Dependable professional with track record of success in field, attention to detail and proactive mindset. Seeks opportunities to improve processes and workflows for team benefit. Conscientious, hardworking and excels at multitasking in fast-paced environments.
Overview
9
9
years of professional experience
Work History
Eligibility operations specialist
State Of Nebraska - Department Of Health And Human Services
Lincoln, NE
07.2026 - Current
Remained calm and professional in stressful circumstances and effectively diffused tense situations.
Reviewed eligibility applications using policy guidelines and case records.
Verified client documentation for benefit qualification and program accuracy.
Determined eligibility status across complex cases and changing requirements.
Communicated with clients about missing forms, deadlines, and case updates.
Maintained comprehensive knowledge of program regulations, policies, and procedures.
Reviewed applications for eligibility and determined whether applicants met the criteria to receive benefits.
Medical Receptionist
Lincoln Pediatric Group
Lincoln, Nebraska
07.2024 - 04.2025
Schedule and confirm patients' appointments and follow ups.
Obtained accurate patient information, insurance details, and processed co-pays to ensure smooth patient flow.
Welcome patients and visitors in a friendly, professional manner.
Answer incoming calls, respond to inquiries, and route calls appropriately.
Assisted with billing and insurance verifications to facilitate timely reimbursements.
Updated patient records, medical histories, and contact information to enhance traceability and support patient care.
Sorted and categorized patient medical records for easy access.
Scanned documents into the electronic health record system securely.
Maintained confidentiality of personal and financial information, protecting patient rights and complying with HIPAA regulations.
Eligibility Operations Worker
Nebraska Department of Health and Human Services
Lincoln, NE
06.2022 - 10.2023
Resolved customer complaints promptly, ensuring customer satisfaction and retention.
Trained new employees on operational processes to enhance team effectiveness.
Explained eligibility decisions, application processes, and available benefits to clients.
Stayed up-to-date on changes to program guidelines, benefits, and procedures.
Clarified eligibility decisions and application processes, empowering clients with knowledge of available benefits.
Assisted with training new employees on operational processes.
Customer Service Representative
Allstate Insurance
Lincoln, NE
11.2020 - 04.2021
Resolved customer complaints and inquiries courteously and efficiently, enhancing customer satisfaction.
Demonstrated excellent communication skills, both verbal and written, in order to effectively interact with customers.
Developed strong customer relationships and loyalty through effective communication.
Remained open to feedback from supervisor and peers to build and improve skill set.
Documented and monitored all incoming calls and emails from customers to ensure timely responses and follow-ups.
Maintained logs and documentation to detail key information regarding incoming and outgoing calls.
Provided accurate information to answer questions and troubleshoot issues.
Guided customers through various web pages on the company's website, facilitating a smoother purchase process.
Sales Team Supervisor
Communication Solutions, LLC
Lincoln, NE
02.2018 - 10.2020
Assisted customers with inquiries or complaints promptly, enhancing overall service experience.
Provided ongoing coaching and feedback to ensure performance excellence from the sales team.
Created incentive plans that motivated the sales team to reach their goals.
Introduced new products and services into the marketplace while ensuring compliance with company policies.
Resolved conflicts between employees in a professional manner while upholding company values.
Developed incentive plans that drove sales team motivation and goal achievement.
Assisted customers with inquiries or complaints promptly.
Managed customer service operations, overseeing order processing, returns, and refunds to ensure smooth transactions.
Hired, trained, and evaluated personnel.
Education
High school diploma -
Lincoln North Star High school
Lincoln, NE
Skills
Medicaid eligibility
Eligibility determination
Financial eligibility assessment
Eligibility procedures
Data management
Case management
Revenue cycle management
Customer Service
Problem Solving
Communication skills
Attention to Detail
Teamwork and collaboration
Multitasking
Adaptability
Flexibility
Computer proficiency
Critical thinking
Professionalism
Active listening
Leadership
Relationship building
Goal management
Written communication
Case management
Eligibility determination
Personal Information
Title: CUSTOMER SERVICE SUPERVISOR
Work Permit: Authorized to work in the US for any employer
Visa Status: Authorized to work in the US for any employer
Timeline
Eligibility operations specialist
State Of Nebraska - Department Of Health And Human Services