KIMBERLY STYLES WHITE
ROCKY MOUNT
Summary
To contribute developed skills to a challenging position with a business offering opportunity for growth and development.
Working experience in the following areas; Medicaid, Medicare and third party insurances, also insurance and billing, processing insurance claims, and posting insurance payments.
Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Overview
25
25
years of professional experience
Work History
Income Maintenance Case Worker
Nash County Department of Social Services
01.2014 - Current
- Food and Nutrional Services Unit , Family & Children's Medicaid Unit . Income Maintenance Case Worker Duties include interviewing clients to receive Medicaid or Food and Nutrition benefits, taking applications and processing them to determine eligibility, also working a caseload for re-determination of eligibility for the client to continue to receive Medicaid.
- Conducted comprehensive interviews to gather necessary documentation for case evaluations and determinations.
- Assessed client eligibility for various income maintenance programs, ensuring compliance with state regulations.
- Gathered information via telephone, mail, or in person from clients applying for assistance.
- Determined if applicants met eligibility for public assistance programs.
- Enhanced client satisfaction by providing timely and accurate information regarding benefits eligibility and program requirements.
- Conducted thorough interviews with clients to assess their needs and determine appropriate services or referrals.
- Assisted clients with completion of applications and paperwork.
- Followed guidelines when reviewing applicant data to determine eligibility for economic assistance.
Income Maintenance Caseworker
Edgecombe County Department of Social Services
09.2012 - 01.2014
- Adult Medicaid Unit- Income Maintenance Caseworker Duties included interviewing clients to receive Medicaid, taking applications and processing them to determine eligibility, also working a caseload for re-determination of eligibility for the client to continue to receive Medicaid.
Insurance Specialist
Boice Willis Clinic
09.2003 - 09.2012
- Insurance Department- Insurance Specialist Duties included researching and resolving unpaid healthcare claims, also following up on denials from insurance companies, filing insurance claims for payment and updating patient's account with current insurance information. I also worked as a receipt entry clerk posting payments both manually and electronically to patient's account that was received from the insurance companies.
Claims Processor II
Opticare Managed Vision
03.2001 - 09.2003
- Claims Department- Claims Processor II Duties included processing insurance claims for payment that was submitted by the provider. I also processed claims with denials and applied discounts as they were needed. I processed claims from Envoy EDI to make sure the information was correct and ready to be imported. I also scrubbed claims in the system that was flagged for incorrect information.
Education
Medical Assisting -
Edgecombe Community College
01.2001
Certificate - Data Entry
Lenior Community College
01.1987
Diploma - Business Courses
Kinston High School
01.1986
Skills
- Customer service
- HIPAA compliance
- Verbal and written communication
- Maintains confidentiality
- Clerical skills
- Eligibility determination
- Strong client relations
- Compliance standards
Timeline
Income Maintenance Case Worker
Nash County Department of Social Services
01.2014 - Current
Income Maintenance Caseworker
Edgecombe County Department of Social Services
09.2012 - 01.2014
Insurance Specialist
Boice Willis Clinic
09.2003 - 09.2012
Claims Processor II
Opticare Managed Vision
03.2001 - 09.2003
Certificate - Data Entry
Lenior Community College
Diploma - Business Courses
Kinston High School
Medical Assisting -
Edgecombe Community College
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