Dedicated Human Services Specialist with extensive experience in case management and client advocacy. Proven track record in upholding HIPAA compliance and streamlining claims processing to enhance client support.
Overview
24
24
years of professional experience
Work History
Human Services Specialist
Maximus Federal Services
Lawrence, Kansas
09.2014 - Current
Uphold HIPAA and CMS privacy standards while supporting Medicare beneficiaries and Marketplace consumers with basic and complex inquiries regarding claims, benefits, and fraud complaints.
Worked closely with teams to meet and exceed expectations for quality and customer service standards.
Spoke with beneficiaries regarding health insurance claims, appeals, fraud complaints and assisting with different insurance plans.
Economic Support Specialist
DCF
Emporia, Kansas
12.2004 - 07.2014
Assisted clients in applying for economic support programs.
Evaluated applications for eligibility and compliance with guidelines.
Maintained accurate records of client interactions and case statuses.
Collaborated with team members to streamline application processes.
Responded to client inquiries regarding benefits and services available.
Connected clients with best-fit resources and services to meet unique needs.
Maintained case files, entered data into automated systems, and monitored client accounts.
case manager
DCCCA Family Services
Topeka, KS
03.2003 - 10.2004
Monitored client progress and adjusted care strategies as needed.
Provided crisis intervention and support during emergencies.
Maintained accurate case documentation according to agency standards.
Educated clients about available resources and community programs.
Monitored client progress through regular follow-up contacts.
Provided case management services including intake, assessment, crisis intervention, advocacy, referral and monitoring of families.
Developed trusting relationships with social services, health care providers and governmental agencies.
Transported women in treatment with attending Alcoholics Anonymous, and Narcotics Anonymous meetings.
Case Manager
Four County Mental Health Center Inc.
Independence, Kansas
08.2001 - 03.2003
Collaborated with clients to develop personalized treatment plans.
Conducted assessments to evaluate clients' mental health needs.
Coordinated resources and services for client support and rehabilitation.
Maintained accurate documentation of client interactions and progress.
Provided crisis intervention services during urgent situations.
Monitored client progress through regular follow-up contacts.
Education
High School Diploma -
Shawnee Heights High School
Topeka, KS
05-1992
Bachelor of Science - Sociology
Emporia State University
Emporia, KS
05-2001
Skills
HIPAA compliance
Case management
Benefits counseling
Claims processing
Resource referral
Client advocacy
Strong problem-solving skills
Peaceful intervention and Conflict Resolution training