YLONDA OCHELTREE
Elyria
Summary
Medicare & Medicaid Eligibility Specialist focused on enhancing operational efficiency through the development of appeals functions and procedures. Collaborative approach improves team understanding of appeals processes, ensuring effective documentation and compliance. Strong analytical skills and attention to detail drive successful resolution of client inquiries and issues.
Overview
22
22
years of professional experience
Work History
Medicare & Medicaid Eligibility Specialist
Centauri Health Solutions Inc - Human Arc
05.2004 - 03.2026
- Developed and documented appeals functions, policies, and procedures to enhance operational clarity.
- Advised department staff on appeals processes, improving their understanding and execution.
- Verified client information by analyzing existing evidence on file.
- Compiled and documented information regarding applicant's income, assets, insurance coverage and other relevant data.
- Resolved client inquiries and issues related to Medicaid applications promptly.
- Collaborated with team members to streamline eligibility determination processes, reducing processing time.
- Educated clients on Medicaid benefits and application procedures during consultations.
- Participated in training sessions to improve knowledge of Medicaid policies and regulations.
Education
Associate of Applied Science - Human Services
Lorain County Community College
Elyria, OH05-2004
Skills
- Eligibility verification
- Documentation expertise
- Strong analytical skills
- Attention to detail
- Problem-solving abilities
- Organizational efficiency
- Cross-functional collaboration
- Verbal communication
- Collaborative teamwork
Timeline
Medicare & Medicaid Eligibility Specialist
Centauri Health Solutions Inc - Human Arc
05.2004 - 03.2026
Associate of Applied Science - Human Services
Lorain County Community College