Trever Moore De Fazio
Olathe
Summary
I have relocated to Kansas to settle close to my family. I am looking to join a company and grow into and within the company for a long term career. My work ethic is always to contribute to an organization’s mission through robust comprehension of policies and procedures utilizing my mindset of continual improvement that drives efficiencies and effectiveness. Working in an environment where teamwork is a priority, and long term commitment to employees is promoted.
Overview
12
12
years of professional experience
Work History
Revenue, Eligibility (Medicaid Eligibility Specialist)
Broward Health Hospital
2023.03 - 2023.07
- Manage current Medicaid applications/Patient Accounts
- Updating and keeping current records on Patient Medicaid Applications
- Staying connected with patients via follow up calls and emails on the status of applications or documentation required
- Assisting in gathering all documentation required for Federal and State programs for assistance to assist in covering the medical expenses of the patient
- Review prior completed patients’ cases for accuracy and all documentation was provided to the state and federal agency for assistance programs
- Making sure patient accounts are processed accurately and timely for the revenue cycle.
- Created and maintained precise and accurate models, charts and reports.
Medicaid Enrollment Coordinator (Human Services Consultant 2)
DCS, State of Indiana
2022.04 - 2023.03
- Manage current (DCS) Medicaid coverage for children across the state of Indiana
- Updating and keeping current records on all Adoption Medicaid
- Understand policy and reviewing difficult cases for compliance with State and Federal laws for DCS Medicaid
- Work with other agencies on keeping records up to date and current within both DCS and their division
- Work the Medicaid Enrollment Inbox with Issue cases for children within the state on Medicaid coverage
- Train new staff on procedure and policy and workflow process
- I was a team lead to assist staff with issues, troubled cases, and making sure all work is being completed timely and accurately.
- Contributed to continuous improvement initiatives by identifying areas for process enhancement within enrollment management operations.
State Eligibility Consultant (Snap,Tanf,Medicaid)
State of Indiana
2011.08 - 2022.04
- Understand policy and review difficult cases for compliance with State and Federal laws for SNAP, TANF, and Medicaid programs.
- Functioned as a team lead for staff assisting them with questions, concerns or issued cases. As well as disgruntled clients or staff issues.
- Track and process SNAP, TANF, Medicaid reports for timeliness for the region. Using Excel and intervene when necessary to keep the state in line with federal guidelines and laws.
- Conduct in person client meetings to correct, deescalate situations & cases and translate complex policy to individuals.
- Train new hires and assist existing staff with advanced policy questions, as well as improving team-wide training through the introduction of policy learnings into routine staff meetings.
- Designated to be the liaison of various county DFR offices reporting to the central executive office which included the oversight of case work, improving lines of communication and personally managing complicated and/or high priority cases from the Governor’s office.
- Assist in innovative ways to incorporate Policy into staff team training.
- Enhanced customer service quality by providing accurate and timely responses to inquiries.
- Streamlined eligibility processes by implementing efficient case management techniques.
- Reduced application processing time by optimizing workflow and utilizing electronic document management systems.
Education
Associate of Law Enforcement -
Vincennes University
Vincennes, IN12.2009
Skills
- SYSTEM PROGRAMS
- Microsoft Office Suite (Outlook, Teams, Word, Excel, PowerPoint)
- One note
- Salesforce
- Cerner/Oracle- Time sheets and medical records tracking and review.
- DOS systems- case management and interview case records.
- IEDSS- state based system for interviewing, documents, case notes as well as benefit authorization.
- SKILLS
- Supervisory/Management Experience
- Customer Service
- Creative Problem Solving
- Conflict Resolution
- Strong Team Player
- Leadership
- Strong Organizational Skills
- Trainer/Training
- Working with multiple agencies
- Working with executive level staff
- De-escalation in stressful situations.
- Records Keeping
- Eligibility Determinations
- Medicare and Medicaid Eligibility
- Explaining Benefits
- Application Reviews
- Staff Meetings
- Customer Inquiries
- Applicant Investigations
- Crisis Situations
- Financial Assistance
- Application Processing
- Enrollment Procedures
- Applicant Interviewing
- Data Entry
- Individualized and Group Training
- Client Documentation
- Resource Information
- Intakes and Assessments
- Assignment of Benefits
References
- Local office Manager- Mechale Scott- 219- 678-0289
- State Eligibility Manager- Kayla Gilman-812-306-6377
- DCS Manager-Jamie Scheiter-317-523-6667
Timeline
Revenue, Eligibility (Medicaid Eligibility Specialist)
Broward Health Hospital
2023.03 - 2023.07
Medicaid Enrollment Coordinator (Human Services Consultant 2)
DCS, State of Indiana
2022.04 - 2023.03
State Eligibility Consultant (Snap,Tanf,Medicaid)
State of Indiana
2011.08 - 2022.04
Associate of Law Enforcement -
Vincennes University
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