Radasia Roberts
Augusta,Georgia
Summary
Efficient professional in government program administration, known for high productivity and ability to complete tasks swiftly. Specialize in eligibility determination, case management, and regulatory compliance. Excel in communication, problem-solving, and adaptability, ensuring smooth operations and client satisfaction.
Overview
8
8
years of professional experience
Work History
Medicaid Eligibility Specialist
TEKsystems
Columbia, SC
09.2023 - 07.2024
- Updated case management systems with current information regarding client status.
- Verified accuracy of applicant's financial information against third-party sources such as employers, banks or government agencies.
- Performed periodic audits of case files to ensure accuracy and completeness.
- Advised clients on how best to utilize available resources in order to meet their needs.
- Processed requests for changes in existing Medicaid cases.
- Assisted individuals with the completion of complex paperwork related to their application process.
- Collaborated with other departments within the organization in order to resolve issues relating to Medicaid eligibility requirements.
- Maintained up-to-date knowledge of state and federal regulations pertaining to Medicaid eligibility.
Substitute Teacher, K-12
Kelly Services
Augusta
05.2023 - 12.2023
- Collaborated with other staff members to ensure a positive learning environment for students.
- Assisted with classroom instruction, following lesson plans and providing additional support to students.
- Organized educational games or projects that reinforce concepts taught in class.
- Established positive relationships with administrators, teachers and parents.
- Instructed small groups or individual students who need extra help or attention.
- Developed creative activities to engage students in learning opportunities.
Medicare Customer Service Representative
Conduent
Augusta , GA
06.2022 - 12.2022
- Responded promptly to customer inquiries about coverage options, claims status, and other related topics.
- Created documents such as letters, emails, or forms as needed for customer service purposes.
- Assisted customers in navigating the Medicare website, helping them to find the resources they needed.
- Answered incoming calls from Medicare beneficiaries, providing them with information regarding their benefits.
- Processed enrollments for new Medicare members according to established procedures and guidelines.
- Resolved customer complaints and concerns in a timely manner.
Clerical/ Administration
The Brown Firm
01.2017 - 01.2022
- Managed schedules, organized office functions, and oversaw daily operations of office
- Identified, researched relevant Federal, State, Local laws, and ordinances
- Served as go-to person regarding any administrative and operational related functions
- Performed basic accounting functions including cash reconciliations and wire transfers
- Prepared documentation needed for legal cases
- Answered, screened and redirected phone calls with professionalism and efficiency
- Ensured compliance with the Firm’s policies and procedures
- Managed vendor accounts by evaluating contract terms, negotiating agreements, and preparing weekly/monthly payable checks.
Service Support Worker
Food Lion
01.2021 - 01.2021
- Accurately record purchases in point-of-sale system
- Assisted different stations as necessary
- Collect fees, tender, check and balances and make bank deposits
- Take high call volume of inbound and outbound calls
- Standing periods of time will efficiently providing productivity.
Education
Associate Art of Business Administration -
Valencia Community College
01.2023
Bachelor of the Art of Psychology - Forensic Psychology
Albany State University
Albany, GASkills
- Accountability
- Accounts Receivable
- Processing Contracts
- Research
- Document Prepare
- Vendor Management
- Project Management
- Microsoft Office
- Excel
- Bank Reconciliations
- Audit Management
- Talent Development
- Performance Management
- High volume of inbound calls
- Medicaid knowledge
- Professionalism
- Data Compilation
- Problem-Solving
Timeline
Medicaid Eligibility Specialist
TEKsystems
09.2023 - 07.2024
Substitute Teacher, K-12
Kelly Services
05.2023 - 12.2023
Medicare Customer Service Representative
Conduent
06.2022 - 12.2022
Service Support Worker
Food Lion
01.2021 - 01.2021
Clerical/ Administration
The Brown Firm
01.2017 - 01.2022
Associate Art of Business Administration -
Valencia Community College
Bachelor of the Art of Psychology - Forensic Psychology
Albany State University