Telka Bell Toomer
Mobile,AL
Summary
Accomplished Medicaid Eligibility Specialist, Sr at the State of Alabama Medicaid Agency, adept in application processing and policy interpretation. Demonstrated excellence in fostering teamwork and collaboration, significantly enhancing client service delivery. Proven track record in improving eligibility determination accuracy and efficiency, with a strong focus on customer satisfaction and compliance with regulations.
Overview
27
27
years of professional experience
Work History
Medicaid Eligibility Specialist, Sr
State of Alabama Medicaid Agency
03.2017 - Current
- Utilized advanced computer systems to track applicant data, generating accurate reports for internal review as needed.
- Developed strong relationships with healthcare providers, coordinating services effectively to best serve eligible clients.
- Collaborated with other specialists to ensure consistent interpretation of Medicaid regulations and policies.
- Coordinated closely with other social service agencies, fostering collaboration to ensure comprehensive support for clients.
- Maintained up-to-date knowledge of relevant laws, regulations, and policy changes affecting Medicaid eligibility determinations.
- 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.
- Reduced errors in eligibility decisions with meticulous attention to detail and thorough documentation of applicant information.
- Maintained strict confidentiality of applicant information, adhering to all applicable privacy laws and regulations.
- Interviewed applicants and explained scope of different available benefits. Determined initial and ongoing eligibility and processed Medicaid applications.
- Assisted clients in gathering necessary documentation, leading to smoother application processes.
Financial Support Worker
State of Alabama, Mobile County DHR
01.2002 - 02.2017
- Managed filing system, entered data and completed other clerical tasks.
- Managed phone and email correspondence and handled incoming and outgoing mail and faxes.
- Assisted coworkers and staff members with special tasks on daily basis.
- Managed paper and electronic filing systems by routing various documents, taking messages and managing incoming and outgoing mail.
- Interviewed clients to determine initial and ongoing eligibility for TANF (welfare). Processed applications in a timely manner, and completed reviews for continuous eligibility. Completed changes and identified erroneous payments.
Telesales Executive
Sears Call Center
11.1998 - 12.2001
- Identified potential upselling opportunities by thoroughly understanding client needs during phone conversations.
- Answered the phone for incoming callers who were calling to order parts for appliances. Placed the orders for the parts, took payment over the phone, and had the parts shipped out to the customers.
- Developed strong relationships with clients for increased customer retention and repeat business.
- Provided exceptional customer service, resolving complaints promptly and professionally to maintain client satisfaction levels. When the customers called in because they had received the incorrect parts, we corrected the orders and had the correct parts sent out to the customers.
- Exceeded monthly sales targets consistently through persuasive selling and excellent communication skills.
Outgoing Telemarketer
West Telemarketing
06.1998 - 11.1998
- Completed daily cold calling and outreach to build sales. Made calls to customers to sell products for different companies.
- Answered calls, took messages, and transferred calls to correct individuals.
- Displayed excellent sales skills and understanding of how to leverage abilities to exceed quotas.
- Handled high-volume telemarketing operations with expert use of client management software and computer dialing.
- Managed a high volume of calls daily while maintaining professionalism and efficiency.
- Recorded and updated customer information in online systems.
- Followed up with customers to solicit further sales.
- Developed customized scripts for specific client needs, resulting in higher conversion rates.
- Exceeded personal sales goals regularly, contributing significantly to the success of the team as a whole.
Education
Bachelor of Science - Criminal Justice With A Minor in Human Services
Troy State University
Troy, AL 03-1999
High School Diploma -
CF Vigor High School
913 S. Wilson Ave Prichard, AL05-1994
Skills
- Application processing
- Eligibility determination
- Policy interpretation
- Typing
- Interviewing techniques
- Working well with others
- Customer service
- Time management
- Multitasking
- Reliability
- Excellent communication skills
- Computer proficiency
- Teamwork and collaboration
Timeline
Medicaid Eligibility Specialist, Sr
State of Alabama Medicaid Agency
03.2017 - Current
Financial Support Worker
State of Alabama, Mobile County DHR
01.2002 - 02.2017
Telesales Executive
Sears Call Center
11.1998 - 12.2001
Outgoing Telemarketer
West Telemarketing
06.1998 - 11.1998
Bachelor of Science - Criminal Justice With A Minor in Human Services
Troy State University
High School Diploma -
CF Vigor High School
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