Efficient professional in government program administration, known for high productivity and ability to complete tasks swiftly. Specialize in eligibility determination, case management, and regulatory compliance. Excel in communication, problem-solving, and adaptability, ensuring smooth operations and client satisfaction.
Overview
21
21
years of professional experience
Work History
ELIGIBILITY SPECIALIST II
South Carolina Department of Health and Human Services
Spartanburg
07.2019 - Current
Serve as a Non-Magi Medicaid Eligibility Worker at the SCDHHS office in Spartanburg SC. Perform detailed-oriented reviews of information to accurately determine and re-determine Medicaid Eligibility according to Medicaid policies and procedures, while meeting deadlines
Analyzed financial information provided by applicants to verify income levels.
Responsible for timely and accurate eligibility decisions, delivery of services, and customer service.
Use various information sources, electronic tools, and systems provided by the Department to
collect, assemble, evaluate, and act upon information provided by applicant/beneficiaries and third parties to make timely eligibility determinations, reviews, and changes of circumstance.
Ensured compliance with all applicable laws and regulations governing benefit programs.
Verified applicant's identity and other relevant documents such as birth certificates or Social Security cards.
Maintained updated knowledge through continuing education and advanced training.
Documents all notes and steps clearly and completely for review and hand-off to other specialists
Administrative Assistant
Smith Lawn Service
Pelzer
03.2016 - 07.2019
Answered phones, responded to emails, printed and filed documents, sent and processed invoices.
Organized and scheduled appointments. Produced and distributed memos, letters, faxes and forms. Carried out administrative duties such as filing, typing, copying, and scanning.
Provided information by answering questions and request from customers. Ensured operation of office and lawn equipment by scheduling preventive maintenance requirements; calling for repairs; maintaining equipment inventories; ordering new equipment.
Maintained supplies inventory by checking stock to determine inventory level; anticipating needed supplies; placing and expediting orders for supplies; verifying receipt of supplies.
Received, sorted and distributed mail. Maintained employee time and payroll data. Computed employees' time worked, production, and tips. Computed employee deductions and prepared paychecks.
Family Caregiver
Self Employed
Pelzer
01.2013 - 09.2018
Provided care for two seriously ill family members, including medication management, assistance with activities of daily living, coordinating in-home therapies and services, and doctors' appointments
Prepared nutritious meals for family members following dietary guidelines.
Performed light housekeeping tasks such as laundry, vacuuming, dusting, and changing bed linens.
DISTRICT MANAGER
ANDERSON INDEPENDENT MAIL
ANDERSON
11.2010 - 01.2013
Directed and monitored independent contractors with delivery of all publications and products distributed by Anderson Independent Mail in 11 cities.
Monitored delivery results and ensured that resulting performance is within established service goals to maximize customer satisfaction levels.
Effectively resolved delivery problems and service concerns through communications with subscribers and independent contractors.
Maintained a full staff of independent contractors through on-going recruitment efforts.
Was responsible for contracting and providing training to all contractors to ensure that all terms of the contract are followed.
Delivered open routes in transition between carriers. Assisted in subscriber retention and subscriber sales efforts and periodically audited routes to evaluate the profitability and appraisal of delivery.
Monitored and directed the distribution center operations. Ensured that the distribution center was operated within established guidelines to create an efficient and successful environment. Performed all administrative functions necessary for the daily operations of the distribution center. Supervised Independent Contractors and Part-time employees.
SINGLE COPY OPERATIONS MANAGER
ANDERSON INDEPENDENT MAIL
ANDERSON
09.2004 - 11.2010
Responsible for keeping Single copy routes operational. Worked closely with Sales Manager to develop sales growth and revenue opportunities. Recruited and trained single copy carriers.
Delivered and collected monies on open routes in transition between carriers.
Was responsible for single copy carrier bills. Assisted with weekly single copy returns processing and auditing scan based accounts to control shrinkage.
Worked directly with store owners and managers in an effort to grow the customer base and get our papers into stores.
Overseen vending and hawking accounts. Was responsible for the location, placement and repair of single copy racks.
Collected monies due from retail newspaper vendor invoices on a scheduled timeline for consistency of payments and managed aged receivables to avoid delinquent balances.
Prepared and made all single copy bank deposits. Procured all single copy supplies. Ensured that all company vehicles were clean and organized.
Handled the maintenance of company vehicles to ensure that they were in proper working order, and in compliance with safety, and state laws.
Education
Some College (No Degree) - Accounting
Tri-County Technical College
Pendleton, SC
Skills
Customer service
Problem solving
Attention to detail
Effective communication
Training and development
Organizational skills
Data evaluation
Financial analysis
Document processing
Multitasking
Software proficiency
Microsoft Office expertise
Decision making
Written communication
Teamwork and collaboration
Critical thinking
Timeline
ELIGIBILITY SPECIALIST II
South Carolina Department of Health and Human Services
Senior Consultant at South Carolina Department of Health and Human Services (SCDHHS)Senior Consultant at South Carolina Department of Health and Human Services (SCDHHS)
Eligibility Specialist at South Carolina Department of Health and Human ServicesEligibility Specialist at South Carolina Department of Health and Human Services
SC Medicaid Pricessor at South Carolina Department Of Health And Human ServicesSC Medicaid Pricessor at South Carolina Department Of Health And Human Services