Summary
Overview
Work History
Education
Skills
Websites
Timeline
Generic

LaSundra Lee-Parker

Jonesboro,USA

Summary

Results-driven Medicaid Eligibility Specialist with extensive experience in benefits administration and a proven track record in interpreting complex regulations. Expertise in maintaining compliance and accuracy while resolving applicant issues efficiently. Recognized for optimizing workflow processes, significantly improving application turnaround times and enhancing operational effectiveness.

Overview

11
11
years of professional experience

Work History

Medicaid Specailsist

PruittHealth
Norcross, GA
07.2024 - Current
  • Reviewed Medicaid applications for eligibility accuracy and completeness.
  • Assisted applicants with the completion of their applications when needed.
  • Performed other duties as assigned by the management team.
  • Responded timely to inquiries from clients regarding their Medicaid applications or benefits.
  • Verified income, assets, and other resources by federal and state regulations.
  • I converse with people from different cultures daily, providing a high level of respect and patience with each interaction.
  • Performed careful reviews of applicant data to ascertain compliance with eligibility criteria for economic assistance.
  • Conducted interviews with applicants, explaining the benefits process and which programs were available.
  • Maintained confidential patient documentation to prevent data compromise and comply with HIPAA regulations.

Medicaid Eligibility Specialist

Division Of Family And Children Services
Morrow, USA
03.2014 - 09.2023
  • Processed Medicaid applications, renewals, and changes promptly.
  • Provided professional assistance to clients, addressing their inquiries and concerns in person and over the phone.
  • Collaborated on interdisciplinary projects with hospitals and health departments to expedite case completion.
  • Coordinated with other agencies to resolve clients' additional issues effectively.
  • Maintained accurate records and generated monthly reports.
  • Assisted the team in managing caseloads to meet Standard of Promptness (SOP) standards.
  • Detected and reported cases of fraud to the supervisor.
  • Processed 600 Medicaid applications in 3 months, increasing approval rate by 10%.

Assistant Pre K Teacher

Future Leaders Christian Academy
Jonesboro, USA
09.2017 - 10.2018
  • Instructed an average of 22 Pre-K students during each school year.
  • Maintained a safe and clean classroom environment through daily sanitation of toys and play equipment.
  • Identified and reported signs of emotional and developmental issues in children to parents.
  • Provided individualized attention to children while ensuring overall group focus.
  • Conducted parent-teacher conferences and created written student performance assessments based on classroom observations.
  • Established and maintained daily routines for easy student comprehension.
  • Received a 94% satisfaction rating from parents and students within 6 months as Assistant Pre K Teacher.
  • Developed and implemented creative curriculum that increased student engagement by 25% in 6 months.

Education

Bachelor Of Arts - Early Childhood

Ashford University

Skills

  • Comprehensive
  • Customer Experience
  • Effective communication
  • Problem resolution
  • Policy interpretation
  • Medicaid
  • Monthly Reporting
  • Performance Analysis
  • Standard Operating Procedure
  • Teaching
  • Data entry accuracy
  • Case management
  • Application processing
  • Medicaid policy compliance

Timeline

Medicaid Specailsist

PruittHealth
07.2024 - Current

Assistant Pre K Teacher

Future Leaders Christian Academy
09.2017 - 10.2018

Medicaid Eligibility Specialist

Division Of Family And Children Services
03.2014 - 09.2023

Bachelor Of Arts - Early Childhood

Ashford University

Similar Profiles

CREATE PROFILE
LaSundra Lee-Parker
Want your own profile? Build for free at Resume-Now.com