Specialist II
New York City Human Resources Administration
10.1994 - 01.2002
- Determined eligibility of potential consumers for Medicaid through interviews, applications and budget calculations as well as conduct a thorough research through use of computer databases checking for discrepancies. Participated in meetings with the Sanction Department to determine grounds for fraud referral and administrative sanctions. Communicated with agencies, clients and the public by partaking in projects that assisted domestic violence victims, homeless families and foster care.
- Pre-screened and interviewed clients, gathering information to properly determine eligibility.
- Ascertained qualifying deductibles with the Surplus Unit on a monthly basis.
- Interviewed between 20 and 30 clients per session for Emergency Medicaid Assistance servicing 9/11 victims and their families.
Education
Bachelor of Science - Business Administration/Management,Minor Marketing
Marymount College
Tarrytown, N.Y.Skills
- HIPAA Online Training Certification
- Fluent English/Spanish
- WMS/EDITS/EMEDNY
- HRA One Viewer
- MS Word/Excel
- Certification in Basic Eligibility Training
- Publisher & PowerPoint
- Tax Preparer for Community Tax Aid
Timeline
Eligibility Specialist II, (Medicaid Assistance Program)
New York City Human Resources Administration
01.2002 - Current
Eligibility Specialist II
New York City Human Resources Administration
10.1994 - 01.2002
Bachelor of Science - Business Administration/Management,Minor Marketing
Marymount College
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