Professional with extensive experience in Medicaid representation, consistently delivering client-focused results. Known for collaborative approach and ability to adapt to changing situations. Expertise in case management and regulatory compliance, coupled with dependable and results-oriented work ethic.
Thorough team contributor with strong organizational capabilities. Experienced in handling numerous projects at once while ensuring accuracy. Effective at prioritizing tasks and meeting deadlines.
Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.
Professional with comprehensive experience in healthcare administration, particularly in Medicaid services. Capable of navigating complex systems and regulations, ensuring compliance and maximum efficiency. Strong team collaborator, adaptive to changing needs, and consistently focused on achieving impactful results. Skilled in client communication, problem-solving, and process improvement.
Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.
Overview
6
6
years of professional experience
Work History
Medicaid Representative
Results CX (Seasonal)
05.2024 - Current
Utilized data analysis techniques to identify trends and areas for improvement within the department''s operations related to Medicaid administration.
Provided comprehensive support to clients during the appeals process, ensuring accurate representation of their situation.
Reduced processing times by streamlining workflows and enhancing efficiency in handling Medicaid cases.
Resolved discrepancies in member accounts by conducting thorough research and applying appropriate corrective actions as necessary.
Conducted thorough reviews of eligibility documentation, maintaining compliance with state and federal guidelines.
Assisted clients in understanding their Medicaid benefits, explaining complex regulations and policies with clarity.
Contributed to process improvement initiatives within the department, resulting in enhanced operational efficiency.
Responded to customer concerns and questions on daily basis.
Utilized various software programs to process customer payments.
Monitored outstanding invoices and performed collections duties.
Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
Processed vendor and supplier payments on weekly basis.
Created improved filing system to maintain secure client data.
Admin
Marines, Camp Lejeune, NC
01.2023 - 05.2024
Handled sensitive information discreetly, maintaining strict confidentiality at all times as required by company policy or legal regulations.
Maintained personnel records and updated internal databases to support document management.
Organized workflow and delegated tasks effectively to ensure timely project completion without compromising quality.
Improved employee productivity with effective time management strategies for daily tasks.
Served as a liaison between departments, fostering open communication channels that improved overall organizational function.
Facilitated communication between departments, ensuring smooth operation and timely completion of projects.
Managed scheduling for executive staff to ensure optimal time management and productivity.
Streamlined office operations by implementing new filing system, significantly reducing retrieval times.
Optimized supply chain logistics for office supplies, avoiding stockouts and excess inventory.
Coordinated with IT department to upgrade software, ensuring all systems were up-to-date and running efficiently.
Created and managed project plans, timelines and budgets.
Optimized customer experience by delivering superior services and effectively troubleshooting issues.
Developed effective improvement plans in alignment with goals and specifications.
Diesel Mechanic
Marines, Camp Lejeune, NC
05.2019 - 05.2024
Utilized hand tools and power tools to repair and maintain diesel engines according to industry standards.
Performed preventive maintenance on engines, transmissions, tires, and other vehicle systems.
Troubleshot and diagnosed problems with brakes, steering, and transmissions.
Completed checklist of fluid levels, air filter, tire pressure, and more as part of service orders.
Handled repairs, replacing broken components and inspecting engines for wear and tear.
Serviced and maintained engines by performing regular oil and filter changes.
Determined cost-effective solutions to mechanical issues, saving company money.
Operated transport vehicles and auxiliary equipment to move materials safely to and from target areas.
Implemented preventative maintenance program, significantly reducing incidence of unexpected breakdowns.
Trained new mechanics in diagnostic techniques, enhancing skill level of team.
Streamlined parts inventory management to prevent overstock and shortages, facilitating smoother workshop operations.
Minimized costly breakdowns through proactive preventative maintenance measures on heavy equipment and vehicles.
Floor Chief (Chief Mate)
Marines, Camp Lejeune, NC
05.2019 - 05.2024
Managed inventory control systems to ensure adequate supplies of spare parts, consumables, and provisions were available throughout the voyage.
Assisted in the resolution of crew welfare issues, contributing to a positive workplace atmosphere onboard the vessel.
Maintained strict compliance with national and international maritime regulations to uphold company reputation.
Collaborated with shore-based management teams to address vessel performance issues promptly and effectively.
Evaluated new technology and equipment for potential implementation onboard to improve overall vessel performance and safety.
Completed regular vessel inspections to identify deficiencies and coordinate corrective actions.
Applied thorough navigation knowledge to determine geographical location and speed with or without assistive devices.
Maintained boat logs and oversaw cargo storage on or below decks, securing items, and protecting products from damage or loss.
Verified hydraulic fluid, air pressure and oxygen levels to check on systems operations.