Medicaid Eligibility Human Services
Resume:
Irene Brooks-Brunson
***A Archdale Drive Sumter, SC 29150
Phone: 803-***-****
Email: *************@*****.***
Summary: To find a position in a company that will utilize my skills and knowledge that will challenge me to rise above my current level of ability to allow me to grow within the company.
EDUCATION
1990-1992
ASSOCIATE DEGREE – MARKETING
CERTIFICATE – WARD CLERK I & II
MEDICAL BILLING
Central Carolina technical College
EXPERIENCE
JANUARY 2015 TO PRESENT
HUMAN SERVICES COORDINATOR I, DHHS
Conducts preliminary review of referral, process appropriate application, documents and enrolls individuals to receive services.
Supervise Medicaid eligibility staff and manage workloads within a region.
Manage and coordinates communication, staff development needs and quality improvement efforts to ensure Medicaid eligibility employees are accurately determining Medicaid eligibility according to the Medicaid policy and procedures.
Manage all personnel activities to ensure accountability, appropriateness, and accuracy of all DHHS personnel policies and procedures.
Conducts weekly huddle, staff meetings and individual conferences monthly.
Ensures completion of the hiring process including all assessments, evaluations, reports, and related documentation in a timely manner.
Familiar with and stay abreast of Federal and State Laws pertaining to Medicaid.
Ensure HIPPA and Civil Right Laws are not violated.
Enforce Confidentiality policy and procedures.
Audit cases
Interact with the public daily.
JULY 2008 – JANUARY 2015
HUMAN SERVICES SPECIALIST II, DHHS
Process Medicaid reviews and applications caseloads.
Determine client’s eligibility for Medicaid & State Charity Assistance.
Provide applicants/recipients with information and clarification of program policies.
Assists Case Management.
Screen for Affordable Health Care Insurance.
Make eligibility determinations for an average of over 150 clients each month.
Interview applicants and beneficiaries
Ensure HIPPA and Civil Right Laws are not violated.
Enforce Confidentiality policy and procedures.
Interact with the public daily.
MAY 2008 TO JULY 2008
CONTRACT TEST PROCTOR, Central Carolina technical College
Administered and meticulously graded ACT, SAT, LSAT, SSAT, subject tests and other exams.
Reported to supervisor effectively to maintain necessary inventory of supplies.
Answer any questions or concerns from the student immediately.
Interact with the public daily.
MARCH 2001 – NOVEMBER 2007
MEMBER SERVICE SPECALIST & BANK TELLER Safe federal credit union
Always guarantee positive customer experiences.
Compile information for scheduled reports on accounts and other metrics.
Recommend appropriate institution services and products to customers.
Interview potential customers to assess needs.
Contact business account holders to offer new services.
Generate leads through telephone and email contact with customers.
Cash handling
Enforce Confidentiality policy and procedures.
Stay abreast of Bank Federal regulations.
Interact with the public daily!
REFERENCES
Personal:
Cynthia Hill
Minister
15 Phyllis Lane Wedgefield SC 29168
Professional:
Yolanda Richburg
Collection Officer
BlueCross Blue Shield
4101 Percival Rd Columbia SC 29229
Professional:
Marie Major
Human Services Specialist-DSS-CPS
4065 Bush Branch Rd
Sumter S.C. 29154
Contact this candidate