Open To Work
LaQuita McReynolds
Columbia
Summary
Dynamic Eligibility Specialist at TekSystems with a proven track record in Medicaid management and compliance. Skilled in effective communication and relationship building, I excel at evaluating applicants and ensuring accurate documentation. Committed to enhancing patient care quality and optimizing processes, I thrive in fast-paced environments while maintaining a focus on client needs.
Overview
16
16
years of professional experience
2
2
Certifications
Work History
Eligibility Specialist Worker
TekSystems
Columbia
04.2025 - 09.2025
- Determining Eligibility- Evaluate Medicaid applicants against State program guidelines to determine their qualifications for benefits or services.
- Information Gathering- Interact with applicants to collect necessary personal and financial information.
- Reviewed and verified documents to confirm applicant information, ensuring accuracy and compliance in record-keeping.
- Compliance and Updates- Stay current with program regulations, policies, and laws to ensure compliance and adapt to procedural changes.
- Initiated and processed cases using automated systems, identifying client needs and making appropriate referrals to health, social, or employment services.
- Communicated with applicants to provide updates, address inquiries, request additional information, and prepare essential reports.
- Record Keeping- Maintain organized and accurate case files and data in electronic systems.
- Received and reviewed weekly quality assurance scores and updates from upper management to assess performance.
Patient Care Representative
Call 4 Health
Columbia
11.2022 - 07.2024
- Managed and scheduled patient appointments, coordinated with healthcare providers to optimize time slots and enhance patient flow.
- Accurately collecting and verifying patient information including demographics, insurance details and medical history.
- Insurance Verification/Billing - verifying patient insurance and explaining benefits of coverage.
- Handled high-volume calls, ensuring accurate and timely responses to patient inquiries.
- Maintained consistent communication with patients to address inquiries and deliver timely updates on their care.
- Follow HIPAA laws to ensure safety of patients' rights to keep records private.
- Adhered to scheduler call flow to effectively manage each incoming call.
- Created patient cases to send to doctors' offices.
- Engaged interpreter line to assist non-English speaking callers for clear communication.
Certified Nursing Assistant
Medustrial Healthcare Staffing
Columbia
09.2020 - 03.2022
- Monitored and recorded incontinence activity and provided care.
- Assist with feeding and mealtime support.
- Report any skin/behavior changes to the Care Team.
- Led social activities, including games, crafts, and morning workouts, to promote participant interaction and well-being.
- Supported activities coordinator and pcas in transporting participants to enhance engagement in programs.
- Communicated regularly with team members to facilitate seamless operations.
Certified Nursing Assistant
Open Door Personnel
Columbia
02.2018 - 06.2020
- Recorded and monitored vital signs in EMR system to support accurate resident health tracking.
- Answer residents' call lights in a timely manner and properly assist.
- Transport residents using full-back and sit to stand Hoyer Lifts.
- Prepare and provide meals, ensuring each resident receives appropriate diet.
- Managed inventory of medical supplies to ensure availability for resident care.
- Report resident status to Charge Nurse.
- Facilitated communication with team members and residents to enhance collaboration and care continuity.
Private In-Home Caregiver
Family Caregiver
Columbia
01.2010 - 03.2017
- Administered medication schedules according to physician instructions.
- Managed all ADLs to support daily living needs, including nutrition, mobility, and hygiene.
- Monitored vital signs including temperature, pulse rate and respiration rate.
- Collaborated with healthcare professionals to maintain seamless continuity of care for clients.
- Managed, coordinated, and transported for all medical appointments, reducing missed visits to zero.
- Communicated effectively with family members about care needs.
- Engaged clients through conversation, reading, and board games to enhance emotional well-being and companionship.
- Performed light housework, handled cleaning duties and ran loads of laundry.
Certified Nursing Assistant
CM Tucker
Columbia
06.2014 - 05.2016
- Transfer residents to showers using proper equipment.
- Assist residents with grooming and oral care.
- Turned and repositioned bedridden residents to prevent pressure ulcers.
- Feed, bathe and toilet/change continent and incontinent residents.
- Checked and recorded resident weight and vital signs to monitor health status.
- Report to Charge Nurse with any updates on resident's health status.
- Communicated regularly with staff to ensure effective collaboration and care coordination.
- Participated in CPR training to enhance emergency response readiness.
Education
Diploma in Medical Assisting -
Remington College
Columbia, SC01.2011
High School Diploma -
C. A. Johnson High School
Columbia, SC01.2009
Skills
- Eligibility determination
- Medical terminology expertise
- Medicaid management
- Income verification
- Patient scheduling
- Compliance knowledge
- Patient care quality
- Client interaction
- Effective communication
- Team collaboration
- Problem solving
- Time management
- Active listening
- Empathy and understanding
- Relationship building
- Customer service
Certification
CNA
Work Preference
Job Search Status
Open to workWork Type
Full TimeLocation Preference
RemoteSalary Range
$16/hr - $1000/hrTimeline
Eligibility Specialist Worker
TekSystems
04.2025 - 09.2025
Patient Care Representative
Call 4 Health
11.2022 - 07.2024
Certified Nursing Assistant
Medustrial Healthcare Staffing
09.2020 - 03.2022
Certified Nursing Assistant
Open Door Personnel
02.2018 - 06.2020
Certified Nursing Assistant
CM Tucker
06.2014 - 05.2016
Private In-Home Caregiver
Family Caregiver
01.2010 - 03.2017
Diploma in Medical Assisting -
Remington College
High School Diploma -
C. A. Johnson High School