Hello! I'm Priscilla, a dedicated and experienced customer service representative with a proven track record of successful sales and cold calling. I take pride in setting up new customer accounts and providing top-notch customer service. With my skills in relationship-building, time management, and documentation, I'm committed to being a motivated team player and contributing to the success goals of the company. Let's make a positive impact together
• Interviewing applicants for CalWORKs, General-Relief, Medi-Cal, and CalFresh to obtain information regarding household composition, income, expenses, property, and other circumstances
• Processing new applications and Renewals for CalWORKs, General-Relief Medi-Cal/CalFresh single program and combo cases including: Immediate Need, Diversion, Homeless Assistance, CalFresh Expedited Services, Affordable Care Act (ACA) MAGI and Non-MAGI evaluations, Long Term Care, Aged & Disabled programs, DDSD Pending program, Federal Poverty Level programs, and Medicare Savings Programs: Qualified Medicare Beneficiaries (QMB), Specified Low Income Beneficiary (SLMB), and Qualifying Individuals (QI-1)Interpreting and maintaining knowledge in CalWORKs, Medi-Cal, and CalFresh regulations by frequently reviewing Program Guides, Letters, Memos, and Program Inquiries
• Reviewing applications, forms and verifications for completeness and accuracy
• Processing and interpreting a variety of financial and non-financial documents such as: paystubs, tax returns, bank statements, university financial aid documents, vehicle registrations, lease agreements, court orders, immigration documents, birth records, and immunization records
• Determining applicants' CalWORKs, Medi-Cal General-Relief and/or CalFresh eligibility by calculating correct benefit amounts, appropriate aid types, and share of cost
• Maintaining proficiency in and utilizing automated systems and applications such as: CalSAWS Fraud Referral Tracking System (FRTS), Medi-Cal Eligibility Data System (MEDS), Hyland, Electronic Benefits Transfer System (EBT), Income and Eligibility Verification System (IEVS), Payment Verification Systems (PVS), California Healthcare Eligibility, Enrollment and Retention System (CalHEERS), Learning Management System (LMS), Microsoft Office, and NICE InContact System.
• Managing a large volume of work ensuring compliance with regulatory time frames
• Maintaining and updating an application log to track work, progress, and due dates
• Processing referrals and escalations received within the office and from the Access Customer Service Center
• Corresponding with customers by sending requests for verification and accurate Notices of Action
• Referring customers to various public services to assist them with their needs including shelters, food banks, as well as local, state and federal agencies
• Providing excellent customer service in accordance with the county's HEART Initiative
• Completing any additional tasks as assigned