Benefit Program Specialist
Resume:
Work History
Eligibility Worker
Stacy
Whitley
Contact
Address
Hattiesburg, MS, 39401
Phone
***********@*****.***
Skills
Effective communication
skills
Resource information
Documentation and
paperwork
Telephone etiquette
Applicant interviews
Written and verbal
communication
Analytical Skills
Assignment management
Chronic illness
understanding
Reasoning ability
Schedule Coordination
Teambuilding
Problem-Solving
Dedicated healthcare professional adept at coordinating training, paperwork and specific community-based resources. Exceptional communication and planning abilities with an organized and thorough nature. Communicate effectively, displaying empathetic listening and completing accurate financial record keeping and meeting organizational goals. Future goals are to obtain employment within public health arena with potential to teach in higher education. Background in authorizing expenditures for eligible benefits recipients. A determined employee with over seventeen years spent coordinating application processes to meet required timeframes. Offering dynamic administrative and time management talents.
Benefit Program Specialist I
State Of Mississippi Division Of Medicaid, Hattiesburg, United States
Assists customers/beneficiaries throughout the
process of applying for and ongoing coverage of
Medicaid benefits.
Gather, review, and investigate beneficiary
information and determine if an approval for
Medicaid is possible, based on Medicaid policies.
Accurately entering client data in the computer
system; reading and comprehending the policy
manual and obtaining a general working
knowledge of Medicaid policies and programs;
keeping abreast of policy updates and changes;
assisting clients with questions and concerns as they come in or call into the office; assist with training of new office staff; must be deadline oriented and
organized; and utilize reports for timely maintenance of assigned applications and caseloads.
2022-09 -
Current
Community Health Worker
Babylon Health, Austin, Texas
Helped vulnerable individuals navigate complex
healthcare system.
Targeted specific community groups with wellness
and disease management information.
Managed enrollment, transportation, and
2021-11 -
2022-07
EPIC, Athena, Allscripts paperwork for individuals to take advantage of community resources. Complete 12 - 18 tasks daily. Collaborated directly with patient treatment teams and participated in care coordination procedures.
Participated in continuous improvement by
generating suggestions, engaging in problem-
solving activities to support teamwork.
Targeted specific community groups with wellness
and disease management information.
Ryan White Eligibility Worker
Southeast Mississippi Rural Health Initiative, Hattiesburg, MS
Screened all clients for program eligibility while identifying patient need through interview.
Ensured that all clients referred to services are
eligible prior to date of service.
Researched and verify client's insurance coverage. And ensured integrity of eligibility records through audit review process.
Collaborates with clinic team members to
coordinate patient services.
Saved undetermined amount of dollars by
implementing cost-saving initiatives that addressed long-standing problems by qualifying patients
Developed and maintained courteous and effective
working relationships
Identified issues, analyzed information and provided solutions to problems
2017-01 -
2021-11
HIM Credentialing Tech
Regency Hospital, Hattiesburg, MS
Planned, organized, and directed Health
Information and Credentialing Services.
Recorded processing and physician record
completion, transcription, filing, storage/retrieval, release of confidential information, maintenance,
and safety/security of all medical records, as well as maintenance of medical and allied health staff
credentialing files to meet regulatory requirements. Managed average of seven calls per day to address
customer inquiries and concerns
2015-12 -
2017-01
Used critical thinking to break down problems,
evaluate solutions and make decisions
Developed and implemented performance
improvement strategies and plans to promote
continuous improvement
Group Leader
Walmart Shared Services, Hattiesburg, Mississippi
Assisted Contact Center Management in ensuring
agent productivity by monitoring agent schedule
adherence and productivity in relevant system (for example, CMS (customer Management Systems),
CC Pulse, RTA (Real Time Adherence) listening to
calls to validate escalated customer claims or
compliments working with agents to address
improvement opportunities providing recognition for success gathering and compiling data to create
agent service reports participating in agent
feedback sessions and making recommendations for
additional training.
Lead and participated in teams of 12 - 15, in
Contact Center Operations by using and sharing
resources, information, and tools determining
customer needs and business priorities coordinating and executing work assignments providing advice,
feedback, and support to ensure timelines and work quality are achieved, modeling, and helping others with how to adapt to change or new challenges.
2007-08 -
2013-11
Eligibility Worker II
Forrst County Department Of Human Services,
Hattiesburg, Mississippi
Managed processing of financial assistance and
food stamp benefits applications.
Followed guidelines when reviewing applicant data
to determine eligibility for economic assistance.
Reviewed applications for different aid programs
and determined which qualification criteria for
individuals.
Educated clients on eligibility and affordability
options by offering insightful information.
Scheduled appointments with applicants to gather
2000-10 -
2013-11
Education
information and explain benefits processes.
Interviewed applicants and explained scope of
different available benefits.
Entered and retrieved pertinent data in computer
system for use in completion of applications,
recertification, and all required special reviews. Managed caseload of 650+
Master of Science: Public Health
Capella University - Minneapolis, MN
2016-04 -
2020-04
Bachelor of Science: Health Education,
Health Administration/Health Promotion
University of Southern Mississippi - Hattiesburg, MS 1997-08 -
2000-05
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