Nerissa Greenland
Warren,PA
Summary
Detail-oriented Medicaid Eligibility Specialist with a background in application processing, case review, and appeals support. Coordinates with applicants, staff, and agency contacts to track missing information, resolve discrepancies, and keep cases compliant with state guidelines. Known for organized documentation, clear communication, and steady follow-through on sensitive eligibility matters.
Overview
13
13
years of professional experience
Work History
Medicaid Eligibility Specialist
LIFE NWPA
Warren, PA
04.2026 - Current
- Guided applicants through Medicaid applications and ensured submission of required documentation.
- Reviews case files for accuracy and compliance with state guidelines.
- Resolved eligibility questions using Medicaid policies and agency procedures.
- Collaborated with departments to resolve Medicaid eligibility issues and enhance applicant support.
- Tracked application status and followed up on missing information to expedite processing.
- Compiled and documented information regarding applicant's income, assets, insurance coverage and other relevant data.
- Responded promptly to inquiries from applicants and the CAO concerning Medicaid services.
- Coordinates with LIFE NWPA staff on enrollment and eligibility updates.
- Researched discrepancies between submitted forms and available records to ensure compliance with regulations.
- Evaluated appeals of denied applications using established criteria.
- Completes and issues all paperwork for the department for all appeals.
- Attends every appeal hearing to maintain consistency between LIFE NWPA and the CAO.
- Demonstrated fluency in Monument system for effective application processing.
Intake Coordinator / IEB Liaison
LIFE NWPA
Warren, PA
01.2021 - 04.2026
- Secured client signatures on required documents, including Intent to Enroll and PA600, ensuring compliance in the enrollment process.
- Acted as department liaison, facilitating communication between staff and PA IEB for efficient submission and receipt of documents.
- Completing assessments with seniors for a waiver program.
- Obtaining the MA570 Form and working with the local Area Agency on Aging to schedule FED assessments for the consumer.
- Requesting all medical and financial records.
- Reviewed received financial records for high transactions and discrepancies to ensure accuracy in PA600 submissions.
- Completing all necessary enrollment forms and sending those to the state for processing.
- Acted as the backup supervisor during absences, answering staff questions and addressing concerns.
Quote/Job Coordinator
Stuart Tool & Die
Falconer, NY
05.2018 - 01.2021
- Distributed completed quotes to relevant personnel and sent them to vendors for further processing.
- Created and tracked new jobs in the JobBoss system to ensure accurate job management.
- Tracked profit/loss upon job completion and provided monthly reports to management for review.
- Prepares an Active Job/Open Order Report on a weekly basis from the JobBoss system.
- Creates purchase orders and packing slips in the JobBoss system.
- Assigns job numbers and logs them for tracking purposes.
- Recorded quote time for accurate job tracking. to a job after the quote turns into a job.
- Enters employee time cards into the JobBoss system.
Assistant Buyer
BLAIR
Warren, PA
04.2014 - 03.2017
- Assisted Buyer with selecting products for the upcoming season. Also, assisted Buyer with selecting new colors and prints for existing items.
- Analyzed Topline reports highlighting top and bottom items by category to inform product selection and strategy.
- Negotiated costs with vendors to meet margin requirements.
- Discussed minimum order requirements with vendors to ensure compliance with purchasing needs.
- Cultivated strong vendor relationships through daily communication, ensuring alignment on product needs and requirements.
- Compiled a Look Book with various styles we would like to run for the next season. This would then get emailed to the vendors. Once the vendors reviewed the book, they would let us know if they could execute a style or styles.
- Maintained and updated multiple Excel spreadsheets for tracking fit samples, photo samples, and bulk fabric, facilitating accurate new product information and a comprehensive catalog grid for weekly distribution to relevant departments.
- Assisted the Buyer on the catalog build and made sure they were clean and accurate.
- Requested fit and photo samples. Followed up on them and tracked them. Fit samples were then "fit" by the Technical Design team, and photo samples were distributed for the Photo department for photo shoots.
- Attended daily meetings and made any decisions on our products.
- Distributed weekly change memos which were sent to Advertising, Marketing, Photo, Sourcing, Design, Technical Design, and E-commerce with critical business changes.
- Maintained the WebPDM system which stored all new product information. This system was essential for Merchandising and Advertising.
Education
High School Diploma -
Warren Area High School
06-2007
Skills
- Medicaid eligibility
- Application processing
- Eligibility appeals
- Case management
- Attention to detail
- Organizational skills
- Problem solving
- Teamwork and collaboration
- Multitasking
- Professionalism
Timeline
Medicaid Eligibility Specialist
LIFE NWPA
04.2026 - Current
Intake Coordinator / IEB Liaison
LIFE NWPA
01.2021 - 04.2026
Quote/Job Coordinator
Stuart Tool & Die
05.2018 - 01.2021
Assistant Buyer
BLAIR
04.2014 - 03.2017
High School Diploma -
Warren Area High School