Kim Robinson
Elmont
Summary
Goal-oriented Medicaid Supervisor with expertise in training and mentoring teams. Proven track record of streamlining processes and enhancing patient outcomes through effective coordination and compliance management.
Overview
12
12
years of professional experience
Work History
Medicaid Supervisor
Molina Healthcare
The Bronx, NY
10.2022 - 10.2026
- Oversaw daily operations to ensure compliance with healthcare regulations and standards.
- Trained and mentored team members to enhance service delivery and improve patient outcomes.
- Implemented process improvements that streamlined workflows and increased operational efficiency.
- Coordinated cross-functional teams to address patient care issues and optimize resource allocation.
- Developed and maintained comprehensive case files, ensuring compliance with state regulations and policies.
- Streamlined administrative workflows, reducing processing times for applications and renewals significantly.
- Exceeded departmental goals for timely case processing, contributing to the overall success of the Medicaid program.
- Reduced patient stress by presenting complex information about Medicaid guidelines clearly and concisely during consultations.
- Collaborated with healthcare providers to gather necessary information for successful Medicaid enrollments.
- Facilitated training sessions for staff members on changes in Medicaid policy or procedure, increasing team proficiency and adaptability.
- Prepared comprehensive reports on key performance metrics for senior management review, informing strategic planning initiatives.
- Demonstrated exceptional attention to detail when reviewing documentation for eligibility determination purposes, minimizing errors and delays.
- Improved patient care by efficiently coordinating and managing Medicaid applications and eligibility.
- Managed a high caseload effectively, prioritizing tasks and meeting deadlines consistently while maintaining high standards of service quality.
- Provided leadership, guidance and support to staff members.
Medicaid Supervisor/ A/R Claims
Agewell New York
Lake Success
09.2014 - 09.2022
- Implemented process improvements, increasing efficiency in service delivery.
- Supervised daily operations, ensuring compliance with organizational policies and procedures.
- Coordinated staff scheduling, optimizing resource allocation to meet operational demands.
- Mentored team members, fostering skill development and enhancing overall performance.
- Coordinated Medicaid enrollment processes to ensure timely access to services for eligible individuals.
- Developed and maintained comprehensive case files, ensuring compliance with state regulations and policies.
- Collaborated with healthcare providers to facilitate communication regarding patient care and service delivery.
- Implemented training programs for new staff on Medicaid policies and procedures, enhancing team performance.
- Analyzed client data to identify trends, improving outreach efforts and resource allocation strategies.
- Streamlined administrative workflows, reducing processing times for applications and renewals significantly.
- Advocated for clients' needs within the healthcare system, enhancing access to necessary medical resources and support services.
- Exceeded departmental goals for timely case processing, contributing to the overall success of the Medicaid program.
- Reduced patient stress by presenting complex information about Medicaid guidelines clearly and concisely during consultations.
- Implemented new filing systems that streamlined recordkeeping processes, improving efficiency and organization within the department.
- Provided personalized support to clients throughout the entire application process, resulting in increased satisfaction levels.
- Assisted families with complex paperwork, ensuring accuracy and timely submission of required documents.
- Served as a liaison between clients and government agencies, effectively resolving issues related to enrollment or benefits access.
- Streamlined the Medicaid application process for faster approvals, reducing wait times for patients.
- Utilized data analysis tools to monitor program performance indicators, driving continuous improvements in service delivery outcomes.
- Prepared comprehensive reports on key performance metrics for senior management review, informing strategic planning initiatives.
- Facilitated training sessions for staff members on changes in Medicaid policy or procedure, increasing team proficiency and adaptability.
- Maintained up-to-date knowledge of state and federal regulations, ensuring compliance in all Medicaid coordination efforts.
- Supported cross-functional teams working on special projects related to Medicaid services improvements or expansion initiatives.
- Managed a high caseload effectively, prioritizing tasks and meeting deadlines consistently while maintaining high standards of service quality.
- Provided leadership, guidance and support to staff members.
Education
Bachelor of Science - Social Sciences
St John’s
Queens, NYSkills
- Patient advocacy
- Data analysis
- Attention to detail
- Training and mentoring
- Staff management
- Employee motivation
- Complex problem-solving
- Goal-oriented
Timeline
Medicaid Supervisor
Molina Healthcare
10.2022 - 10.2026
Medicaid Supervisor/ A/R Claims
Agewell New York
09.2014 - 09.2022
Bachelor of Science - Social Sciences
St John’s