Summary
Overview
Work History
Education
Skills
Websites
Certification
Timeline
Generic

Porsha Sims

Charlotte

Summary

Experienced human services professional with a solid background in business administration management, seeking to transition into human resources. Proven ability to enhance workplace success and employee well-being through expertise in organizational support and personnel development. Strong skills in strategic management drive effective team performance and operational efficiency.

Overview

17
17
years of professional experience
1
1
Certification

Work History

Child Support Case Coordinator

Mecklenburg County (DCR)
Charlotte
01.2024 - Current
  • Conducted interviews with custodial parents to explain program and collect data on non-custodial parents.
  • Located non-custodial parents to facilitate establishment of paternity and support obligations.
  • Established paternity and support obligations through legal court processes.
  • Enforced court orders to ensure compliance with established obligations.
  • Maintained accurate records while upholding confidentiality standards.
  • Audited financial records for case accuracy and compliance.

Income Maintenance Caseworker II

Cabarets County (DHHS)
01.2023 - 01.2024
  • Evaluated eligibility by processing Food and Nutrition applications and recertification's.
  • Updated budgets as household circumstances or income fluctuated to maintain correctness.
  • Accurately entered case data into appropriate county and state systems.
  • Conducted thorough reviews of caseloads at scheduled intervals to confirm ongoing eligibility.
  • Monitored compliance with applicable regulations and procedures consistently.
  • Documented detailed case notes to uphold record integrity.

Medicare Member Engagement Specialist

Molina Healthcare
01.2022 - 01.2023
  • Delivered comprehensive plan benefit information to members, promoting comfort and well-being.
  • Conducted client onboarding and Health Risk Assessments to ensure smooth integration.
  • Ensured accurate communication of member benefits to enhance satisfaction levels.

Eligibility Specialist II

Mecklenburg County (DSS)
Charlotte
01.2020 - 01.2022
  • Determined eligibility and processed applications, changes, and recertification's for Food and Nutrition.
  • Computed and revised budgets as changes occurred in the household or income.
  • Entered and maintained case data in the appropriate county and state systems.
  • Maintained caseload and reviewed all cases at designated review periods to determine eligibility.

Benefit Advisor

Go Health
Charlotte
01.2019 - 01.2020
  • Facilitated individuals in navigating significant decision-making process of determining appropriate health insurance options suitable for personal needs and budget.

Personal Care Aide

American Health Homecare LLC
01.2018 - 01.2019
  • Implemented personalized care plans based on individual patient needs and preferences to ensure the highest level of comfort and well-being.

Benefit Verification Specialist

Amerisource Bergen
01.2009 - 01.2016
  • Completed complex benefit verification requests within contractual turnaround times.
  • Reviewed and verified health insurance benefits prior to patient appointments.
  • Maintained accurate records of verifications, including service dates and procedure codes.
  • Managed correspondence between patients, providers, and payers regarding authorization status.
  • Documented outcomes of benefit verifications to ensure quality standards.

Receptionist

Imam Salon and Spa
01.2008 - 01.2009
  • Maintained salon and spa by organizing office operations and procedures, distributing payroll, controlling correspondence, reviewing, and approving supply requisitions, and monitoring clerical functions while ensuring smooth operations of the reception area.

Education

BS - BUSINESS ADMINISTRATION-MANAGEMENT

JOHNSON C. SMITH UNIVERSITY
CHARLOTTE, NC
01.2024

AA - BUSINESS

STRAYER UNIVERSITY
HUNTERSVILLE, NC
01.2020

Skills

  • Communication skills
  • Employee relations
  • Project management
  • Microsoft Office Suite
  • Problem solving
  • Analytical skills
  • Artificial intelligence (AI)
  • Adaptability
  • Plan compliance
  • Vendor relations
  • Multitasking
  • Customer service
  • Collaboration
  • Decision making
  • Leadership
  • Business management
  • Auditing and compliance
  • Case management
  • Legal compliance
  • Financial auditing
  • Eligibility determination
  • Conflict resolution
  • Effective communication
  • Interpersonal skills
  • Attention to detail
  • Team collaboration
  • Time management
  • Regulatory compliance
  • Client assessment and needs analysis
  • Patient care and advocacy
  • Administrative leadership
  • Program implementation and oversight
  • Quality control measures
  • Interviewing techniques and skills
  • Crisis intervention strategies

Certification

  • Artificial Intelligence Certification, 05/24
  • HR as a Business Partner, 05/22
  • Strategic Human Resources, 05/22
  • Human Resources Foundations, 05/22
  • Human Resources: Running, 05/22
  • Human Resources: Running Company Onboarding, 05/22
  • Speaking Up at Work, 05/22
  • Mastering Self-Motivation, 05/22
  • Accidental, Health and Medicare Insurance, 05/19

Timeline

Child Support Case Coordinator

Mecklenburg County (DCR)
01.2024 - Current

Income Maintenance Caseworker II

Cabarets County (DHHS)
01.2023 - 01.2024

Medicare Member Engagement Specialist

Molina Healthcare
01.2022 - 01.2023

Eligibility Specialist II

Mecklenburg County (DSS)
01.2020 - 01.2022

Benefit Advisor

Go Health
01.2019 - 01.2020

Personal Care Aide

American Health Homecare LLC
01.2018 - 01.2019

Benefit Verification Specialist

Amerisource Bergen
01.2009 - 01.2016

Receptionist

Imam Salon and Spa
01.2008 - 01.2009

BS - BUSINESS ADMINISTRATION-MANAGEMENT

JOHNSON C. SMITH UNIVERSITY

AA - BUSINESS

STRAYER UNIVERSITY

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Porsha Sims