Sherita Paylor
161 Davidson Drive Reidsville,NC
Summary
Experienced and compassionate Eligibility Caseworker with a background in assessing and determining program eligibility based on individual needs. Strong understanding of regulations, laws, and policies related to public assistance programs such as Long Term Care and Special Assistance Medicaid. Showcases strong interpersonal skills and ability to work effectively within diverse populations. Previous work has led to improved accuracy and efficiency in case processing while exhibiting discretion and respect for client confidentiality.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Eligibility Caseworker LTC/ SA Medicaid
Guilford County Department of Social Services
Greensboro, NC
04.2017 - Current
- Conduct interviews with applicants, explaining the Long Term Care or Special Assistance Medicaid process, and obtain information needed to determine eligibility for benefits.
- Participate in training sessions designed to stay abreast of new regulations governing benefit programs.
- Ensure compliance with all regulations, guidelines, policies, and procedures relating to public benefit programs.
- Approve or deny Medicaid based on key information and eligibility determination.
- Process applications in a timely manner, while ensuring accuracy of data entry into the NCFast system.
- Collaborate with other departments within the organization on initiatives related to improving customer service standards for clients seeking assistance with benefit programs.
- Maintains a positive working relationship with fellow staff and management.
Emergency Room Registration /Admissions Representative
Morehead Memorial Hospital
Eden, NC
01.2011 - 04.2017
- Greeted patients and visitors in a professional manner.
- Assisted with registering incoming ER patients into the computer system.
- Inputted patient demographics and other relevant data accurately and efficiently.
- Verified patient insurance information and collected copays, if necessary.
- Performed administrative tasks such as filing documents, scanning charts, photocopying forms.
- Collaborated with nursing staff on admission processes for new arrivals to the ER.
- Processed paperwork for discharges, transfers, referrals, authorizations.
- Adhered to HIPAA requirements to safeguard patient confidentiality.
Education
Early Childhood Education Diploma
Rockingham Community College
Wentworth, NC05-2011
Associate of Arts - Business Administration
The Art Institute of Charlote
Charlotte NC07-2001
Skills
- NCFast Certified
- Medicaid knowledge
- Policy Knowledge
- Effective communication skills
- Interviewing techniques
- Application assessment
- Confidentiality
- Microsoft Office
- Income verification
- Program understanding
Certification
- Certificate of Completion Adult Medicaid Policy
- NCFast certified
Timeline
Eligibility Caseworker LTC/ SA Medicaid
Guilford County Department of Social Services
04.2017 - Current
Emergency Room Registration /Admissions Representative
Morehead Memorial Hospital
01.2011 - 04.2017
Early Childhood Education Diploma
Rockingham Community College
Associate of Arts - Business Administration
The Art Institute of Charlote
- Certificate of Completion Adult Medicaid Policy
- NCFast certified
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