Office Manager - Westport Nursing and Rehabilitation Center
(2025-09 - 2026-01)
- Assures accurate data entry of client information, records, and tie-out census daily.
- Responsible for all patients' pay collections and hospice billing monthly. Analyze and reconcile various accounts, including statements, to ensure accuracy and collectability.
- Support the facility with resident trust activity for banking purposes and monitor resident funds for appropriateness.
- Identify and process accounts that are deemed non-collectible and forward to Corporate for collections
Benefits Program Specialist - City of Charlottesville - Charlottesville, VA
(2022-02 - 2024-06)
- Determining eligibility and reviewing the ongoing eligibility of all public assistance programs.
- Medicaid, Supplemental Nutrition Assistance Program (SNAP), Temporary Assistance to Needy Families (TANF), General Relief, and/or Refugee Cash Assistance programs.
Benefits Program Specialist - Louisa County DSS
- Conduct interviews to determine eligibility for assistance and determine their continuing eligibility.
- Explains the nature of temporary assistance benefit programs and determines reasons and need for assistance.
- Processes applications for financial assistance and diversion; explains client rights and program availability.
- Evaluates consistency and completeness of data secured, where indicated, substantiates its accuracy, Computes assistance plans
- Determines the need for and number of allowances for special circumstance items. Evaluates such social factors as education, work experience, and levels of social functioning; and evaluates the employability of clients and explores potential sources of income.
- Process interims and renewals, add and delete members from cases.
Provider Service/Scheduler - VA Premier Richmond
- Received inbound call from providers inquiring about claims they had submitted that had not been paid out or had been paid, and the provider stated the claim had been paid incorrectly. Would explain why the claim was or was not paid and, if it was not paid correctly, would resubmit it to be reprocessed with a reason.
- Advised the provider of what was needed if the provider did not send in all items needed to process a claim. Would fax the provider the EOB if needed, and transfer providers to the prior authorization department.
- Would answer inbound calls from clients as well, inquiring about Medicare supplement insurance and route them to the correct department. Several other duties as assigned.
Benefit Program Specialist - Orange County DSS - Orange, VA
(2020-11 - 2021-06)
- Conducts interviews to determine eligibility for assistance and re-determines their continuing eligibility
- Explains the nature of temporary assistance benefit programs and determines reasons and need for assistance; Processes applications for financial assistance and diversion; explains client responsibilities, rights, and program availability
- Evaluates consistency and completeness of data secured, and where indicated, substantiates its accuracy; Computes assistance plans
- Determines the need for and number of allowances for special circumstance items; Evaluates such social factors as education, work experience, and levels of social functioning; and Evaluates employability of clients and explores potential sources of income.
- Communicated effectively via email, phone, and face-to-face with plan participants to resolve issues about health and welfare benefits.
Provider Relations Representative - VA Premier - Richmond, VA
(2018-08 - 2020-07)
- Received inbound calls from providers inquiring about outstanding claims that had been submitted as well as reprocessed claims
- Provided providers with EOB's and claim status updates
- Assisted providers with claim corrections, billing issues, and resubmission guidelines
- Documented call details and resolutions in the system accurately and in a timely manner
Customer Care Representative - Chesterfield DSS - Chesterfield, VA
(2016-05 - 2018-05)
- Medicaid, Tanf and snap and cooling applications receive and document all incoming forms, set up SNAP and Medicaid appointments.
- Sent out renewals and interims.
- Receive inbound calls
- Interprets policies and procedures, conducts interviews, and provides referrals. and task as assigned.
- Kept customer and system account information is accurate and current to support timely resolutions for all concerns.
- Provided a high level of quality control, eliminating downtime to maximize revenue.
- Documented customer inquiries and feedback, including service delivery suggestions in the company database.
Customer Service Representative - Chesterfield County Department of Social Service - Chesterfield, VA
(2016-05 - 2018-05)
- Pend Medicaid, Tanf and snap and cooling applications
- Receive and review documents, all incoming through fax, mail, or email, attach to the case call, and verify client demographics
- Receive inbound calls and transfer to the appropriate department
- Set up snap and Medicaid appointments.
- Send out renewals and interims
- Many other tasks.
Internship - ManorCare Assisted Living
(2015-11 - 2016-01)
Internship for Social Service workers
- Completed Admissions for residents being admitted to the facility.
- Case management Completed intake assessments
- Care plans, discharge planning, Referrals and Coordinating Hospice planning with patients, family, caretakers and medical staff.
Customer service representative - Anthem Healthcare
(2013-06 - 2014-05)
- Respond to escalated calls, monitor calls, and send out daily stats.
- Responded to inquiries by providers regarding patient medical coverage.
- Advised if preauthorization is required.
- Identified claims for re-processing.
- Authorize case management visits.
- Process Authorizations for emergency inpatient stays for a minimum of days until documentation has been provided.
Eligibility Worker - Xerox Healthcare
(2011-03 - 2013-02)
- Processing Medicaid and Famis applications, gathering demographic information from the clients, and the MMIS system to submit Medicaid applications.
- Notifying clients of decisions by phone and in writing.
- Many other duties.
Customer Service Representative / Eligibility Specialist - Xerox
(2011-03 - 2013-02)
Promoted to team leader, as a team leader would monitor the workflow of the team to ensure the timely processing of cases.
- Processed Medicaid and Famis applications
- Gathering demographic information from the clients
- Using the MMIS system to submit Medicaid applications
- Notifying clients of policies and procedures.
- Many other duties
Collector/Customer Service Rep/Trainer - Chrysler Financial
(2007-01 - 2011-08)
- Monitored application queue for potential candidates. Contact the candidate for screenings and an interview.
- Set up drug test and processed paperwork for background and references checks.
- Conducted new hire orientation. Assisted New Hires and employees with their benefits packages.
- Supervised and trained a team on auto loans that were 30-55 days past due. Handled 60-70 accounts per day.
- Performed skip tracing on all accounts. Contacted insurance companies to verify coverage on the vehicle.
- Trained new employees on products and services, and trained seasoned employees on new policies
- Educated employees and customers on policies and procedures.
Supervisor of Customer Care - Fleet credit card service
(1999-12 - 2007-06)
- Oversee a team of 10 customer service representatives, ensuring they were complying with all policies and procedures
- Conduct monthly one-on-ones with each team member
- Ensure coverage for each shift
- Many other duties.
