SHELLIE PALMORE-GUEDRY
Arlington,Texas
Summary
Results-driven professional with a strong background in eligibility assessment and client service. Demonstrated expertise in communication, administration, investigation, record-keeping, and customer service. Skilled in analyzing applications, verifying information, and ensuring regulatory compliance. Recognized for teamwork, adaptability, and consistently achieving exceptional outcomes. Proficient in managing caseloads, problem-solving, and maintaining strict confidentiality while prioritizing accuracy and efficiency. Seeking a work-from-home position to apply skills and commitment to delivering outstanding results. Recently obtained TX Life and Health Insurance License in December 2024. Goal is to educate others in financial literacy.
Overview
30
30
years of professional experience
Work History
Medicaid Caseworker
MEDICAID FILING CONNECTION
05.2024 - 09.2024
- Welcome and greet new families coming onboard for services and start assisting them in gathering information that is needed to apply for nursing home Medicaid and the Star Plus program
- Call and or email the family to keep them updated on the progress, along with the business office managers of facilities and to remind them of additional information that was still needed
Medicaid Pending Specialist/ABOM
SENIOR LIVING PROPERTIES
04.2022 - 10.2023
- Assist residents and their families with nursing home Medicaid applications and submit to Texas Health and Human Services Commission
- Assist residents with their pending SSA/SSI applications in gathering information to submit to Disability Determination Services
- Assist the Business Office Manager and Administrators with any questions regarding nursing home Medicaid
- Screen potential residents coming in as Medicaid Pending
Pending Program Specialist
CREATIVE SOLUTIONS IN HEALTHCARE
11.2020 - 04.2022
- Screen Medicaid pending applications and reviews that need to be submitted to TX HHSC and make sure they are well prepared with all verifications and supporting documents
- Screen and determine if a potential resident is currently eligible for Medicaid
- Help facilities and families prepare for a fair hearing with HHSC and act as an advocate for the resident/family
Medicaid Eligibility Specialist
PARALLON/MEDICAL CITY ARLINGTON
12.2018 - 11.2020
- Complete applications for SSA (SSI/SSDI) and Medicaid applications to Texas Health and Human Services Commission, assist family members with any questions about Medicaid services and applications for services
Eligibility Specialist
DAYBREAK/UNIFIED CARE GROUP/CAREGIVER
07.2017 - 11.2018
- Complete applications for Rep Payee to SSA and Medicaid applications to Texas Health and Human Services Commission, assist family members and support managers with any questions about Medicaid services and applications for services
- Monitor and help maintain individuals Medicaid services
Long Term Care Eligibility Specialist
HEALTH AND HUMAN SERVICES COMMISSION
01.1996 - 05.2017
- Review financial records for eligibility determination, interview individuals and their families, document information gathered, verify and investigating case data, explain program benefits and requirements, provide information and referral services to individuals, their families, providers, agency staff and the general public, and review eligibility of individuals for continuing services
- Assistant supervisor since 2/2008 providing training and mentoring to employees, meeting deadlines, completing reports, managing caseloads and handling all supervisor duties when unavailable
Clerk III Receptionist
TEXAS DEPARTMENT OF HUMAN SERVICES
09.1994 - 10.1995
- Answered/routed incoming calls to approximately 37 employees, took messages and making referrals
- Greeted visitors and assisted staff in placing calls
- Kept the telephone list current; kept statistical data of calls and referral lists of other agencies
- Sorted mail and distributed monthly reports, typed and requested monthly denied cases and booked the conference room
Education
B.A. - Communications, Radio Television Production
University of Texas @ Arlington
08-1989
Skills
- Case information confidentiality
- Client interaction
- Highly effective communication
- Client advocacy
- Assessment skills
- Client engagement
- Case documentation
- Medicare and medicaid applications
- Community outreach
- Teamwork and collaboration
- Relationship building
- Disability services
Activities
2007, NAVY MOTHERS’ CLUBS OF AMERICA, Past National Commander, Local Commander, Judge Advocate
Timeline
Medicaid Caseworker
MEDICAID FILING CONNECTION
05.2024 - 09.2024
Medicaid Pending Specialist/ABOM
SENIOR LIVING PROPERTIES
04.2022 - 10.2023
Pending Program Specialist
CREATIVE SOLUTIONS IN HEALTHCARE
11.2020 - 04.2022
Medicaid Eligibility Specialist
PARALLON/MEDICAL CITY ARLINGTON
12.2018 - 11.2020
Eligibility Specialist
DAYBREAK/UNIFIED CARE GROUP/CAREGIVER
07.2017 - 11.2018
Long Term Care Eligibility Specialist
HEALTH AND HUMAN SERVICES COMMISSION
01.1996 - 05.2017
Clerk III Receptionist
TEXAS DEPARTMENT OF HUMAN SERVICES
09.1994 - 10.1995
B.A. - Communications, Radio Television Production
University of Texas @ Arlington
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