Enthusiastic individual with superior skills in working in both team-based and independent work environments. I bring a great attitude and a willingness to learn to any position. I am very excited to start a new challenge with the State of Montana.
I have been a Health Coverage Coordinatorwith the DPHHS for 4 years.
When I first started I was required to go to Helena for training for a week. Our training consisted of ACA policy and CHIMES navigation. I have been back to Helena on over night trips for a meeting here and there. I have no problem with travel if need be for work purposes.
As a Health Coverage Coordinator I have learned to process Medicaid applications for foster care/adoption kids, Department of Corrections' inmates, individuals in pre-release, individuals that have Medicare as primary, as well as HMK/HMKP and ACA as needed and in a timely manner. I have learned to read and enter tax forms and wage stubs accurately to assure correct and accurate eligibility determinations. Also because I process so many different programs I must stay up to date on all policies and any changes applied to each individual program.
In order to process application accurately and effectively I use multiple programs such as CHIMES, DMS, Epass, JIRA, and MMIS.
I also process spreadsheets as well for different things, such as DOC issues, DOC MA applications submitted and disenrollment for clients who are past due on their premiums. These spreadsheets, as well as multiple duties, have deadlines that have to be met. I understand the importance of deadlines and have learned to prioritize well.
I have been the back up for our lead when she is out. I have had to distribute work to our unit evenly and promptly as well as do my daily duties. Work that I distribute consists of emails, urgent foster care applications, and other duties that arise.
Another duty as a Health Coverage Coordinator is to answer the Public Assistance Helpline. I have learned to assist clients on the phone and navigate CHIMES to assure the best customer service. I have to transfer calls as needed and when doing so I have to conference with other departments and the clients to provide information about the call and caller.
I have not worked for the OPA and I do not have experience with TANF or SNAP. I am however a very quick learner and I can grasp concepts and procedures very fast.
I have worked in healthcare for almost eleven years and I am very familiar with HIPPA and the requirements that come with confidentiality.
I had been an employee at St. Luke Hospital for 6 years.
I was the supervisor of the admissions department and did oversee 7 employees. I reviewed applications to determine who may be the best fit for any potential new hires. I also conducted interviews asking questions pertinent to the job requirements and qualifications.
I trained all new admissions employees and therefore I had to stay up to date on all policies and procedures to be qualified to train properly. Training staff takes effective oral and written communication skills that I possess.
I also conducted employee evaluations by reviewing their performance throughout the year. I would have to evaulate multiple different accounts that the employee had worked and review for any errors. Evaluating my staff's work would also shed light on any possible training issues they may have, so that I can address the needs of my staff.
While supervisor, the hospital updated their computer system. As a supervisor I was required to go to all meetings regarding this system and we had to completely rebuild the program from ground up. We had to then test the new designs and make sure once we were required to go live that the system would function properly.
Admissions does registrations for all inpatients and most outpatient services. I am very familiar with the Medicaid webportal, and the HMK presumptive applications to verify if patients qualify for assistance.
While at the hospital I was also a payment entry clerk. Hospital payment entry processed the entire deposit for the hospital Daily. I was also the clinic payments entry clerk which processed the deposit for all three clincis associated to the hospital. This job required paying great attention to detail on my part. Dealing with large sums of money each day I was trusted to balance to the penny. I enjoyed every minute of this job.
Prior to advancing to payment entry I also did Medicaid billing. In this position I had to evaluate claims before sending them to be processed. I had to evaluate Medicaid EOB's and review all denials. I had to determine if the denial was a biller rerror, and if so i had to correct each one.
As a supervisor and an admissions clerk i was required run the hospital switchboard. This is a multi-line phone system. I interacted with patients, doctors, and vendors on a daily basis. Excellent communication skills are needed to determine what the needs of the clients are so that I can help get the fastest and best service they need.
Also working in a hospital and with clients personal information and health records, we had to partake in HIPPA training.
At the daycare we provided care for children from ages 0-5. I specifically took care of the children under the age of 1. I would interact with parents daily and address any concerns that they may have regarding their child and child's care.
If anything were to happen to a child while in our care, we were required to complete incident reports and speak with the parents.
This job taught me a lot of patience and how to be persistant.
I attended cosmetology school in Kalispell Montana for three months to receive my nail technician certificate. After graduating I went to work at Images. While there I also interacted with clients as I did full acrylic nail sets as well as manicures and pedicures. I worked this job as well as working for the daycare above.
Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.
Companies Worked For:
Job Titles Held: