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Data Entry Eligibility Specialist

Location:
Blacklick, OH, 43004
Posted:
May 25, 2023

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Resume:

Denise Nizamani

Columbus, OH *****

**************@*****.***

+1-614-***-****

COVID-19 Contact Tracing Seminar

by Johns Hopkins University

Willing to relocate: Anywhere

Authorized to work in the US for any employer

Work Experience

Data Collection Interviewer

U.S. Bureau of Labor Statistics - Fort Walton Beach, FL July 2019 to August 2020

• Collected employment data to be used for the federal governments' monthly job report.

• Answered, screened and processed high volume of calls daily with call management system and web- based communications.

• Educated respondents on how to navigate federal employment reporting systems and worked within established frameworks to obtain desired services.

• Utilized effective speaking skills to ask questions of survey respondents and prompted adequate responses over telephone.

• Consistently exceeded 92% of monthly metrics on data collection, web report training, out of business and acquisition scenarios.

• Researched and resolved variance-related data issues with respondent. Program Coordinator III

Pyramid, Inc. - Fort Walton Beach, FL

December 2017 to July 2019

• Oversaw daily operations of an adult day program for over 75 individuals with profound physical and intellectual disabilities.

• Developed needs-based curriculum including sensory, sign language, fluid movement, and performing arts learning modules.

• Responsible for completion of the Department of Labor Federal Wage and Hour Time Studies.

• Fostered relationships to define programming needs and strengthen organizational standing.

• Maintained safety and emergency readiness among personnel by disseminating information on and monitoring compliance with regulatory and organizational policies.

• Supervised administrative staff of 22 Training Instructors, delivering consistent coaching and mentoring to improve job efficiency.

Client Services Manager

Community Health Systems - Florida

February 2015 to December 2017

• Directed the placement of CHS’ wholly-owned subsidiary, Eligibility Screening Services into 24 facilities across Florida.

• Provided best practice training and communication techniques increasing unpaid claims by 23% within 90 days post go-live.

• Collaborated with IT Project Services, Facility Business Office, Case Management, Supply Chain through transition process.

• Interviewed, hired and managed staff; performance evaluations, disciplinary actions; bi-weekly payroll for 90+ employees.

• Performed as the subject matter expert on Florida’s Medicaid eligibility law and federal Social Security Disability law, compassionate allowance and eligibility. Public Benefits Coordinator

HCA Parallon Business Group - Fort Walton Beach, FL November 2013 to February 2015

• Conducted in-depth patient interviews, collecting data and completed enrollment into Medicaid for the Disabled, Family, Skilled Nursing Facility and Institutional Care Program Medicaid.

• Completed re-work/denied accounts for 35% approval rate on aged accounts up to 180 days.

• Managed expedited approvals for SSA compassionate allowance individuals.

• Analyzed information from interviews, educational, and medical records, consultation with other professionals, and diagnostic evaluations to assess clients' abilities, needs, and eligibility for services.

• Demonstrated self-reliance by meeting and exceeding workflow needs. Medicaid Eligibility Specialist

Medassist, A Firstsource Company - Columbus, OH

February 2010 to November 2013

• Transferred to HCA Fort Walton Beach, Florida as Medicaid Subject matter Expert.

• Performed careful reviews of applicant data to ascertain compliance with eligibility criteria for economic assistance.

• Cultivated effective fact-checking and research talents from daily reviews of program eligibility requirements.

• Juggled multiple projects and tasks to ensure high quality and timely delivery.

• Demonstrated leadership by making improvements to work processes and helping to train others. Education

Bachelor's in Business Management

Wilmington College - Wilmington, OH

January 2001 to May 2003

Skills

• EMR systems

• Cerner

• Windows

Assessments

Active listening — Highly Proficient

April 2019

Actively listening and appropriately responding in conversations. Full results: Highly Proficient

Management fit — Proficient

May 2021

Measures the traits that are important for success in management positions Full results: Proficient

Call center customer service — Highly Proficient

April 2021

Demonstrating customer service skills in a call center setting Full results: Highly Proficient

Accounting skills: Bookkeeping — Highly Proficient May 2019

Calculating and determining the accuracy of financial data. Full results: Highly Proficient

Data entry: Accuracy — Proficient

April 2021

Entering data quickly and accurately

Full results: Proficient

Customer focus & orientation — Highly Proficient

September 2021

Responding to customer situations with sensitivity Full results: Highly Proficient

Medical billing — Proficient

December 2019

Understanding the procedures and forms used for medical billing. Full results: Proficient

Work style: Reliability — Proficient

September 2021

Tendency to be reliable, dependable, and act with integrity at work Full results: Proficient

Patient-focused care — Proficient

April 2019

Addressing concerns and using sensitivity when responding to needs and feelings of patients Full results: Proficient

Verbal communication — Expert

August 2019

Speaking clearly, correctly, and concisely

Full results: Expert

Sales fit — Proficient

January 2020

Assesses personality traits that are important for sales roles. Full results: Proficient

Work style: Conscientiousness — Highly Proficient

February 2020

Tendency to be well-organized, rule-abiding, and hard-working. Full results: Highly Proficient

Case management & social work — Highly Proficient

July 2021

Determining client needs, providing support resources, and collaborating with clients and multidisciplinary teams

Full results: Highly Proficient

Scheduling — Proficient

April 2019

Measures a candidate's ability to cross-reference agendas and itineraries to avoid conflicts when creating schedules.

Full results: Proficient

Electronic health records: Best practices — Highly Proficient July 2020

Knowledge of EHR data, associated privacy regulations, and best practices for EHR use Full results: Highly Proficient

Filing & organization — Highly Proficient

April 2019

Arranging and managing information or materials using a set of rules. Full results: Highly Proficient

Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.



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