LaTonya Byrd
Beech Island,SC
Summary
Dedicated and diligent, I approach tasks with determination to ensure completion. Passionate about providing assistance and believe empathy is key to effective solutions. Establish systematic approach and maintain organization to successfully carry out any job. Keen eye for detail, logical thinking, and unwavering commitment result in high-quality work. Cherish the satisfaction of contributing to overall company success.
Overview
13
13
years of professional experience
Work History
Eligibility Specialist II NM TL
South Carolina Department of Health and Human Services (SCDHHS)
Aiken, SC
09.2024 - Current
- Uses various information sources, electronic tools, and systems provided by the Department to collect, assemble, evaluate, and act upon information provided by applicant/beneficiaries and third parties to make timely eligibility determinations, reviews, and changes of circumstance
- Follows policies and procedures for the collection and analysis of applications and documentation and collects additional information for beneficiaries as necessary with the least burden to the applicant/beneficiary as possible
- Performs follow-up activities in an efficient and effective manner, using the communication method most appropriate for obtaining outstanding information
- Documents all notes and steps clearly and completely for review and hand-off to other specialists
- In addition to meeting minimum standards for timely determinations in accordance with the Department's EPSM, serves as a subject-matter expert and first tier escalation authority for individuals on their team
- Provides weekly individualized guidance for up to 4 team members and provides recommendations for the relevant team supervisor for performance evaluations and periodic counseling
- Assists new and underperforming team members with developing work improvement strategies
- Proficient with all processes, policies, procedures, and system updates to ensure that all eligibility determinations, reviews, and changes are completed accurately with satisfactory documentation
- Makes accurate determinations as to individual eligibility based on the rules and standards detailed by the department as defined in written performance standards for the relevant type of determination needed
- Resolves discrepancies in a timely manner
- Follows appropriate escalation processes as outlined in eligibility process documentation
- Labels all documentation, records decision and notes clearly and accurately, and in the appropriate systems of record
- Maintains a professional demeanor and communication style, ensuring that communication and interactions with co-workers, supervisors, and beneficiaries is clear, polite, and concise
- Participates in customer service and privacy training and ensures that confidential or private information is maintained in accordance with State and Federal law as articulated through departmental policies and training
- Attends all mandatory meetings, trainings, and events as directed by supervisory staff and agency leadership
- Maintains awareness of and complies with all agency policies, to include privacy, confidentiality, standards of conduct, performance, leave and compensation, vehicle use and travel, and financial controls
- Maintains appropriate certification and training to perform emergency management evacuation and shelter duties as necessary
- Performs other duties as assigned by supervisory staff and agency leadership
Patient Advocate
Elevate Patient Financial Solutions
Augusta, GA
07.2024 - 09.2024
- Screen uninsured hospital patients in an effort to determine if patient is a viable candidate for federal, state, and/or county medical or disability assistance
- Complete the appropriate applications and following through until approved
- Detailed, accurate and timely documentation in applicable Company programs and the hospital systems on all cases worked
- Provide exceptional customer service skills at all times
- Participate in ongoing trainings in order to apply the content learned in dealings with patients and cases
- Maintain assigned work queue of patient accounts
- Collaborate with hospital staff, case managers, social workers, financial counselors
- Answer incoming telephone calls, make out-bound calls, and track all paperwork necessary to submit enrollment and renewal for prospective Medicaid patients
- Maintain structured and timely contact with the applicant and responsible government agency, by phone whenever possible or as structured via the daily work queue
- Assist the applicant with gathering any additional reports or records, meeting appointment dates and times and arrange transportation if warranted
- Request home visits as needed to acquire documentation
- As per established protocols, inform the client in a timely manner of all approvals and denials of coverage
- Participate in additional training requirements in an effort to stay abreast of the ever-changing rules and regulations associated with the various governmental programs
- Other duties as assigned
Patient Advocate Team Lead
Elevate Patient Financial Solutions
Augusta, GA
05.2024 - 07.2024
- Manage follow up and resolution of complex cases or those requiring the appeals process
- Act as a mentor for other Patient Advocates and assisting in the training process for new staff
- Being a resource for Patient Advocates questions related to process, programs, payers, etc
- Escalate any problems or concerns to Supervisor, Regional Director and/or Director of Operations
- Screen uninsured hospital patients in an effort to find government programs to cover medical expenses
- Complete the appropriate applications and following through until approved
- Detailed, accurate and timely documentation in applicable Company programs and the hospital systems on all cases worked
- Provide exceptional customer service skills at all times
- Participate in ongoing trainings in order to apply the content learned in dealings with patients and cases
- Maintain work queue of patient accounts, as assigned
- Collaborate with hospital staff, case managers, social workers, financial counselors
- Attend assigned meetings with the client as needed
- Assist in preparation of any reports that will be distributed to the client
- Provide mentorship to other advocates as assigned by Project Manager
- Other duties as assigned
Eligibility Specialist II NM TL
South Carolina Department of Health and Human Services (SCDHHS)
Aiken, SC
08.2022 - 05.2024
- Uses various information sources, electronic tools, and systems provided by the Department to collect, assemble, evaluate, and act upon information provided by applicant/beneficiaries and third parties to make timely eligibility determinations, reviews, and changes of circumstance
- Follows policies and procedures for the collection and analysis of applications and documentation and collects additional information for beneficiaries as necessary with the least burden to the applicant/beneficiary as possible
- Performs follow-up activities in an efficient and effective manner, using the communication method most appropriate for obtaining outstanding information
- Documents all notes and steps clearly and completely for review and hand-off to other specialists
- In addition to meeting minimum standards for timely determinations in accordance with the Department's EPSM, serves as a subject-matter expert and first tier escalation authority for individuals on their team
- Provides weekly individualized guidance for up to 4 team members and provides recommendations for the relevant team supervisor for performance evaluations and periodic counseling
- Assists new and underperforming team members with developing work improvement strategies
- Proficient with all processes, policies, procedures, and system updates to ensure that all eligibility determinations, reviews, and changes are completed accurately with satisfactory documentation
- Makes accurate determinations as to individual eligibility based on the rules and standards detailed by the department as defined in written performance standards for the relevant type of determination needed
- Resolves discrepancies in a timely manner
- Follows appropriate escalation processes as outlined in eligibility process documentation
- Labels all documentation, records decision and notes clearly and accurately, and in the appropriate systems of record
- Maintains a professional demeanor and communication style, ensuring that communication and interactions with co-workers, supervisors, and beneficiaries is clear, polite, and concise
- Participates in customer service and privacy training and ensures that confidential or private information is maintained in accordance with State and Federal law as articulated through departmental policies and training
- Attends all mandatory meetings, trainings, and events as directed by supervisory staff and agency leadership
- Maintains awareness of and complies with all agency policies, to include privacy, confidentiality, standards of conduct, performance, leave and compensation, vehicle use and travel, and financial controls
- Maintains appropriate certification and training to perform emergency management evacuation and shelter duties as necessary
- Performs other duties as assigned by supervisory staff and agency leadership
Eligibility Specialist II NM
SCDHHS
Aiken, SC
08.2020 - 08.2022
- Uses various information sources, electronic tools, and systems provided by the Department to collect, assemble, evaluate, and act upon information provided by applicant/beneficiaries and third parties to make timely eligibility determinations, reviews, and changes of circumstance
- Follows policies and procedures for the collection and analysis of applications and documentation and collects additional information for beneficiaries as necessary with the least burden to the applicant/beneficiary as possible
- Performs follow-up activities in an efficient and effective manner, using the communication method most appropriate for obtaining outstanding information in a timely manner
- Documents all notes and steps clearly and completely for review and hand-off to other specialists
- Demonstrates proficiency in utilizing all processes, policies, procedures, and system updates to ensure that all eligibility determinations, reviews, and changes are completed accurately with satisfactory documentation
- Makes accurate determinations of eligibility based on the rules and standards detailed by the Department and defined in written performance standards
- Resolves discrepancies in case determinations or documentation a timely manner
- Follows appropriate escalation processes as outlined in eligibility process documentation
- Labels all documentation, records decision and notes clearly and accurately in the appropriate systems of record
- Maintains a professional demeanor and communication style, ensuring that communication and interactions with co-workers, supervisors, and beneficiaries is clear, polite, and concise
- Participates in customer service and privacy training and ensures that confidential or private information is maintained in accordance with State and Federal law as articulated through departmental policies and training
- Attends all mandatory meetings, trainings, and events as directed by supervisory staff and agency leadership
- Maintains awareness of and complies with all agency policies, to include privacy, confidentiality, standards of conduct, performance, leave and compensation, vehicle use and travel, and financial controls
- Maintains appropriate certification and training to perform emergency management evacuation and shelter duties as necessary
- Performs other duties as assigned by supervisory staff and agency leadership
Human Services Specialist II
AppleOne
Aiken, SC
06.2019 - 08.2020
- Uses various information sources, electronic tools, and systems provided by the Department to collect, assemble, evaluate, and act upon information provided by applicant/beneficiaries and third parties to make timely eligibility determinations, reviews, and changes of circumstance
- Follows policies and procedures for the collection and analysis of applications and documentation and collects additional information for beneficiaries as necessary with the least burden to the applicant/beneficiary as possible
- Performs follow-up activities in an efficient and effective manner, using the communication method most appropriate for obtaining outstanding information in a timely manner
- Documents all notes and steps clearly and completely for review and hand-off to other specialists
- Demonstrates proficiency in utilizing all processes, policies, procedures, and system updates to ensure that all eligibility determinations, reviews, and changes are completed accurately with satisfactory documentation
- Makes accurate determinations of eligibility based on the rules and standards detailed by the Department and defined in written performance standards
- Resolves discrepancies in case determinations or documentation a timely manner
- Follows appropriate escalation processes as outlined in eligibility process documentation
- Labels all documentation, records decision and notes clearly and accurately in the appropriate systems of record
- Maintains a professional demeanor and communication style, ensuring that communication and interactions with co-workers, supervisors, and beneficiaries is clear, polite, and concise
- Participates in customer service and privacy training and ensures that confidential or private information is maintained in accordance with State and Federal law as articulated through departmental policies and training
- Attends all mandatory meetings, trainings, and events as directed by supervisory staff and agency leadership
- Maintains awareness of and complies with all agency policies, to include privacy, confidentiality, standards of conduct, performance, leave and compensation, vehicle use and travel, and financial controls
- Maintains appropriate certification and training to perform emergency management evacuation and shelter duties as necessary
- Performs other duties as assigned by supervisory staff and agency leadership
Material Handler
Kelly Services(Club Car)
Evans, GA
01.2019 - 06.2019
- Ensured accurate material picking as per pull sheet.
- Ensured timely delivery of necessary materials to maintain production flow.
- Ensure proper placement of stock items.
Picking Associate
Integrity Staffing Solutions
Columbia, SC
10.2018 - 01.2019
- Picked items using a scanner.
Data Entry/Inventory Control
Asco Numatics
Aiken, SC
09.2014 - 10.2018
- Entered various transactions into AS400 system, including pick slips and material transfers.
- Develop and revise order specifics.
- Assisted with global client communications.
- Maintained accurate inventory records through meticulous audits.
- Inputted finished goods data into AS400.
- Organized scanned documents for easy retrieval.
- Eliminated discrepancies in material assessments.
- Implemented strategic aisle closures for accurate inventory assessment.
- Maintained precise inventory records.
Cashier/Customer Service
Dollar General
Beech Island, SC
04.2014 - 06.2014
- Maintained stock levels to prevent shortages.
- Handled cash register operations swiftly.
Flow Team Member
Target
Aiken, SC
11.2013 - 05.2014
- Unload trucks and stock shelves using FIFO method.
Packer
Aiken Staffing
Aiken, SC
12.2011 - 12.2011
- Efficiently packaged products into containers.
- Ensured accurate logging of all inventory transactions.
Education
High school diploma -
Silver Bluff High School
Aiken, SC06.2010
Skills
- Detail-Oriented Data Management
- Technical Proficiency
Additional Information
Fast-Learner, Proficient 10-Key, Team Player
Assessments
- Administrative assistant/receptionist, Proficient, 05/01/21
- Customer focus & orientation, Proficient, 06/01/23
- Work style: Reliability, Proficient, 05/01/23
- Work motivation, Proficient, 01/01/21
- Customer service, Proficient, 02/01/24
- Medical terminology, Proficient, 04/01/24
Personal Information
Authorized To Work: US
Timeline
Eligibility Specialist II NM TL
South Carolina Department of Health and Human Services (SCDHHS)
09.2024 - Current
Patient Advocate
Elevate Patient Financial Solutions
07.2024 - 09.2024
Patient Advocate Team Lead
Elevate Patient Financial Solutions
05.2024 - 07.2024
Eligibility Specialist II NM TL
South Carolina Department of Health and Human Services (SCDHHS)
08.2022 - 05.2024
Eligibility Specialist II NM
SCDHHS
08.2020 - 08.2022
Human Services Specialist II
AppleOne
06.2019 - 08.2020
Material Handler
Kelly Services(Club Car)
01.2019 - 06.2019
Picking Associate
Integrity Staffing Solutions
10.2018 - 01.2019
Data Entry/Inventory Control
Asco Numatics
09.2014 - 10.2018
Cashier/Customer Service
Dollar General
04.2014 - 06.2014
Flow Team Member
Target
11.2013 - 05.2014
Packer
Aiken Staffing
12.2011 - 12.2011
High school diploma -
Silver Bluff High School