Taiesha Reid
Uniondale,NY
Summary
Accomplished Entitlement Specialist Supervisor with a proven track record at SCO Family of Services, enhancing customer loyalty through expert problem-solving and exceptional customer relations. Skilled in documentation management and quality assurance, I have significantly improved benefits acquisition processes, ensuring full reimbursement and streamlining entitlements for various programs.
Overview
24
24
years of professional experience
Work History
Entitlement Specialist Supervisor
SCO Family Of Services
Garden City, NY
03.2024 - Current
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Actively listened to customers, handled concerns quickly and escalated major issues to director.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Built rapport with clients through active listening, empathy, and understanding of their individual needs.
- Directly supervise Entitlement Specialist team.
- Provide guidance, support, and train as needed.
- Obtain all entitlements such as Medicaid, Social Security, SNAP, IDD, and OMH programs.
- Ensure comprehensive coverage and timely acquisition of benefits.
- Represent consumers and agency at local government offices.
- Develop and maintain positive relationships with relevant agencies.
- Provide support to Entitlement Specialist with training and updating program on regulatory requirements.
- Ensuring full reimbursement and identifying any potential overpayments.
Senior Entitlement Specialist
SCO Family Services
Garden City, NY
08.2011 - 02.2024
- Listen and respond to consumer requests.
- Handle benefits for consumers for 18 programs.
- Assist Families with filling out applications for Medicaid, SNAP, Social Security benefits.
- Apply for birth certificates and social security cards
- Attended training programs to deepen professional skillset and assisted in training staff members.
- Collaborated with financial department to achieve goals on time and within budget.
- Appeal denial for Medicaid, SNAP, Social Security benefits.
- Keep a close contact with analyst at Social Security.
Accounts Receivable Clerk
SCO Family Of Services
Garden City, NY
07.2009 - 07.2011
- Prepared invoices for consumers with partial coverage.
- Billing/Collections of Medicaid.
- Insurance verification and follow up with Entitlement Department.
- Review denials and pending claims, including resolution of EOB denials.
- Transmission of Medicaid claims and OPWDD program billing
- Enter encounters and process claims.
Accounts Receivable Administrator
AHRC Nassau
Brookville, NY
07.2006 - 06.2009
- Billing/Collections of Medicare, Medicaid, and Third Party Payers.
- Insurance Verifications and A/R follow up.
- Enter encounters and process claims.
- Review denials and pending claims, including resolution of EOB denials.
- Transmission of Medicare and Medicaid claims.
- Article 16 & Article 28 billing
Lead Branch Administrator
Hanger Prosthetics & Orthotics
Farmingdale, NY
05.2000 - 06.2005
- Create invoices and bill out orders for product.
- Monitor and process patient/clinic scheduling
- Maintain medical records as per Medicare standards
- Insurance verification and obtaining authorization
- Review denials and pending claims, including resolution of EOB denials
Education
Associate of Arts - Liberal Arts And Sciences
Nassau Community College
Garden City, NYBachelor of Science - Sociology
Old Westbury University
Old Westbury, NYSkills
- Customer Relations
- Expert Problem Solving
- Documentation Management
- Quality Assurance
Timeline
Entitlement Specialist Supervisor
SCO Family Of Services
03.2024 - Current
Senior Entitlement Specialist
SCO Family Services
08.2011 - 02.2024
Accounts Receivable Clerk
SCO Family Of Services
07.2009 - 07.2011
Accounts Receivable Administrator
AHRC Nassau
07.2006 - 06.2009
Lead Branch Administrator
Hanger Prosthetics & Orthotics
05.2000 - 06.2005
Associate of Arts - Liberal Arts And Sciences
Nassau Community College
Bachelor of Science - Sociology
Old Westbury University