Megan Coyne
Auburn,NY
Summary
Empathetic professional with strong knowledge of Medicaid Managed Care and Social Determinants of Health resources. Experienced in assisting families with program eligibility and application processes, ensuring timely and accurate submissions.
Overview
14
14
years of professional experience
Work History
Facilitated Enroller Marketplace
Fidelis Care (Centente Corporation)
01.2013 - 09.2026
- Assist with forms: Complete and submit error-free applications for Medicaid, Child Health Plus, Essential Plans, and Qualified Health Plans.
- Conduct interviews: Screen and interview individuals and families to determine program eligibility.
- Collect documents: Gather, scan, fax, or mail required verification documents for consumers. Constant follow-up to ensure accurate documents gathered and submitted on time and accepted.
- Assisted members with annual renewals and eligibility updates, maintaining program compliance and continuity of care.
- Resolve issues: Manage complex or escalated member cases with targeted problem-solving.
- Educated the public on health insurance options, Medicaid, Child Health Plus, and Essential Plan features, enhancing understanding of benefits and insurance card usage. Importance of a Primary Care Provider. Educate individuals on healthy lifestyles, preventive care services and assist them through each step of the application and enrollment process.
- Engaged with community by attending local forums, workshops, and events to promote health resources.
- Regularly use of the Sales Force CRM as an activity tracking and lead/referral tracking tool, to manage appointments and follow up, manage my calendar and report on activity to management.
- Knowledgeable of the provider networks in their territory
- Social Determinants of Health screening questions for housing, transportation, food, care management. Refer to Cayuga Counseling Services (if Medicaid Managed Care) for screening Forward Leading Independent Provider Association (FLIPA)
Education
No Degree - Human Services
Onondaga Community College
Syracuse, NYHigh School Diploma -
Marcellus Highschool
Marcellus, NY06-1984
Skills
- Strong and in-depth knowledge of Medicaid Managed Care, Fee-for-Service Medicaid, HARP, Child Health Plus, Essential Plans and Qualified Health Plans
- EPACES proficiency
- Strong -detailed documentation skills
- Strong computer skills, including Microsoft Office and electronic documentation systems
- Ability to work in group and independently
- Adhere to all privacy laws
- Knowledge of community resources and social services
Timeline
Facilitated Enroller Marketplace
Fidelis Care (Centente Corporation)
01.2013 - 09.2026
No Degree - Human Services
Onondaga Community College
High School Diploma -
Marcellus Highschool