Kiara McGowan

Obtains, verifies, and calculates income and resources to determine client financial eligibility for social service programs. Processes, monitors, reviews, and communicates case status and changes to clients, their families, or authorized representatives. Interviews clients, their families, or authorized representatives to gather information in determining benefit eligibility. Certifies program eligibility, computes benefit levels, and determines the length of eligibility. Conducts reviews to determine or verify new and continued program eligibility. Explains program benefits, requirements, rights of appeal, and fair hearings to clients, their families, or authorized representatives. Calculates and processes changes to client benefits such as overpayments, adjustments, or restoration of benefits. Documents case records to maintain accurate and confidential client records. Assists advisors in resolving complaints and escalated issues. May consult with program staff on policies, practices, records, budgets, and community resources. Performs moderately complex eligibility determinations for social services programs. Work involves reviewing eligibility files, interviewing clients, documenting client information, determining benefits, verifying case data, and explaining program benefits and requirements. Works under general supervision, with limited latitude for the use of initiative and independent judgment.

Improved client satisfaction by effectively addressing inquiries and concerns.

The Provider Enrollment line assists with applications to enroll, updates to new and existing provider accounts, and questions concerning enrollment policy. Some of the responsibilities include the following: maintenance of provider accounts, advising providers on how to complete a Texas Medicaid program application, and answering questions regarding policies which impact enrollment, but not limited to also assisting providers with claim status, client eligibility, appeals process, and claim submission. Revived and verified medical claims submitted by healthcare providers to ensure accuracy and compliance with Texas Medicaid guidelines. Responded to customer needs through competent customer service and prompt problem-solving.

• Assisted clients with activities of daily living, promoting independence and quality of life.
• Cleaned house, ran errands, managed laundry, and completed weekly grocery shopping.
• Assisted with dressing guidance, grooming, meal preparation, and medication reminders.
• Performed light housekeeping duties to maintain cleanliness standards while respecting the patient''s personal space.
• Built strong relationships with clients to deliver emotional support and companionship.
• Engaged patients in meaningful conversation, socialization, and activity while providing personal care assistance.
• Enhanced patient comfort by providing compassionate and attentive care, addressing individual needs and preferences.