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Skills

  • Database management for eligibility tracking
  • Appeals case management
  • Data-driven decision making
  • Fraud detection and prevention
  • Crisis management for urgent cases
  • Client eligibility assessment
  • Supervision
  • Case management proficiency
  • Project organization
  • Compliance training and coaching

Work Experiences

  • Assisted during program.
  • Collaborated with employment agencies.
  • Achieved a 70% increase in successful submissions.
  • Transported Jira to one year customer locations.
  • Achieved 7 monthly approvals for metric by accurately assessing client qualifications against rigorous criteria.
  • Pushed for operational changes that resulted in cost savings and higher profit margins.
  • Achieved a 59% improvement in program retention.
  • Addressed denied benefits.
  • Solved system issues, improved operations, and provided excellent customer service.
  • Acted as a liaison between clients and governmental departments.

Summaries

  • Accustomed to managing high-pressure workloads, processing 10 applications weekly, and achieving outstanding results in eligibility assessments and public assistance programs.
  • Adept at managing client disputes and appeals.
  • Achieved outstanding results in eligibility assessments.
  • Eligibility Counselor is a caring and skilled Eligibility Counselor who is dedicated to making a positive impact on programs and assisting participants by providing expert support.
  • Adept at managing client disputes and appeals by providing conflict resolution and securing favorable outcomes in 36% of contested benefit cases.
  • Dedicated to learning, growing, and succeeding in Miscellaneous.
  • Collaborated with government agencies.
  • Strengths in data analysis and workflow optimization backed up by Miscellaneous training.
  • Recognized for motivating management team members to achieve their goals and fostering innovative work environments.
  • Adept at reviewing client documentation.

Accomplishments

  • Successfully resolved 2 highly complex applications by identifying and mitigating fraud risks.
  • Served as a liaison between multiple departments, implementing new eligibility guidelines and reducing decision time by 79%.
  • Supervised a caseload of 16 clients, ensuring compliance with federal, state, and local eligibility criteria.
  • Monitored applicant data to identify trends, resulting in a 37% improvement in application processing efficiency.
  • Initiated a training module for colleagues that led to a 41% increase in overall team efficiency.
  • Managed discrepancy resolution for 11 benefit applications, preventing overpayments and improving program financial integrity.
  • Reached target approval rates for SAP by ensuring applicants met all necessary qualifications within 6 months.
  • Initiated a cross-training program for team members, ensuring team coverage and reducing the processing backlog by 34%.
  • Optimized the verification process for financial assets, reducing processing time by 25% and improving customer satisfaction rates.
  • Conducted audit checks on 24% of cases to ensure compliance with evolving state and federal guidelines.

Affiliations

  • Commission for Case Manager Certification (CCMC)
  • International Council of Nurses
  • Project Management Institute
  • Community Action Partnership
  • National Council on Aging (NCOA)
  • Association for Supply Chain Management (APICS)
  • National Association of State Budget Officers (NASBO)
  • Association of Information Technology Professionals
  • Toastmasters
  • National Association of Community Health Centers (NACHC)

Certifications

  • Certified in Medicaid Eligibility Quality Control (CMEQC)
  • Certified Public Accountant
  • Microsoft Certified Systems Engineer (MCSE)
  • First Aid/CPR Certified
  • Certified HUD Housing Counselor (CHHC)
  • Certified Professional in Disability Management (CPDM)
  • CompTIA Security+
  • Chartered Housing Counselor (CHC)
  • Human Services Board Certified Practitioner (HSBCP)
  • Certified Medicaid Planner™ (CMP™)

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