Results-driven Medicaid Specialist with a proven track record at Healthcare Solutions Group, enhancing compliance and optimizing processes. Skilled in claims processing and benefits coordination, I achieved a 25% increase in Medicaid compliance while demonstrating strong analytical abilities and effective case management. Committed to delivering data-driven solutions in healthcare.
Overview
11
11
years of professional experience
Work History
Healthcare Benefits Coordinator
Maximus Call Center
01.2025 - 03.2025
Enhanced benefits approval rate by 30%.
Managed Medicaid applications for 200+ clients.
Conducted audits reducing errors by 15%.
Resolved issues and inquiries from plan participants regarding health and welfare benefits and deductions through telephone, email, and in-person interactions.
Provided support to colleagues, sharing expertise on complex cases and assisting in the training of new team members.
Conducted thorough eligibility assessments, ensuring compliance with federal and state Medicaid policies.
Remote Medicaid Specialist
Accenture Solutions
09.2023 - 12.2024
Boosted Medicaid compliance by 25%.
Oversaw 300+ case processing accuracy.
Maintained strict confidentiality of applicant information, adhering to all applicable privacy laws and regulations.
Enhanced team knowledge and performance by developing and delivering comprehensive training sessions.
Assisted clients in gathering necessary documentation, leading to smoother application processes.
Collaborated with healthcare providers to understand and address common eligibility issues.
Remote Unemployment Representative
Maximus Call Center
11.2020 - 02.2023
Responded to customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility, and claims.
Exceeded performance targets through diligent work ethic and focus on results-driven tasks.
Handled customer complaints quickly and professionally to restore customer confidence and prevent loss of business.
Developed and maintained positive customer relations and coordinated with team members to properly handle requests and questions.
Managed a diverse portfolio of clients, ensuring that each received tailored solutions aligned with their specific requirements.
Updated job knowledge by participating in educational opportunities, reading professional publications, and maintaining personal networks.
Section 8 Specialist II
Homestead Housing
06.2019 - 09.2020
Optimized resource allocation by accurately calculating rent adjustments based on family income changes.
Conducted thorough eligibility assessments to ensure accurate placement of families in suitable housing units.
Ensured timely communication of program updates to stakeholders through well-organized meetings and written correspondence.
Tracked progress toward affordable housing goals through detailed reporting mechanisms and data analysis techniques.
Assisted in the development of policies and procedures for Section 8 program administration, improving overall efficiency.
Coordinated move-in processes for new tenants, resulting in a smooth transition into their new homes.
Reduced application processing time by implementing effective organizational strategies for managing paperwork.
Property Manager
Carrfour Supportive Housing
03.2014 - 01.2019
Conducted regular property inspections, identifying areas for improvement and proactively addressing potential safety hazards.
Enhanced tenant satisfaction by promptly addressing concerns and resolving issues in a timely manner.
Coordinated with 4 maintenance staff to ensure timely completion of repairs, minimizing downtime for tenants and maintaining property aesthetics.
Handled 220 tenant complaints promptly and appropriately, calling in repairmen, and other support services.
Managed 2 properties simultaneously, coordinating efficient allocation of resources and streamlining communication channels to maintain high levels of operational excellence.
Verified income, assets, and expenses, and completed file tracking sheet for each applicant.
Followed up on delinquent tenants and coordinated collection procedures.