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Entry Level Medicaid Eligibility

Location:
Troy, NY
Posted:
October 24, 2024

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Resume:

Mar **** Aug ****

Albany, NY

Nov **** Mar ****

Albany, NY

Lisa B. Schafer

Professional Summary

Well qualified team associate with over 40 years of dedicated and skillful employment. Extensive experience in the coordination and implementation of administrative functions as well as operational tasks, in a highly eclectic and dynamic environment. Dedicated to business success and self-achievement while maintaining high integrity standards. Skills

Team meeting facilitator Reliable, punctual, and adaptable Microsoft Office Self-motivator and team leader

Full telecommuting experience Unit hiring panelist Task prioritization/organizational skills Effective collaborator and communicator

Experience

Medicaid Eligibility Examiner 3

New York State Department of Health

Serve as a manager for paraprofessional staff and entry level staff relating to determining eligibility for and processing applications for Disability Medicaid. Interact with consumers and third-party associates to support the advocacy and knowledge of Health Insurance Programs.

Interview committee for potential staff.

Oversee correspondence and procedural process for outgoing questionnaire applications. Coordinate with professional staff in assisting with implementation of practices to streamline work flow and procedures.

Assist constituents with unit daily operations and maintain team coverage and continuity of support.

Medicaid Eligibility Examiner 2

New York State Department of Health

Follow established guidelines in the DOH policies and procedures for Medicaid and it's affiliated programs.

Assist in gathering client medical evidence using daily interface with professional personnel, constituents within the Medicaid framework, and third party vendors. Mentor and train subordinates for reorientation in current procedures as well as encourage and foster growth in career development. Provide support to outside clients that require additional expertise on Medicaid policies and it's operations.

21 Erie Blvd., Apt 194, Albany, NY 12204

**********@*****.***

518-***-****

Oct 2017 Nov 2019

Albany, NY

Sep 2015 Oct 2017

Albany, NY

May 1983 Sep 2015

Troy, NY

May 1983

Cohoes, NY

Substantial use of data systems: IEDR, EMEDNY, and WMS. Support Team in the interviewing, evaluation, and hiring process for potential new employees.

Medicaid Eligibility Examiner 1

New York State Department of Health

Reviewed and processed applications for Public Health Insurance. Efficiently maintained a 150+ count client-based queue with an astute business acumen. Processed highly confidential documents in adherence to Hipaa compliance. Formulated solutions with colleagues on Medicaid cases that fell outside of the department protocols and guidelines

Attended various in person learning conferences to augment Customer Service skill sets. Faxed, scanned, filed and organized incoming mail. Assisted with phone line and appointed the call to the appropriate team member. Office Assistant

New York State Department of Health

Operated office equipment, such as personal computers, copiers, scanners, voicemail systems, and fax machines.

Answered telephone calls on multi-line telephone system, took messages, and/or distributed messages to appropriate personnel.

Prioritized and managed multiple tasks and competing priorities in servicing requests from senior managers.

Kept office documents well-organized and quickly retrieved files for team members. Member of Pilot committee launched to test newly designed Medicaid Web program. Coordinated and assembled new employee folders containing Unit training materials as well as DOH policies and procedures.

Hospitality Supervisor

St. Peter's Health Partners

Increased productivity and customer retention by implementing workplace cleanliness plans, and customer loyalty incentives.

Maintained standards of operation in line with health codes, thereby decreasing liability and violation matters.

Mentored and supervised entry level workers with individualized hands-on training. Spearheaded "Catering to You" program designed to empower patients to customize their meal choices.

Member of the "Lean Program" and "Safety Committee" programs. Streamlined job roles and workplace procedures to cut operational costs and reduce accidents.

"Employee of the Year" 2004.

Education

High School Diploma: Cohoes High School Graduate

Cohoes High School

References available upon request



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