SHAKIYA JORDAN
Jacksonville,FL
Summary
Medicaid Eligibility Specialist with a proven track record of improving task efficiency and accuracy in client records. Skilled in interpreting complex policies and excelling in fast-paced environments. Demonstrated success in administering government programs while ensuring high service delivery standards. Open to relocation and authorized to work in the US for any employer.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Medicaid Eligibility Specialist
Centauri Health Solutions
01.2022 - 05.2025
- Managed eligibility assessments for public aid programs, verifying accuracy in client data and aiding unit effectiveness.
- Developed procedures and trained staff, enhancing program efficiency and compliance.
- Facilitated member enrollment for Medicaid and Medicare savings programs by working with county workers to process applications.
Radiology Patient Services Coordinator
University of Kentucky
11.2022 - 12.2024
- Worked with multiple programs: APM, SYNGO, AEHR, SCM, CRM and SharePoint.
- Scheduled radiology procedural test.
- Assisted with order protocol delivery, two-day order prep, and protocol prep.
- Provide clerical support, patient registration, and customer service.
- Maintain and process the visitor schedule.
- Communicate with patients, visitors, and monitor daily status reports.
- Facilitated patient registration, verifying that all required documentation is collected and filed properly.
Medicaid Eligibility Specialist II
Humana
06.2017 - 11.2022
- Review applications, financial documents, and other forms to determine if applicants meet program qualifications.
- Information Verification: Collect and verify information from applicants and external sources to ensure accuracy.
- Client Communication: Respond to client inquiries, clarify application details, and provide information on program requirements and alternatives.
- Record Keeping: Maintain accurate and organized case files and enter data into electronic systems for case management.
- Policy Adherence: Stay current with government or organizational policies, procedures, and program guidelines.
- Referrals & Support: Refer eligible individuals to appropriate programs and agencies and provide excellent customer service.
Chat Customer Service Rep/ Escalations Supervisor
Home Depot
09.2010 - 04.2017
- Provided quality, professional customer service that consistently meets or exceeds company standards of excellence and customer expectations.
- Answered inbound calls from customers, quickly assessed customer needs, and proactively provided solutions.
- Provided superior customer service while handling inbound calls for order placement and product inquiry.
- Documented details of customer interaction into the system while on the computer.
- Met or exceeded scorecard requirements for productivity, schedule adherence, quality, and attendance.
Education
GED - undefined
Muhlenberg Career Development Center
Greenville, KY12.2006
Skills
- Documentation review
- Writing skills
- Computer skills
- Management (10 years)
- Outpatient
- Teaching
- Multitasking abilities
- De-escalation techniques
- Dispute resolution
- Hospitality
- HubSpot
- Schedule management
- Problem solving
- Presentation creation
- Policy interpretation
- Data collection
- Customer service
- Team management
- Live chat
- Medical terminology
- Computer literacy
- Microsoft Office
- Order entry
- Calendar management
- Pegasystems
- Zendesk
- Microsoft Access
- Inpatient
- Negotiation
- EDI
- Scheduling
- Front desk
- Patient interaction
- Workers' compensation law
- Microsoft Word
- Mobile devices
- Appeals
- Eligibility determination
- Reliability
- Word processing
- Office experience
- Operating systems
- Project management
- VoIP
- Complaint resolution
- Data management
- Data entry
- Microsoft Excel
- Excellent communication
- EHR systems
Certification
- Driver's License
- CPR Certification
Timeline
Radiology Patient Services Coordinator
University of Kentucky
11.2022 - 12.2024
Medicaid Eligibility Specialist
Centauri Health Solutions
01.2022 - 05.2025
Medicaid Eligibility Specialist II
Humana
06.2017 - 11.2022
Chat Customer Service Rep/ Escalations Supervisor
Home Depot
09.2010 - 04.2017
GED - undefined
Muhlenberg Career Development Center
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