Healthcare professional with extensive experience in Medicaid eligibility assessments and client support. Proven track record in navigating complex eligibility criteria and delivering precise determinations. Known for strong collaboration skills and adaptability to changing program requirements.
Supportive Eligibility Specialist with extensive application engagement and dedicated service skills. Bilingual professional with skill to maintain accurate records, schedule appointments and handle various administrative responsibilities.
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
29
29
years of professional experience
Work History
Medicaid Eligibility Specialist
Division of Family Resources
08.2021 - Current
I make copies of documents and scan them into client’s case
I answer phone calls, make sooner appointments, make reminder calls to the clients for appointments
I fax documents to other businesses and receive faxes and scan them into cases
I also sanitize the lobby due to covid prevention
I check the mail and process it
I schedule and reschedule client interviews along with documenting which worker gives the interview for the schedule
I am also responsible for documenting case notes
I know my way around Microsoft word, Excel and IEDDS system
Maintained up-to-date knowledge of relevant laws, regulations, and policy changes affecting Medicaid eligibility determinations.
Improved customer service experience for applicants, providing clear explanations of eligibility requirements and addressing concerns promptly.
Enhanced Medicaid eligibility determinations by thoroughly analyzing applicants'' financial and personal information.
Managed high caseloads efficiently, prioritizing tasks effectively and utilizing time-management skills to meet deadlines consistently.
Streamlined application processing for increased efficiency by implementing a well-organized case management system.
Achieved timely resolution of cases, conducting comprehensive reviews and maintaining close communication with applicants.
Maintained strict confidentiality of applicant information, adhering to all applicable privacy laws and regulations.
Communicated with people from various cultures and backgrounds on application process.
Scheduled appointments with applicants to gather information and explain benefits processes.
Interviewed applicants and explained scope of different available benefits.
Improved client understanding and satisfaction with detailed explanations of eligibility requirements.
Enhanced client trust and relationship by providing empathetic and personalized assistance.
Assisted clients in gathering necessary documentation, leading to smoother application processes.
Reduced errors in eligibility decisions with meticulous attention to detail and thorough documentation of applicant information.
Resolved eligibility discrepancies by carefully reviewing regulations and collaborating with relevant parties to reach accurate determinations.
Cook and Cashier
Aramark
09.2016 - 05.2021
Providing satisfactory customer service to the students
Prepping meals and serving all the students during lunch hours
Handling money and depositing into student accounts
Assisting students when problems arise with their lunch accounts and passing on major problems with their accounts to supervisor
Answering the phone when no one is available and assisting customers with any problem they had and taking messages
I washed dishes when needed, cleaned up after meals, mopped and swept floors, cleaned ovens, put stock away, put orders into supervisor for food that would be needed for the following week
Filled out production sheets daily meaning kept track of how much food was made for the day, how much was served and how much was left at the end of serving
Prepared meals efficiently under time constraints for timely service during peak hours.
Maintained a clean and sanitary workspace, ensuring compliance with health and safety regulations.
Demonstrated strong multitasking skills, managing multiple orders simultaneously without sacrificing quality or presentation.
Dietary manager and cook
Freelandville Community Home
01.1996 - 01.2016
I was a cook for many years here
I was Dietary manager for 2 of those years
I went back to cooking in the kitchen because of new management
My duties included providing customer service to the residents and staff
I would order supplies, put stock away, attend weekly meetings on the residents to solve any problems that would arise with the residents, changing menu when residents diet orders changed, added supplements to diets if the residents would fall below their ideal body weight or needed more nutrition than regular diet offered to ensure proper healing of wounds etc
I would schedule staff to make sure the residents were properly fed at the required time
I filled in when staff needed days off due to sickness, vacation, or doctor appt
I filled out weekly progress reports on the residents
I also attended daily staff meetings and organized staff meetings
I would fill out weekly MDS reports on the dietary portion of the residents
I served residents food to them and set up their place at the table and got them anything else that they may need
I prepped meals, cooked meals, served meals, cleaned up dining room after meals, delivered meals to resident’s rooms when needed
I also helped my coworkers in the kitchen with anything they may have needed help with
Revenue, Eligibility (Medicaid Eligibility Specialist) at Broward Health HospitalRevenue, Eligibility (Medicaid Eligibility Specialist) at Broward Health Hospital