Service Representative Administrative Assistant

Sheila A. Wash

*** **** ****** *.*. #G-** • Washington DC, 20019 • (cell) 202-***-****• (email) *********@*****.***

SUMMARY OF QUALIFICATIONS

• Highly skilled in processing Medicaid Applications

• Thorough knowledge of Policy and Procedures

• Proficient in processing 1445’s for payability

• Efficient in Long Term Care processing

EXPERIENCE

Department of Human Services

District of Columbia Government Washington, DC 03/2015- 06/2019

Social Service Representative

Processing Long Term Care Medicaid Applications (etc. recerts, discharges, relocation)

Completing 1445’s for every processed application/recertification to send to the nursing facility and customer for payability.

Working closely with the Nursing Home Facilities and other DC government agencies.

Working with Medical Review Team by submitting the applicant’s information in the system to be reviewed by the MRT unit.

Review applications from nursing homes to determine and re-determine eligibility for medical assistance.

Processing Spend down application for LTC Facilities so that the customer can meet the spend down eligibility.

Idea Public Charter School Washington, DC 11/ 2011- 05/2012

Cafeteria Worker

Evaluated and inspected food for flavor and hygiene before serving

Served food to patrons

Received and stocked supplies and maintained inventory

Calvary Women's Shelter Washington, DC 03/2010 – 04/2011

Chef

Planed menus according to the popularity of various dishes

Ensured that high standard of cleanliness was maintained throughout the kitchen areas at all times.

Kept an eye on the stock level and ordered appropriately.

F.E.M.A. Hyattsville MD 10/2002-12/2005

Human Specialist II/III

Interviewed clients for disaster Assistance via telephone

Process client’s applications on computerized systems

Referred clients to other programs that they may qualify for.

Washington Hospital Center Washington, DC 7/2000 – 8/2002

Financial Counselor

Administrative duties (e.g., answering phones, scheduling appointments, maintaining medical records etc.)

Helped implement practice's quality assurance and control program. Efforts ensured compliance with Health Insurance Portability and Accountability (HIPAA), Clinical Laboratory Improvement Amendment, (CLIA) and Occupational Safety and Health Act, (OSHA) regulations; improved patient care/satisfaction.

Reacted calmly and effectively in emergency situations, and added the personal, caring touch that immediately put patients at ease.

Department Of Human Services

District of Columbia Government Washington, DC 03/1994 – 07/2000

Social Service Representative

Interviewed Applicant for Medical Insurance Assistance

Worked closely with Department of Social Security Administration

Processed Monthly Reports

Gave applicant referrals to other agencies that may be able to assist them

Requested information from Applicant

Processed Medicaid application

Answered telephone inquiries

Department of Human Services

District of Columbia Government Washington, DC 08/1988-03/1994

Unit Clerk for Medicaid Department

Kept unit supplies stocked

Answered telephone inquiries

Time and Attendance

Completed monthly reports

Interacted with case managers

Mailed out Medicaid letters to determine eligibility

Training:

ACEDS Introduction to Medicaid Basic

DC Health Link Introduction to Aceds Basic

Proper Office Conduct Declining Medical Coverage

Retro Active Medicaid Affordable Care Act Training

DHS Quickbase Pathos

AVS Portal Datacaap

CERTIFICATIONS

Billing and Coding Specialists (CBCS) 11/13

Medical Administrative Assistant (CMAA) 07/13

Food Handlers/Management 03/13

CPR/ American Heart Association 07/13

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