Ashli A. Porter

Dedicated Medicaid professional with experience in customer service, eligibility determination, appeals coordination, and Medicaid policy interpretation. Skilled in assisting clients, resolving complex case issues, reviewing documentation, and communicating effectively with applicants, providers, and state agencies. Strong background in handling sensitive information, maintaining accurate records, and providing compassionate support in fast-paced environments.

Seeking a Medicaid Call Center position where strong communication, problem-solving, and customer service skills can support Louisiana Medicaid members.

Medicaid Analyst 1 - Louisiana Department of Health - Monroe, LA

(2025-05 - 2026-03)

• Conducted interviews with Medicaid applicants and recipients to determine eligibility for Medicaid programs.
• Reviewed applications and supporting documents for completeness and accuracy.
• Explained Medicaid policies, procedures, and benefits to clients in a clear and professional manner.
• Resolved client questions and gathered verification from employers, agencies, and other sources.
• Maintained detailed case records, correspondence, and documentation in compliance with state and federal regulations.
• Assisted clients by referring them to additional resources and support services when appropriate.

Appeal Coordinator (Medicaid Support) - University of New Orleans - New Orleans, LA

(2024-02 - 2024-10)

• Reviewed and analyzed Medicaid appeals to determine compliance with policy and procedures.
• Prepared appeal summaries, reversals, correspondence, and supporting documentation.
• Communicated with staff and appellants regarding corrective actions and appeal updates.
• Maintained accurate electronic case records and uploaded legal and administrative documents.
• Attended hearings and collaborated with Medicaid staff to ensure proper case handling.
• Stayed current on Medicaid policy updates and procedural changes.

Medicaid Program Specialist - Louisiana Department of Health - Monroe, LA

(2022-11 - 2024-02)

• Responded to inquiries from Medicaid recipients, providers, and public officials regarding eligibility, policies, and procedures.
• Researched and analyzed Medicaid data to support program operations and corrective actions.
• Updated and monitored databases while maintaining accurate program records.
• Assisted with report preparation and correspondence related to Medicaid program functions.
• Worked with internal departments to ensure policy compliance and accurate system processing.

Bachelor of Business Administration - Marketing - University of Louisiana Monroe (2022-05)