Brings proven track record of success in determining eligibility and resolving complex cases. Works professionally with clients to develop and implement successful strategies for maximizing services and benefits. Skilled in problem-solving and identifying solutions meeting clients' needs.
Overview
27
27
years of professional experience
Work History
Eligibility Technician
Tlingit And Haida Central Counsil
01.2022 - Current
Answer phone calls and emails from applicants and general public Review and determine applicant eligibility
Research pending applications to move from pending to eligible or not eligible
Request required documentation for financial assistance program application
Complete data entry into Tribe Vue from application and/or client interview
Responsible for all aspects of paper and electronic file management of applications
Responsible for submitting eligibility recommendations for the Rescue Funds Assistance
Maintain knowledge of current US Treasury Guidelines for ARPA funding
Maintain knowledge of all current processes and procedures for both Rescue Relief Household and Community Directed ARPA Programs
Receive and audit applications completed by Technician I employees for accuracy
Verifying eligibility for program
Verifying payment types with supporting documentation
Verifying all certifications are complete
Authorized to approve applications and push payments to finance department
Case note all files
Communicate application issues with Tech I employees to and assist in resolving discrepancies
Verifying applications are not subject to the Duplicate Household Policy
Assisting with assigning applications to Tech I employees
Provided ongoing support to clients throughout the eligibility review process, maintaining open lines of communication for updates and inquiries.
Supported agency efforts to minimize fraud risks by diligently verifying applicant identity and reviewing supporting documentation for authenticity.
Delivered exceptional customer service through clear communication and empathy during challenging situations.
Utilized strong problem-solving skills to identify the root cause of problems quickly and efficiently find solutions.
Provided remote support to customers, diagnosing and resolving technical issues effectively.
Managed high call volumes while maintaining a professional demeanor and providing accurate information.
Owner/Operator
@mommakeene417
01.2000 - Current
Organize, Bake, Design and distribute baked goods daily
Take in orders over the phone or computer
Listen to customer and recommend ideas to best suit their needs
Time Management skills are of the utmost importance
Clean and keep equipment ready for next day
Patient Care Secretary
Odyssey Hospice
01.2008 - 01.2013
Assist the Patient Care Manager and Case managers with numerous patient needs
Maintain patient assignment list for each team
Interview patients/family to obtain accurate information for patient’s chart
Order all equipment and procedures for patient
Place patient in living facility if necessary
Verify insurance for current or future placement issues
Maintain recertification of insurance benefits per billing procedures manual
File and keep medical records current
Maintain, print and distribute current census
Create information face sheets on patients and distributes to staff
Notify staff of discharges and change of status on patients
Maintain admissions and discharge records
Maintain on call book with up-to-date information
Log and mail telephone prescriptions for physician’s signature, maintaining tickler file until signed order is returned
Log returned telephone prescriptions
Prepare for interdisciplinary group, copy/fax IDG notes to attending physicians
Track Recertification periods and alerts Patient Care Manager of upcoming recertifications.
Case Manager Assistant
San Joaquin Hospital/CM Department
01.2004 - 01.2008
Maintain an excel spreadsheet with all insurance authorizations and review requests by insurance companies
Perform job duties as Secretary including heavy phone office equipment filing and computer usage
Extensive knowledge of managed care or hospital experience knowledge of DRG’s and knowledge of Medicare/medical regulations
Maintain excel spreadsheets for insurance verification and maintain excel spreadsheets for case manager’s insurance reviews on timely manager
Meets the needs of internal and external customers with dignity and respect
Admin Assistant
Owens Valley Career Development Center
01.2002 - 01.2004
Office Supply Purchasing and developing procedures and policies for office supplies
Preparing program flyers and promotional materials as directed
Assisting with scheduling facilities and activities as directed
Compiling participants list for a variety of programs being offered and filing
Answering and directing telephone calls
Taking Messages
Providing accurate information to inquiries or direct to the appropriate personnel
Coordinating office equipment maintenance as directed
Greeting and directing program participants to the appropriate personnel
Preparing reports and other correspondence as directed
Maintaining participant’s files, including database management
Program Assistant
Alaska Native Medical Center/ER Department
01.1997 - 01.2000
Developed office supply procedures and policies including purchasing and staying within yearly budget for the department
Scheduling of appointments of administrators and/or patients
Make travel arrangements as needed
Schedule appointments as well as maintain supervisor’s calendar
Preparing outgoing mail
Sorting and distributing incoming mail
Answering and directing telephone calls including message taking
Coordinate meetings, both within the department and hospital wide
Prepare minutes and distribute
Preparing reports and other correspondence as directed
Maintaining participates files, including sick leave tracking, vacation, court leave on Government program for 90-plus employees
Education
High School Diploma -
East Bakersfield High School
Bakersfield, CA
Skills
Knowledgeable in Word, Excel, Tri Vue, Outlook, Teams
Policy Knowledge
Effective communication skills
Documentation and paperwork
Data Entry
Cultural Competency
Resource information
Telephone Etiquette
Timeline
Eligibility Technician
Tlingit And Haida Central Counsil
01.2022 - Current
Patient Care Secretary
Odyssey Hospice
01.2008 - 01.2013
Case Manager Assistant
San Joaquin Hospital/CM Department
01.2004 - 01.2008
Admin Assistant
Owens Valley Career Development Center
01.2002 - 01.2004
Owner/Operator
@mommakeene417
01.2000 - Current
Program Assistant
Alaska Native Medical Center/ER Department
01.1997 - 01.2000
High School Diploma -
East Bakersfield High School
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