
Results-driven case management professional with experience handling high-volume caseloads, eligibility determination, and client relations within public service environments. Proven ability to improve processing efficiency, maintain compliance with federal and state regulations, and deliver exceptional service in fast-paced settings. Skilled in data management, problem-solving, and building strong client relationships while maintaining strict confidentiality under HIPAA guidelines.
• Process and determine eligibility for Medicaid applications in compliance with federal and state regulations
• Conduct detailed client interviews to gather and verify financial and personal information
• Manage a high-volume caseload while meeting strict deadlines and performance metrics
• Maintain accurate and up-to-date case records using NCFAST and other eligibility systems
• Ensure confidentiality and compliance with HIPAA and agency standards Ensured compliance with federal, state, and agency policies while managing Medicaid eligibility cases
• Ensured compliance with federal, state, and agency policies while managing Medicaid eligibility cases
• Managed incoming calls and emails, providing timely support to clients and providers
• Maintained and tracked child care subsidy records using detailed spreadsheets
• Scheduled appointments for social workers using DCO Scheduler
• Processed and distributed critical documents, ensuring timely follow-up on approvals
• Collaborated on redesigning child care forms to improve clarity, usability, and efficiency