TONITA ALDRIDGE

**** ****** ****

Richmond, VA **224

Home: 804-***-**** Cellular: 804-***-****

Objective

To secure a position with a progressive, innovative company where my skills and education can be utilized to their fullest.

Qualifications

•Excellent troubleshooting and good human communications skills.

•Proven ability to balance, prioritize and organize multiple tasks.

•Ability to work independently and coordinate works of others.

Work Experience

2018-Current Virginia Department of Social Services

Benefit Program Specialist

•Assist individuals who are Aged, Blind, and Disabled who are age 65 and over who meet income and resource requirements for health care coverage.

•Assist individuals of any age with medical and non-medical needs, providing services at home, in the community, or in various types of facilities for Long-Term Care.

•Verify all income resources, earned and un-earned.

•Obtain any additional information, or verification to a decision on cases.

•Generates Notice of Actions, Notice of Expirations, and Checklists to applicants on actions taken on their case.

•Upload documents to Document Management Information System (DMIS) for review and make Case Narratives that provides sufficient background data that can be analyzed.

•Conduct Supplemental Nutrition Assistance Program (SNAP) interviews over-the-phone or in person along with providing them of their rights and responsibilities.

•Work cooperatively with applicants and Long-Term Care providers.

2017-2018 Co-Star

Tenant Surveyor

•Verify business decision makers at each Tenant location.

•Survey Tenants to determine future moves and occupancy.

•Document tenant movement within certain markets.

•Accurately capture information obtained through phone interviews into our database.

2016-2017 Genworth Financial-Richmond, VA

LTC Claims Intake Specialist

•Familiar with all LTC product lines sold and administered with specific knowledge of all or most of the products, for Insured eligibility (initial and ongoing) and provider eligibility reviews: Genworth & MetLife.

•Interpret, understand and apply LTC policy language.

•Research, analyze and interpret complex state laws and supporting regulations, most specifically with regard to the licensing of long-term care providers.

•Explain specific coverage and claim status to claimants.

•Document all calls clearly and concisely and complete follow-up work.

•Generate correspondence as needed.

2015-2016 Department of Social Services-Richmond, VA

•Focus on people side of change, during application process for a renewal, overdue,

or a new application for Medicaid assistance.

•Identify, analyze and prepare document requirements on approved, denied and

pending applications.

•Meet objectives on time within 24-48 hours of receipt of applications or needed documentation from recipients by increasing time management.

•Provide input, direct support and coaching to fellow co-workers.

•Proficient in Virginia Case Management System (VaCMS), and Medicaid Management

Information System (MMIS) to research and update activity on cases.

•Utilize Application Benefit Delivery Automated Project (ADAPT) and System

Partnering in a Demographic Repository (SPIDeR) to obtain required information to

process cases.

2014-2015 Xerox-Richmond, VA

Eligibility Worker

•Initiate telephone calls to applicants to follow-up and confirm information, as necessary.

•Document missing information in the web-based computer system.

•Verify information provided by applicants and investigates discrepancies.

•Review application information on the web-based system and associated imaged documents.

•Determine eligibility for health insurance for the Cover VA Program according Virginia regulations/guidelines.

•Make obtain calls to obtain, clarify, or validate information.

Contact this candidate