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Skills

  • Conflict resolution with difficult cases
  • Supervision
  • Client eligibility assessment
  • Process improvement
  • Healthcare enrollment outreach
  • Application form design for user-friendly experience
  • MS Office
  • Continuous education in health insurance laws and policies
  • Community event management
  • First Aid/CPR

Work Experiences

  • Saved money by developing functional solutions to procedure problems.
  • Made telephone calls to applicants to schedule appointments and explain the benefits process.
  • Achieved Top Performer for excellent performance in comprehensive post-enrollment follow-up, stabilizing coverage for vulnerable populations.
  • Developed effective fact-checking and research skills from daily reviews of program eligibility requirements.
  • Processed benefits applications, including food stamp and medical assistance documents.
  • Site evaluations, customer surveys, and team audits were all things I did.
  • Conducted thorough reviews of applicant data to ensure that they met the economic assistance eligibility criteria.
  • Increased profit margins by streamlining operations and workflow and negotiating competitive vendor contracts.
  • Achieved reduction over one year.
  • Assessed eligibility for health insurance.

Summaries

  • Achieved record-high client empowerment metrics.
  • Motivating leader who has built and managed metric teams in the past.
  • Looking forward to taking on a new challenge with a successful team.
  • Achieved a 51% on-time submission rate.
  • Method, procedure, and standard are all available.
  • Achieved 15% growth in enrollment.
  • Achieved 45% improvement in application accuracy.
  • System and process have a proven track record.
  • With hands-on experience, eager to learn new skills and advance knowledge.
  • Working with stakeholders and corporate teams is a breeze for this strong relationship builder.

Accomplishments

  • Received President's Club for exceptional service in assisting 9 low-income families with seamless healthcare insurance applications, contributing to 60% growth in enrollments.
  • Recognized for excellence in providing Medicaid/CHIP application support, increasing successful enrollments by 16% within three years.
  • Designed and implemented a continuous education program on current enrollment procedures, achieving 81% compliance within the counselor team.
  • Utilized data analytics to inform outreach strategies, resulting in a 43% increase in approved applications in high-need areas.
  • Established trusted relationships with organizational partners to increase visibility of healthcare programs, raising awareness and applications by 84%.
  • Trained 18 Certified Application Counselors on important state policy changes, leading to enhanced team efficiency and consistent Workday application success.
  • Implemented a tracking system for real-time application status, decreasing follow-up response times by 36%. Achieved 100% compliance with federal submission deadlines.
  • Increased outreach effectiveness by establishing a referral system and partnering with community-based organizations, growing the enrollment pipeline by 68% over several months.
  • Led bilingual healthcare enrollment workshops that improved accessibility and applications for non-English speaking communities, increasing engagement by 28%.
  • Authored and updated training materials on federal policy requirements, increasing team compliance and consistently passing audits with a 61% favorable rate.

Affiliations

  • Organized workshops for the local chapter of the National Patient Advocate Foundation, helping explain insurance coverage options to chronically ill patients.
  • Member of the National Council for Behavioral Health, contributing to initiatives assisting Medicaid applicants with behavioral health-related needs.
  • Member of the National Association of Healthcare Access Management (NAHAM), contributing to professional discussions on best practices in healthcare enrollment and patient access.
  • Completion of a Healthcare Consumer Assistance Program training, advancing skills in advising clients on complex eligibility requirements.
  • Certified through the Marketplace Learning Management System, maintaining excellence in guiding individuals through healthcare plan selections.
  • Founding member of Phoenix's Health Access Coalition, advocating for policy changes to expand healthcare access in marginalized regions.
  • Volunteered with the Community Action Partnership on initiatives aimed at increasing awareness of Medicaid and CHIP enrollment.
  • Volunteer with the Healthcare Communities of Practice, providing peer-to-peer support and discussing ways to refine patient assistance programs.
  • Active in the Special Enrollment Period Task Force, advocating for streamlined processes during out-of-cycle insurance applications.
  • Trainer for local volunteer teams under the Certified Application Counselor (CAC) program, helping expand knowledge on Medicaid and Marketplace applications.

Certifications

  • Health Coverage and Marketplace Policies Certification – metric
  • Customer Service & Data Security Compliance Certification – Jira
  • Cultural Competency Certification for Healthcare Providers
  • Nonprofit & Community Health Navigator Certification
  • Public Health Certifications – Beacon Labs
  • Project Management Professional (PMP)
  • Certified Public Accountant (CPA)
  • SHRM Senior Certified Professional (SHRM-SCP)
  • First Aid/CPR
  • Certified Navigator for Federally-Facilitated Marketplace Health Coverage

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