Medicaid Eligibility Specialist resume example with 12+ years of experience

Jessica Claire
  • Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
  • H: (555) 432-1000
  • C:
  • Date of Birth:
  • India:
  • :
  • single:
Professional Summary

Professional skills: Confident Eligibility Specialist committed to promoting positive customer outcomes through dynamic communication and exemplary engagement skills. Supportive Eligibility Specialist with extensive application engagement and dedicated service skills. With skills to maintain accurate records, schedule appointments and handle various administrative responsibilities. Full knowledge of Windows OS, MsOffice; Word, Excel, Outlook and PowerPoint. The ability to operate multiple phone lines, direct calls, and take messages. Full knowledge of Database management, ms access, legal machine & machine transcription. Word Processing Accounting with electronic spreadsheets. Records management motivated professional capable of managing, and monitoring eligibility information for members and groups.

  • Receptionist
  • Record keeping
  • Effective communication skills
  • Application review
  • Documentation and paperwork
  • Program knowledge
  • Resource information
  • Appointment scheduling
  • Proficiency in MS Word, Access, Excel, Internet, WMS system, One Edits system, E-MedNY system
  • Audit coordination
  • Multi-line phone systems
  • Helpdesk administration
  • System upgrades
  • Payment collection and processing
  • Data management
  • Requirements analysis and design phases
  • Item promotion
  • ID verification
  • Guest flow management
  • Reintegration techniques
  • Route planning
  • Cultural awareness
  • Billing and Invoicing
  • Vendor management
  • Samples comparison
  • Information verification
  • Account maintenance
  • Logistics coordination
  • Extremely organized
  • Sales and marketing strategies
  • POS system operation
  • Safety compliance
  • Payroll liabilities
  • Electronic and stationary surveillance
  • Process evaluations
  • Team management
  • GL and journal entries
  • Recruiting
  • Performance tracking and evaluations
  • Equipment maintenance
  • Project organization
  • Process improvements
  • Account management
  • Proper storage procedures
  • Powertool safety
  • Policy updates
  • Patient education and counseling
  • Labor agreements
  • Project design
  • Employee scheduling
  • Field surveying
  • Mail handling
  • Payment coordination
  • Promotional sales events
  • Resource allocation
  • Schedule and calendar management
  • Process and procedure development
  • Policy and procedure improvements
Work History
Medicaid Eligibility Specialist, 03/2018 - Current
Mayer Hoffman Mccann P.C. Plymouth Meeting, PA,
  • Interviewed applicants and explained scope of different available benefits.
  • Wrote job orders from employers to record accurate description of required job duties, working hours and wages.
  • Selected qualified applicants to refer to employers for possible job placement purposes.
  • Kept up-to-date with labor market information and professional developments by visiting training providers, professional bodies and employers.
  • Followed guidelines when reviewing applicant data to determine eligibility for economic assistance.
  • Inputted all gathered information and researched data on applicants into computer system using One Edits, WMS, and E-MedNy systems
  • Provided consulting services to over 300 individuals on various career-related issues and communicated with clients to determine needs and goals.
  • Used computer-aided guidance packages such as skills assessment tools, career planners, psychometric tests and personal inventories to assist clients in determining strengths and weaknesses.
  • Reviewed applications for different aid programs and determined which qualification criteria for individuals.
  • Developed extensive fact-checking and research skills as result of continuously reviewing different programs and options.
  • Communicated with people from various cultures and backgrounds, using active listening and interpersonal talents to ensure consistency.
  • Assessed information gleaned from interviews, educational, and medical records, consultation with other professionals and diagnostic evaluations to identify clients' abilities, needs and eligibility for services.
Housekeeping Team Leader, 02/2014 - 03/2018
Enchantment Resort Irvington, VA,
  • Frequent clients home through their access or granted access via keys to perform cleaning.
  • Prepared books and material for employees performing on the field cleaning.
  • Answer telephones, transfer calls, fax, record messages and greet clients All other duties delegated by my superiors.
  • Communicated repair needs to maintenance staff.
  • Evaluated employee performance and developed improvement plans.
  • Assigned housekeeping staff to specific shifts and room blocks based on abilities and daily requirements.
  • Completed schedules, shift reports and other business documentation.
  • Placed orders for housekeeping supplies and guest toiletries.
  • Drove improvements to workflow and room turnover with hands-on, proactive management style.
  • Utilized chemicals and cleaning equipment in accordance with safety protocols and proper operating standards.
  • Managed team productivity and workflow to exceed quality standards.
  • Trained and mentored all new personnel to maximize quality of service and performance.
  • Coordinated household cleaning service operations, including driving business development and managing client relations.
  • Maintained controls over expenses and inventory for optimal budget tracking.
  • Worked with front desk to respond promptly to all guest requests.
  • Carried linens, towels, toilet items and cleaning supplies using wheeled cart for maximum efficiency.
  • Stripped and refinished hard surface floors to maintain quality condition and appearance.
  • Established and maintained clean and comfortable environments in commercial and residential buildings by vacuuming, cleaning windows and dusting.
  • Cleaned elevators, glass and planters in public areas such as lobby, pool and public restrooms.
  • Operated power equipment tools such as backpack vacuums for up to 2 hours per shift.
  • Trained new housekeepers on all departmental procedures and provided assistance in finding necessary items and cleaning supplies.
Payroll Coordinator, 09/2007 - 04/2010
21St Century Oncology Bradenton, FL,
  • Processed payroll via timesheets for a payroll of over 800 HA, HHA and PCA's.
  • Successfully kept up with strict deadlines when posting payroll & ensure accuracy Mailed Pay stubs daily to HA, HHA and PCA's receiving direct deposit Ensured accurate pay for the aides & record keeping for the company Distributed paychecks to the aides weekly Processed various forms weekly not limited to housing, disability, etc Assisted coordinators with contacting clients regarding service provided
  • Investigated and resolved variances and employee claims.
  • Managed weekly funding of taxes and payroll liabilities.
  • Produced documentation and reports regarding payroll activities.
  • Reconciled accounts such as retirement, tax contributions and health care benefits.
  • Provided subject matter expertise to management and employees regarding payroll issues.
  • Managed payroll processing for 800 plus employees.
  • Maintained Sandata timekeeping system.
  • Prepared accounts for regular audits and assisted with process.
  • Received and reviewed time records for 800 plus employees.
  • Generated checks and stubs for direct deposits.
  • Applied knowledge of regulations, employment law and tax code to keep operations in compliance.
  • Performed calculations in payroll categories such as overtime, vacation and sick hours.
  • Reconciled accounts, managed deposits and tracked expenses.
  • Processed employee W-9 and I-9 forms and managed benefits and leave time.
  • Adjusted employee tax status along with information regarding withholding.
  • Updated employee files with new details such as changes in address or salary levels.
  • Developed reports by compiling summaries for earnings, taxes, deductions, nontaxable wages, disability and leave.
  • Processed payroll and calculated deductions by accurately using Sandata to secure payment traceabilities.
  • Responded to employee questions and requests for information in timely and knowledgeable fashion.
  • Operated 10-key calculators, computers, fax machines, copy machines and other office equipment to produce reports and needed documents.
  • Maintained employee confidence and protected payroll operations by keeping information confidential.
  • Reviewed personnel records to determine names, rates of pay, occupations of new hires and changes in wage rates.
Sales Clerk, 05/2005 - 08/2007
Marriott International Deerfield, IL,
  • Kept front check out area clean and organized for efficient service.
  • Readied items for sales floor stocking by affixing tags and preparing pallets.
  • Maintained current knowledge of shelf planograms and end cap plans to effectively merchandise products.
  • Supported promotional plans by updating signage with price changes.
  • Monitored deliveries by checking merchandise against invoice paperwork and notifying supervisor of discrepancies.
  • Stayed current on available products, store promotions and customer service policies to better assist with any need.
  • Placed new merchandise on shelves and racks in appealing, organized arrangements to drive sales.
  • Answered customer questions about products and services, helped locate merchandise and promoted key items.
  • Helped customers complete purchases by moving heavy items, collecting payments and bagging purchases.
  • Used consultative sales approach to understand customer needs and recommend relevant offerings.
  • Observed safety protocols when transporting merchandise to different areas of store to alleviate item damage.
  • Checked for outdated and overripe grocery items and removed from inventory.
  • Forged and nurtured impactful relationships with customers to cultivate loyalty, boosting customer satisfaction ratings 100%.
  • Inspected floor displays, noted missing items and immediately replenished merchandise.
  • Scanned merchandise and bagged using appropriate strategies for different items.
  • Educated customers on promotions to enhance sales.
  • Presented, rotated and date-checked products to maintain company freshness standards.
Associate of Science: Office Administration & Technology, Expected in
ASA INSTITUTE - Manhattan, NY,
  • Professional development completed in Office Administration
  • Minored in Business Administration
  • Majored in Information Technology
  • Full knowledge of MS Word, Excel, Access, and Internet Systems
  • Ability to type up to 40 WPM
  • Excellent organizational and research skills
Certificate: Culinary Arts, Expected in 08/2015
Star Career Academy - New York - New York, NY
High School Diploma: , Expected in
Prospect Heights High Schol - Brooklyn, NY,

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Resume Overview

School Attended

  • Star Career Academy - New York
  • Prospect Heights High Schol

Job Titles Held:

  • Medicaid Eligibility Specialist
  • Housekeeping Team Leader
  • Payroll Coordinator
  • Sales Clerk


  • Associate of Science
  • Certificate
  • High School Diploma

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