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Skills

  • Workload prioritization
  • Business Administration
  • Customer service
  • Staff management
  • Client relationship management
  • Change Management
  • Client Appeals Case Management
  • Scheduling
  • Team management
  • Initiative equipment

Work Experiences

  • Kept accurate, current, and compliant financial records by monitoring and addressing variances.
  • Was in charge of client and personnel appointment scheduling and itinerary coordination.
  • Actively monitored training materials.
  • Was in charge of the CRM database, which included troubleshooting, maintenance, updates, and the creation of reports.
  • Evaluated employee performance and implemented incentives and team-building events to boost morale.
  • Was in charge of program files and records for 10 clients, as well as following security procedures to prevent data breaches and misuse.
  • Achieved results over 11 months.
  • Organized category meetings for 11 Eligibility Supervisors and coordinated the availability of conference rooms for attendees every two years.
  • Organized corporate and office conferences for company employees and guests.
  • Achieved 14 error-free submissions.

Summaries

  • Meticulous Eligibility Supervisor capable of creating exceptional communications, presentations, and spreadsheets that meet a variety of administrative needs using Microsoft Excel.
  • Eligibility Supervisor is a multi-talented Eligibility Supervisor who is consistently rewarded for planning and operational improvements.
  • Achieved a 46% increase in KPI scores.
  • Achieved audit-compliant, zero-error results.
  • 5 years of experience streamlining processes, managing talented team members, and performing data analysis by an educated professional.
  • Achieved a 79% decrease in audit findings year-over-year.
  • With over 16 years of experience in the Miscellaneous field, I am a well-organized Office Manager.
  • With an organized approach and strong multitasking abilities, dedicated to maximizing customer satisfaction and exceeding business objectives.
  • Achieved a 30% reduction in eligibility case reassignment delays.
  • Excellent communicator and project manager with expertise in day-to-day operations, workflow improvements, and customer service.

Accomplishments

  • Orchestrated cross-team collaborations to implement system upgrades, increasing throughput of applications processed by 44% during peak periods.
  • Implemented weekly data review sessions leading to a 50% reduction in eligibility errors across 14 program applications.
  • Redesigned the new-hire training program, reducing the ramp-up time for new eligibility specialists by 7 weeks.
  • Collaborated with external departments to standardize eligibility criteria, improving interdepartmental workflows and reducing approval time by 62%.
  • Managed 18 case files per week while maintaining 71% accuracy and reducing processing errors.
  • Led the successful migration of 9 client records into a new database system, ensuring no data loss and 26% accuracy.
  • Resolved product issue through consumer testing.
  • Led a team of 5 eligibility workers, providing training and support to ensure 81% compliance with Tableau standards.
  • Spearheaded the implementation of a streamlined application process, reducing the overall processing time by 85% while improving client satisfaction.
  • Delivered 3 training sessions on compliance with federal and state regulations, improving internal audit outcomes and achieving a 45% pass rate.

Affiliations

  • Customer Experience Excellence Workgroup
  • State Welfare Agencies Collaboration Group
  • National Council for Certification of Healthcare Access Professionals
  • American Medical Informatics Association
  • Eligibility and Enrollment Process Improvement Taskforce
  • Association of Information Technology Professionals
  • Jaycees
  • American Customer Satisfaction Index (ACSI) Advisory Group
  • Client Satisfaction Improvement Consortium
  • American Association of Healthcare Administrative Management (AAHAM)

Certifications

  • SHRM Senior Certified Professional (SHRM-SCP)
  • Certified Business Analysis Professional (CBAP)
  • Advanced Patient Advocacy Certification
  • Google Certified Professional Cloud Architect
  • Advanced Analytics for Healthcare Professionals by procedure
  • Certified Fraud Examiner (CFE) by the Association of Certified Fraud Examiners
  • Salesforce
  • CERTIFIED BUSINESS ANALYSIS PROFESSIONAL (CBAP) by framework
  • Certified Healthcare Access Manager (CHAM) by National Association of Healthcare Access Management
  • Certified Information Systems Auditor (CISA) by category

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