ORIT SOFER
Brooklyn
Summary
Medicaid Operations Supervisor with 5 years of experience in regulatory compliance and team leadership. Demonstrated expertise in data analysis and project management, resulting in enhanced operational efficiency through strategic audits and process improvements. Achieved timely Medicaid approvals while maintaining strong relationships with stakeholders.
Overview
5
5
years of professional experience
Work History
Regional Medicaid consultant Operations Supervisor
Ventura Services LLC
West Hempstead
03.2025 - Current
- Oversaw Medicaid department operations across 17 facilities, ensuring regulatory compliance and adherence to policies.
- Supervised Medicaid coordinators in eligibility determination, documentation collection, and case management practices.
- Reviewed Medicaid applications for accuracy, completeness, and timely submission.
- Managed financial reviews and spend-down processes to verify residents' Medicaid eligibility.
- Established legal instruments and trusts to streamline Medicaid approval and support long-term care planning.
- Coordinated with attorneys and financial institutions to collect documentation and address discrepancies.
- Conducted audits and monitored revenue reports, enhancing compliance and operational efficiency.
- Led monthly meetings to review caseloads, track all payers, and drive process improvements.
Medicaid Coordinator & Health Insurance Specialist
Future Care Consultants LLC
Brooklyn
07.2021 - 02.2025
- Assist patients and family members with applying for medical, legal, and financial benefits, and offer guidance to each patient and their families to understand the state’s service system
- Managed financial transactions such as facility rent, social security income, insurance, and ACH processing
- Posting journal entries on Quickbooks, updating financial statements, and preparing monthly financial report
- Responsible for assisting each patient access necessary medical services based on their needs, preferences, and insurance coverage
- Communicated daily with nursing home administrators, patients’ families, and Medicaid caseworkers to get what is required for each unique Medicaid case
- Screening patients for available support programs, providing referrals for the requested services, and periodically reviewing patient service satisfaction, health, and safety
- Other duties include maintaining accurate and updated documentation for all activities based on state and federal regulations and agency policy
Executive assistant
Yellow Gold Jewelry and Company
New York
10.2020 - 06.2021
- Managed financial transactions such as payroll
- Screen all visitors and determine what level of support they need while offering professional customer service.
- Providing administrative assistance, such as writing and editing e-mails, drafting memos, and preparing communications on the executive’s behalf
- Answering Emails and communicating with customers daily to assist with their requests and needs such as process orders
- Provided monthly internal financial statements targeting business performance
Education
Bachelors of Health and Science - Health and Wellness
City University of New York, BrooklynCollege
Brooklyn, NY04.2021
Skills
- Microsoft Office Suite
- Adobe Creative Suite
- Google Workspace
- Data analysis and reporting
- Project management
- Communication skills
- Public speaking
- Interpersonal relations
- Team leadership
Languages
Proficient Arabic, English and Hebrew
Interests
Exercise, Reading, Design, Health, Sports
INVOLVEMENT AND EXPERIENCE
Kingsborough Community College, Financial aid advisor assistant, Brooklyn, NY, 2019-09, 2020-06, Responsible for providing financial aid services to college students, resolving financial aid problems related to financial aid issues, providing application information and other financial aid programs, Ensuring students understand of policies and procedures related to financial aid supervising student workers, performed exceptional customer service for students, employees, and the public by responding to inquiries concerning financial aid eligibility while ensuring students understand all procedures related to their financial aid records, Collecting documents and information for thr processing of applications, Review applications with all important documents to ensure student eligibility and requirements are satisfied with college and local State federal law
Timeline
Regional Medicaid consultant Operations Supervisor
Ventura Services LLC
03.2025 - Current
Medicaid Coordinator & Health Insurance Specialist
Future Care Consultants LLC
07.2021 - 02.2025
Executive assistant
Yellow Gold Jewelry and Company
10.2020 - 06.2021
Bachelors of Health and Science - Health and Wellness
City University of New York, BrooklynCollege