Nakita Snoddy

Performs routine eligibility determinations for social service programs, including interviewing clients, scheduling appointments, documenting information, verifying case data, and explaining program benefits and requirements. Work on cases that pertain to Medicaid, SNAP, TANF, and Medicare. HIPAA guidelines were followed as processing calls. Work with different applications such as EMRS, Tiers, state portal, SharePoint, Outlook, and Teams.

Work with the contracted company, Aston Carter/Fortrea. Assist with patients who cannot afford medication, Entyvio. Benefit investigates missing information for re-enrollment patients. Enter data that is missing from patients' applications. Scheduled appointments. Work with different insurance companies. HIPAA guidelines. Work with different applications, such as Siebel, Teams, Outlook, Cisco Finesse, Jabber, Google, and Excel, and obtain a daily goal when enrolling patients for their re-enrollments.

Benefit investigation, insurance specialist. Insurance specialists who make a way for members and patients who can't afford their medications. Scheduling appointments. Call payors from Medicare Part A, B, and C, Medicaid, Commercial, and Medicare Part D. Obtain the types of insurance information needed to complete the benefit investigation. Collect the patient's copays, coinsurance, deductible, and out-of-pocket maximums. Contact the payors and providers for medical information to acquire prior authorizations. HIPAA guidelines were followed as processing calls. Outbound calls to patients, payers, and provider offices to obtain any information that is needed. Inbound calls, when needed, in that department. Multiple systems, Salesforce, DocuPhase, Outlook, Teams, MSP, obtain a goal each day.

Processed housing applications for the state of South Carolina. Processed applications if applicants were behind on rent. Moved documents from one app to another. Scheduled appointments. Made outbound calls to applicants when needed. Used Microsoft, Teams, Outlook, Podio, Docuphase, and Genesys.

Telephone skills, answered inbound calls and outbound calls from United HealthCare members (Medicaid/Medicare), scheduled appointments, changed primary care providers for members, changed/ flipped flags to correct medication for members, removed alternative insurance for members, used applications, prescription claims, Macess, Facets, Outlook, Excel, Word, and Teams. Billing claims with some accounts. Processed claims for medical information. Resolved customers' concerns efficiently and expeditiously through phone, email, and chat. Achieved 100% of call performance goals for accuracy, speed, volume, resolution of issues, and customer satisfaction.

Written skills and communication with clients. Assist clients with Medicare plans. Assist senior citizens with daily personal hygiene and activities of daily living skills in the nursing home. Teach senior citizens communication and socialization skills. Engage in nursing facility activities with clients, such as planning parties, outings, and karaoke.

Assist IDD clients with their Home and Community-Based Services. Assist with meals, transportation, and managing money. Worked with the Program Manager to review and maintain the files of clients with intellectual and developmental disabilities. (Medicaid, Medicare, and care plans) assist clients through face-to-face and telephone communication. Data entry was completed for the client's information. Meet with the Service Coordinator to process clients’ Individual Care Plans and HCS documents.