I am looking for a career where I can put my customer service and Medicaid experience to use in helping others. I am very organized, focused, and detailed. Very eager to learn, achieve, and excell.
Overview
19
19
years of professional experience
Work History
Long Term Care Eligibility Specialist
SC Department Of Health And Human Services
AIKEN, SC
06.2019 - Current
As a Long-Term Care Eligibility Specialist I determine Medicaid eligibility according to Medicaid policies and procedures.
In this position I collect and evaluate documentation from applicants to determine individual and family eligibility for the program
Use various information sources, electronic tools, and systems provided by the Department to collect, assemble, evaluate, and act upon information provided by applicant/beneficiaries and third parties to make timely eligibility determinations, reviews, and changes of circumstance.
Documents all notes and steps clearly and completely for review and hand-off to other specialists.
Demonstrates proficiency in utilizing all processes, policies, procedures, and system updates to ensure that all eligibility determinations, reviews, and changes are completed accurately with satisfactory documentation.
Makes accurate determinations of eligibility based on the rules and standards detailed by the Department and defined in written performance standards.
Resolves discrepancies in case determinations or documentation a timely manner.
Maintains a professional demeanor and communication style, ensuring that communication and interactions with co-workers, supervisors, and beneficiaries is clear, polite, and concise.
Participates in customer service and privacy training and ensures that confidential or private information is maintained in accordance with State and Federal law as articulated through departmental policies and training.
Administrative Specialist/Examiner
SC Department of Motor Vehicles
AIKEN, SC
12.2011 - 05.2019
As a Administrative Specialist I processed transactions to include, but not limited to, the issuance of registration cards, licenses plates, titles, decals and handicapped placards.
I would respond to routine inquiries from customers by mail and through other modes of communication such as, in person, telephone, email, or fax.
Advised customers on appropriate actions for payment, services, and required documentation for transaction processing. Resolved customer problems and inquiries through record research.
Managed business customers (banks, lienholders, insurance companies, dealers, etc.) needs such as insurance issues, dissemination of information, dissemination of DMV products and problem resolution. Serves as support function for DMV Field Offices.
Entered, retrieved, updated and provided data for customers, courts and law enforcement.
As an Examiner I would evaluate the skills and abilities of applicants to drive a motor vehicle for all classes of driver's licenses by facilitating road tests. Also perform administrative duties pertaining to all aspects and phases of vehicle registration and driver's license documentation.
Assistant Sales of Operations
Verizon Wireless
Augusta, GA
03.1999 - 02.2008
I managed inventory and merchandising for the store in Augusta, GA. Completed inventory orders for surrounding satellite stores, and all necessary reports.
I would oversee the ordering, storing, receiving and distributing processes of products and supplies.
Conducted daily, weekly, and monthly inventory counts.
Updated merchandising materials such as signage, pricing, and displays.
Assisted with customer service and sales. I worked as a customer service representative at the Aiken, SC office.
Processed returns and warranty replacements.
Opened and closed store with management when scheduled.
Education
Associate of Applied Science - Secretarial Science
Augusta Technical College
Augusta, GA
Certificate - Customer Service
Aiken Technical College
Aiken SC
01.2009
Skills
Problem-Solving
Critical Thinking
Time Management
Medicaid Paperwork
Client Needs Assessment
Verbal and Written Communication
Service Oriented
Remote Work from Home Experience
Long-Term Care Knowledge
Customer Service / Sales Experience
REFENENCES
Regina Jackson-previous Supervisor at SCDHHS/Medicaid=803-270-4255
Pam Loveday-previous Team Lead at SCDHHS/Medicaid=803-270-7783
Wanda Braxton-previous co-worker at SCDMV=803-640-6249
Teresa Callahan-previous co-worker at SCDMV=803-474-4998
Timeline
Long Term Care Eligibility Specialist
SC Department Of Health And Human Services
06.2019 - Current
Administrative Specialist/Examiner
SC Department of Motor Vehicles
12.2011 - 05.2019
Assistant Sales of Operations
Verizon Wireless
03.1999 - 02.2008
Associate of Applied Science - Secretarial Science
Augusta Technical College
Certificate - Customer Service
Aiken Technical College
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