Post Job Free

Resume

Sign in

PATIENT MEDICAID ELIGIBILITY AND DISABILITY SPECIALIST

Location:
Birmingham, AL
Posted:
April 27, 2016

Contact this candidate

Original resume on Jobvertise

Resume:

GILMOREBOWIE, Birmingham, AL ***** H: 205-***-**** acuiy8@r.postjobfree.com

CORE QUALIFICATIONS

Microsoft Office, Microsoft Word,

Excel, PowerPoint, Outlook and various

other software

EDUCATION

December 2000 Bachelor of Science: Psychology

University of Alabama Birmingham, AL, USA

Minor: Sociology

Certified Marketplace Application Counselor (USCACA0700004) Certificate of

Completion for Alabama Medicaid Training Certificate of Completion for Social

Security Disability Training Certificate of Completion for Alabama Child Welfare

Training Certificate of Completion for Group Preparation and Selection Leader

Certification Training (Certified Trainer) Certificate of Completion for FACTS

(Family, Adult, and Child Tracking System) Certified CPR and First Aid Instructor

via the Red Cross Certified MCS (Managing Crisis Safely) Instructor

EXPERIENCE

08/2011 to 04/2016 Patient Medicaid Eligibility and Disability Specialist

MedAssist Solutions, LLC Birmingham, AL

Analyze patient data, draw conclusions about the data and take the

appropriate action Works with patients via phone to determine

eligibility to apply for Medicaid or file for disability assistance Make

determinations on appropriate services based on the needs of the

patient Refers patients to resources and agencies based on the services

needed Knowledge of health care policies and procedures Assist with

telephone inquiries for Healthcare Marketplace Insurance and provide

program information Research data for Healthcare Marketplace

Insurance Communicates effectively with patients, company staff and

outside agencies on patient information Examines patient

documentation, interpret and apply company's policies and procedures

to assist patients Maintain accurate patient account notes for billing

and collection Plans, organizes and completes assigned workloads and

projects timely accurately and effectively Work as part of a team to

meet individual, department and company objectives.

04/2011 to 06/2011 Retail Sales Associate

Macy's Department Store Hoover, AL

Demonstrated and delivered outstanding customer service skills Adhered

to Loss Prevention and compliance procedures Met hourly selling and

loyalty program standards Provided product knowledge to customers

Worked as part of a team to meet individual, department and store

objectives.

03/2009 to 07/2010 Foster Parent Recruiter/Trainer

Gateway Family Services Birmingham, AL

Assured foster parents met training hours annually with 80% of assigned

homes in full compliance at time of licensure renewal Actively recruited

potential foster parents with an average of at least three community

presentations per month Assisted with on call coverage; after hour and

weekend emergencies Attended staff meetings, supervisory meetings

and other meetings as scheduled to assure appropriate provision of

service and training to foster parents and/or clients Coordinated

logistical factors involved in training (location, scheduling, etc)

Developed and implemented therapeutic foster care preservice training

using GPS and agency specific curriculum four times per year Maintained

a list of prospective foster parents and provide them with

informational/application packets Maintained a weekly schedule

allowing for flexibility in scheduling GPS, community presentations, MCS,

CPR, First Aid and monthly in service trainings for foster parents Managed

caseloads and determined the specific needs of the patients assigned

Made placement determinations based on the needs of the patient

Obtained and maintain certification to provide CPR, First Aid, MCS and

additional trainings to foster parents Prepared accurate correspondences

that addressed customer issues Provided clear and concise instructions

to foster parents based on the services needed by the patient Provided

onthejob training for prospective foster parents Referred foster parents

and patients to resources and agencies based on the services needed

Responded to all inquiries and complaints for client information and

resolutions Secured community/educational resources to provide quality

foster parent training as evidenced by 80% of foster parents rating

training needs of foster parents as required to meet DHR standards.

Foster Care Worker

08/2008 to 03/2009

Jefferson County DHR Birmingham, AL

Arranged and provided services to families and children driven by an ISP

(Individualized Service Plan) Completed required forms so that services

were provided to families and children in a timely manner

Communicated with families, service providers and other community

members to ensure services were appropriately provided to families

Documented case records so that contacts with families and children

were accurately reflected Located appropriate placements for children

Monitored children in their placements by making monthly visits to the

home of the foster parents Prepared court reports and participated in

court hearings Prepared accurate correspondences that addressed

customer issues Provided clear and concise instructions to patients

based on the services they need Referred patients to resources and

agencies based on the services needed Responded to all inquiries and

complaints for client information and resolutions.

Foster Parent Recruiter

10/2007 to 08/2008

Jefferson County DHR Birmingham, AL

Coordinated recruitment events and orientations for prospective foster

and adoptive parents Conducted follow up calls and worked with Q.A.

to conduct quality improvement studies Developed and maintained

strong working relationships with community leaders, vendors,

community organizations, and other team members to create a

partnership that yielded success, predictable results, and credibility

Developed and monitored a recruitment tracking system Identified

specific recruitment needs, developed recruitment planning strategies,

and accepted recruitment assignments Managed the scheduling and

logistics of all recruitment related activities Provided information about

foster parenting to prospective foster parents during recruitment events

Responded to all inquiries and complaints for client information and

resolutions Served as backup to foster home intake worker.

Foster Parent Trainer

04/2005 to 10/2007

Jefferson County DHR Birmingham, AL

Assessed the abilities of prospective foster and adoptive parents to

meet the safety, developmental, cultural, and permanency needs of

children Conducted background checks on the individual applicant,

household members, and the dwelling to determine compliance within

minimum standards Developed training aids, process guides, task check

lists and any other ancillary materials needed to support a progressive

foster parent training unit Educated prospective foster and adopt

parents on the minimum requirements for foster parents as set forth by

the State of Alabama Provided preservice training to prospective foster

and adoptive parents Provided onthejob training for prospective foster

parents.

Social Service Caseworker

12/2003 to 04/2005

Jefferson County DHR Birmingham, AL

Arranged and provided services to families and children driven by an ISP

(individualized Service Plan) Completed required forms so that services

were provided to families and children in a timely manner

Communicated with families, service providers and other community

members to ensure services were appropriately provided to families

Documented case records so that contacts with families and children

were accurately reflected Prepared court reports and participated in

court hearings.

Drug Treatment Counselor

01/2002

11/2000 UAB TASC Birmingham, AL

*Provided clinical assessment, counseling, drug education and case

management for substance abuse clients in accordance with government

and department standards.

*Conducted drug assessments and racked the progress of assigned clients.

*Made appropriate referrals for treatment interventions based on the individual

needs of the client to include outpatient treatment, residential treatment,

detoxification programs, cognitive skills instruction and drug education.

*National Association of Social Workers

SKILLS

Proficient with Microsoft OfficeWord, Excel & PowerPoint

Experienced in Medicaid billing and the disability filing process

Experienced in case management

Experienced in drug treatment assessment

Great organizational skills

Empathetic and enthusiastic people person

Experience Group Instructor

REFERENCE

References Available Upon Request



Contact this candidate