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Skills

  • Client Appeals Case Management
  • Data Management
  • Presentation design
  • Database administration
  • Problem resolution
  • Data-driven decision making
  • Policy and procedure modification
  • First Aid/CPR
  • Payroll and budgeting
  • Risk mitigation strategies

Work Experiences

  • Achieved 57% improvement across all metrics.
  • Kept accurate, current, and compliant financial records by monitoring and addressing variances.
  • Provided expert clerical support by handling a wide range of routine and special requests efficiently.
  • Achieved swift approval of 3 eligibility cases weekly.
  • By automating client correspondence, record tracking, and data communications, I was able to improve office operations.
  • Supervised and guided new employees, and I responded quickly to questions, which improved understanding of job responsibilities on team leadership and stakeholder engagement.
  • Was in charge of program files and records for 10 clients, as well as following security procedures to prevent data breaches and misuse.
  • Was in charge of the CRM database, which included troubleshooting, maintenance, updates, and the creation of reports.
  • Developed a highly efficient administrative team through ongoing coaching and professional development opportunities.
  • Intervened between Eligibility Supervisors during arguments and diffused tense situations using data analysis and team leadership.

Summaries

  • Supporting corporate level officers and senior management personnel with demonstrated expertise in financial and operational leadership, organized and efficient Eligibility Supervisor.
  • These abilities, as well as a strong work ethic, are available.
  • Achieved a 46% increase in KPI scores.
  • Miscellaneous administrative office management, related regulatory guidelines, and workflow optimization certified PMP and Eligibility Supervisor.
  • Eligibility Supervisor who is self-motivated and has demonstrated leadership, organizational, and customer service skills.
  • Recognized for motivating management team members to achieve their goals and fostering innovative work environments.
  • Professional in office management and administration with 7 years of experience maximizing productivity, efficiency, and service quality in a variety of settings.
  • Achieved 8% accuracy in case file reviews.
  • Within Miscellaneous, senior Eligibility Supervisor and outstanding performer in budget management and project management.
  • Overall morale and productivity are boosted by experience in policy development and staff management procedures.

Accomplishments

  • Reduced client complaint rates by 15% by improving communication channels between applicants and eligibility review teams.
  • Achieved 20% approval accuracy for benefit eligibility by conducting targeted case reviews utilizing Asana data analysis tools.
  • Assisted in the transition to method, leading to 80% improvement in case accuracy and faster record retrieval during eligibility reviews.
  • Collaborated with external departments to standardize eligibility criteria, improving interdepartmental workflows and reducing approval time by 62%.
  • Collaborated with team of 13 in the development of method.
  • Developed a multi-tier case review structure resulting in the resolution of 12 disputes, reducing appeal times by 13 days.
  • Led the successful migration of 9 client records into a new database system, ensuring no data loss and 26% accuracy.
  • Enhanced the onboarding and cross-training program for new hires, improving team efficiency by 54% in 18 months.
  • Tracked and analyzed operational data, forecasting case influx using predictive modeling in Workday, leading to a 49% reduction in processing bottlenecks.
  • Optimized the eligibility review process resulting in a 2 day reduction in case approval time and increased customer satisfaction by 40%.

Affiliations

  • American Marketing Association
  • Society of Human Resource Management
  • Eligibility and Enrollment Process Improvement Taskforce
  • Human Services Leadership Institute
  • Project Management Institute
  • Jaycees
  • Medicaid and CHIP Payment and Access Commission (MACPAC)
  • American Society of Safety Professionals
  • American Medical Informatics Association
  • National Case Management Network

Certifications

  • Certified Compliance & Ethics Professional (CCEP) through Northwind
  • Certified Business Analysis Professional (CBAP)
  • ServSafe
  • Advanced Patient Advocacy Certification
  • First Aid/CPR Certified
  • Certified Professional in Healthcare Quality (CPHQ)
  • Certified Eligibility Consultant (CEC) through Summit Group
  • Cisco Certified Network Associate (CCNA)
  • Certified Case Manager (CCM) accredited by Cedar Works
  • CERTIFIED BUSINESS ANALYSIS PROFESSIONAL (CBAP) by framework

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