Medical Benefits and Eligibility Specialist
Resume:
MarJuana Wright
Peoria, Arizona ***** * ******************@*******.*** * 602-***-****
PROFILE:
Highly motivated and reliable associate with experience in customer service, hospitality and retail. Strengths include flexibility, accuracy, and quickly learning new tasks. Possess a passion for learning and developing knowledge to assist in better serving customers and the organization. Seeking a position where my experience and assets allow me to grow professionally within the company.
EDUCATION:
Washington High School, Phoenix, Arizona – Diploma – 5/2010 KEY SKILLS:
● Proficient in all Microsoft Office and Google Products
● Accuracy in money management
● Punctual and reliable
● Effective communicator and fast learner
● Strong written and verbal skills
● Compassionate and able to relate to different individuals with various needs EXPERIENCE:
AHCCCS-State of Arizona
07/2022-Present
Medical Benefits and Eligibility Specialist
● Interview applicants to determine eligibility for medical assistance benefits and help with Medicare costs.
● Strong verbal and written communication skills to explain to clients, family members and friends and professionals the case and care plan and maintain good case records.
● Review the applicant's case and examine their background.
● Receive high incoming call volume and make outbound calls when necessary.
● Type, navigate and use multiple computer systems on multiple screens while talking to the client by phone.
● Use critical thinking and problem solving to determine eligibility for each client after assessing clients and analyze notes and documents from health care and social workers.
● Access, maintain, review and interpret applicant’s information.
● Review and explain eligibility requirements with applicants of diverse backgrounds and guide them to resources as part of the interview process.
● Work independently as well as interacting with others on a team. Arizona Department of Economic Security
07/2020-07/2022
Pandemic Unemployment Assistance Insurance Adjudicator
● Adjudicate claims for benefits offered by the government.
● Work on cases assigned by the government to determine: (1) a person's eligibility for various Social Security or workers' compensation benefits, (2) protection of the environment, (3) the enforcement of health and safety regulations, (4) employment discrimination, and (5) compliance with economic regulatory requirements.
● Review the applicant's case and examine background.
● Check all reports and facts thoroughly, including criminal history, immigration and citizen status, and intelligence reports.
● Prepare analysis for the government recommending specific courses of action.
● Show justification for recommended course of action.
● Maintain security clearance.
● Supervise support personnel.
● Research and analyze laws, regulations, policies, and precedent decisions to determine conclusions
● Authorize payment of valid claims.
● Prepare written decisions.
● Evaluate claim applications, birth and death certificates, and employer records. ATL Wings
2/2020-06/2020
Team Lead
● Greet guests and patrons personally as they enter into the establishment.
● Receive and record dining reservations on the telephone.
● Ensure neatness and cleanliness of stations.
● Relay orders to the kitchen and ensures all orders are filled in a timely and accurate fashion.
● Maintain clean and organized tables and work area.
● Manage event-related work including setting up tables and maintaining both exterior and interior of the restaurant.
● Resolve guests’ concerns in a prompt manner.
● Prepare food and beverages
Vista De La Montana, Surprise, Arizona
07/2019-12/2019
Server/Housekeeper
● Dusting and polishing furniture and 2xtures
● Cleaning and sanitizing toilets, showers/bathtubs, countertops, and sinks
● Maintaining a clean and sanitary kitchen area
● Making beds and changing linens
● Washing windows
● Vacuuming and cleaning carpets and rugs
● Sweeping/vacuuming, polishing, and mopping hard floors
● Sorting, washing, loading, and unloading laundry
● Ironing clothing items
● Using any cleaning equipment such as vacuums, mops, and other cleaning tools
● Keeping bathrooms stocked with clean linens, toiletries, and other supplies ● Cleaning mirrors and other glass surfaces
● Emptying trash receptacles and disposing of waste
● Steaming and cleaning draperies
● Washing blinds
● Tidying up rooms
● Monitoring cleaning supplies and ordering more as needed
● Reporting any necessary repairs or replacements ● State 48 Brewery, Surprise, Arizona
02/2019-October-2019
Hostess
● Greet guests and patrons personally as they enter into the establishment.
● Receive and record dining reservations on the telephone.
● Ensure the proper setup of dining and service areas.
● Offer appropriate seats using genuinely personable demeanor.
● Politely request guests to wait in the waiting area if no table is available.
● Ensure neatness and cleanliness of stations.
● Present menus, make recommendations and take orders.
● Ensure the quantity of food is sufficient to cater to the number of guests. ● Relay orders to the kitchen and ensures all orders are filled in a timely and accurate fashion. ● Maintain clean and organized tables and work area.
● Assist room service staff when needed.
● Manage event-related work including setting up tables and maintaining both exterior and interior of the restaurant.
● Resolve guests’ concerns in a prompt manner.
● Prepare food and beverages when needed.
● Liaise with staff and customers to ensure great service. Final Clearance, Peoria, Arizona
2/2017 – 02/2019
Floor Supervisor
● Receive payment by cash, credit cards, store credit, or automatic debits
● Issue receipts, refunds, store credits, or change due to customers
● Compile and balance cash receipts at the end of the day or shift ● Help customers and the location of products
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