To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
8
8
years of professional experience
Work History
Medicaid/Medicare Eligibility Specialist
Centauri Health Solutions Inc - Human Arc
02.2022 - Current
Assists Medicare members with applying for and maintaining State and county Medicaid Benefits via phone, email and other communication methods.
Educate members on their Medicaid benefits and on County and State application processes.
Coordinate with various government agencies and organizations to assist members in applying for and maintaining Medicaid Benefits.
Manage time efficiently in order to complete all tasks within deadlines.
Proven ability to learn quickly and adapt to new situations.
Participate in special projects and campaigns to increase revenue for Medicare Health Plans we service.
Caremark Customer Care Associate
CVS
10.2019 - 05.2020
Provided customer care for Pharmacy Benefits Manager.
Answered member, physician's office and Pharmacy inquiries regarding member plan design, medication and mail order status.
Educate members on plan design and benefits.
Helped customers through stressful times by giving expert help and building customized solutions for unique requirements.
Case Manager
Franklin County Department Of Job & Family Service
07.2015 - 09.2019
Answered telephone inquiries in the, for the Department of Job and Family Services.
Inquiries included case and program information for Medicaid, SNAP, TANF and all other services.
Promoted to Case Manager/Eligibility Worker in the Medical Support Services unit.
Responsible for Medicaid case processing, including Long Term Care and Nursing Home eligibility.
Corresponding with Hospital and their Third Party companies to resolve case and billing issues.
Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
Education
Associates Degree - NRCMA, Assistant
Technology Education College
Columbus Grove, OH
10.2008
Bachelors of Business Management - Health Services Management
DeVry University
Columbus, OH
09.2006
Skills
Typing 50 WPM; 10-Key Touch
Program Understanding
Excellent organizational, interpersonal, verbal and written skills
Customer Inquiries
Creative Solutions
Client Documentation
Applicant Support and Service
Application Reviews
Timeline
Medicaid/Medicare Eligibility Specialist
Centauri Health Solutions Inc - Human Arc
02.2022 - Current
Caremark Customer Care Associate
CVS
10.2019 - 05.2020
Case Manager
Franklin County Department Of Job & Family Service
07.2015 - 09.2019
Associates Degree - NRCMA, Assistant
Technology Education College
Bachelors of Business Management - Health Services Management
DeVry University
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