Kelly Hicks
Summary
I am passionate, hard working and reliable. I have worked mostly in hospital establishments. I am educated and certified through the state of New Jersey on New Jersey Family Care (Medicaid). I am dependable, knowledgeable and have strong communications skills. I work great under pressure.
I am a results-oriented professional with extensive experience in eligibility determination and client assessment. I have a proven track record of accurately processing applications and maintaining compliance with policies. I am known for collaborative efforts, reliability, and adaptability in dynamic settings.
I am knowledgeable with a solid background in eligibility determination and case management. I am adept at managing complex cases and ensuring compliance with regulatory standards. I demonstrated effective communication and problem-solving skills in high-pressure environments.
I am professional with strong background in eligibility assessment and client service. I am skilled in analyzing applications, verifying information, and ensuring compliance with regulations. Known for effective teamwork, adaptability, and achieving results. I am also proficient in managing caseloads, problem-solving, and maintaining confidentiality with focus on accuracy and efficiency.
Overview
9
9
years of professional experience
Work History
Eligibility Specialist II
Savista, LLC.
10.2019 - Current
- Regularly interview patients for benefits such as New Jersey Medicaid (New Jersey Family Care) and Charity Care through the client
- Interview applicants and explain the scope of different available benefits.
- Evaluate financial documents to accurately assess income levels, assets, expenses, and other relevant factors impacting client eligibility status.
- Inform patients about the eligibility requirements and the application process for Medicaid and Charity care
- Resolve discrepancies with client applications to verify eligibility.
- Assist patients with accurate eligibility form, application and document completion for New Jersey Medicaid and Charity Care
- Train staff on current eligibility requirements and policies.
- Compiles and evaluates the personal and financial histories of patients and their families to verify the completeness and accuracy of the information provided for said applications
- Maintains patient medical charts with a level of security that keeps them strictly confidential
- Prepares Charity Care applications as well as Temporary Medicaid applications while following established protocols
- Demonstrates strong organizational and time management skills while managing multiple projects.
- Self-motivated, with a strong sense of personal responsibility.
- Work effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
- Excellent communication skills, both verbal and written.
- Work well in a team setting, providing support and guidance.
- Demonstrate respect, friendliness and willingness to help wherever needed.
- Assist with day-to-day operations, working efficiently and productively with all team members.
- Work flexible hours across night, weekend, and holiday shifts.
- Manage time efficiently in order to complete all tasks within deadlines.
- Organize and detail-oriented with a strong work ethic.
- Pay attention to detail while completing assignments.
- Proved successful working within tight deadlines and a fast-paced environment.
- Enhance client satisfaction by providing timely and accurate eligibility determination for various assistance programs.
- Reduce errors in eligibility determinations by maintaining thorough knowledge of program guidelines and regulations.
Financial Counselor
Paths, LLC
01.2017 - 05.2019
- Compiled and evaluated personal and financial histories from patients to verify the completeness and accuracy of the Charity Care application as well as PA Medicaid
- Kept detailed records of assigned accounts for patients while I regularly interviewed patients for benefits such as Charity Care and PA Medicaid
- Investigated patients seeking medical assistance and information relevant to their application
- Maintained good working relationship with co-workers and management
- Helped team complete assignments to meet goals
- Worked at several hospitals such as Penn Presbyterian, Jefferson, etc.
- Increased patient confidence in the billing process by providing clear explanations of insurance benefits and coverage limitations.
- Conducted interviews with patients and family members and answered questions regarding insurance benefits.
- Contacted insurance providers to obtain key information regarding patient benefits and to submit documentation for accounts.
- Streamlined counseling processes by implementing efficient record-keeping systems and communication tools.
- Assessed client financial situation and explored background through one-on-one interview process.
Education
Associate of Science - PSYCHOLOGY
Gloucester County College
Sewell, NJ06.2005
High School Diploma - undefined
West Deptford High School
West Deptford, NJ06.2000
Skills
- 70 words per minute typing
- Data entry
- Effective communication skills
- Telephone etiquette
- Microsoft office
- Interviewing
- Documentation and reporting
- Verbal communication
- Public assistance
- Application review
- Documentation and paperwork
- Knowledgeable in EPIC
- Record keeping
- Medicaid
- Public assistance programs
- Performs tasks under great pressure
- Networking
- Multitasking / task prioritization
- Windows / Excel
- Customer relations
- Income verification
- Applicant support and service
LANGUAGES
English, Fluent
Timeline
Eligibility Specialist II
Savista, LLC.
10.2019 - Current
Financial Counselor
Paths, LLC
01.2017 - 05.2019
High School Diploma - undefined
West Deptford High School
Associate of Science - PSYCHOLOGY
Gloucester County College
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