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Benefit Program Specialist

Hattiesburg, MS, 39401
May 30, 2023

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Work History

Eligibility Worker





Hattiesburg, MS, 39401





Effective communication


Resource information

Documentation and


Telephone etiquette

Applicant interviews

Written and verbal


Analytical Skills

Assignment management

Chronic illness


Reasoning ability

Schedule Coordination



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 -


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 -


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 -


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 -


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 -


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


Educated clients on eligibility and affordability

options by offering insightful information.

Scheduled appointments with applicants to gather

2000-10 -



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 -


Bachelor of Science: Health Education,

Health Administration/Health Promotion

University of Southern Mississippi - Hattiesburg, MS 1997-08 -


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