Shabrin Akter
Medicaid Eligibility Specialist
770, E.45th Street, Brooklyn, NY
Summary
Proven Medicaid Eligibility Specialist with extensive experience at NYC HRA/Dept. of Social Services, adept in application processing and policy interpretation. Demonstrates exceptional telephone etiquette and a commitment to resolving eligibility discrepancies, enhancing client satisfaction. Achieved a significant increase in accurate Medicaid determinations, leveraging both hard and soft skills to exceed employer expectations.
Overview
5
5
years of professional experience
Work History
Medicaid Eligibility Specialist
NYC HRA/Dept. of Social Services
02.2024 - Current
- Conduct a comprehensive review of applications including financial and legal documentation, as well as paid or unpaid medical bills submitted by applicants/recipients and authorized representatives.
- Perform budget calculations, obtain clearance reports, resolve resource matches and initiate other case actions utilizing the Eligibility Data and Image Transfer System (EDITS), Welfare Management System (WMS), MAP Pay-In System, eMedNY and the HRA One viewer.
- Determine eligibility for the appropriate level of Medicaid coverage for MAGI and Non-MAGI applicants and recipients. - Prepare eligibility forms and notices to inform applicants and recipients of case disposition
- Interview and/or review documentation submitted by applicants and recipients or authorized representatives, to determine eligibility for Medicaid
- Respond to inbound and outbound telephone calls received from clients and/or authorized representatives with inquiries related to Medicaid coverage.
- Assists consumers who need further assistance in understanding the eligibility criteria to qualify for the Excess Income Program. - Perform other related assigned duties
- Resolved eligibility discrepancies by carefully reviewing regulations and collaborating with relevant parties to reach accurate determinations.
Shift Supervisor
Rite Aid
03.2021 - Current
- Enforced company policies and regulations with employees.
- Responded to and resolved customer questions and concerns.
- Helped store management meet standards of service and quality in daily operations.
- Completed store opening and closing procedures and balanced tills.
Caregiver
Marks Home Care Agency
09.2023 - Current
- Supported clients with mental support and physical activities to accomplish quality of life and sustain needs.
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
- Maintained clean personal areas and prepared healthy meals to support client nutritional needs.
- Built strong relationships with clients to deliver emotional support and companionship.
Intake Coordinator
Tradition Choice
09.2023 - Current
- Documented patient medical information, case histories, and insurance details to facilitate smooth appointments and payment processing.
- Supported office staff and operational requirements with administrative tasks.
- Communicated with referral sources, physicians, and associated staff to check documentation for proper signatures.
- Completed intake assessment forms and filed clients' charts.
Customer Service Teller
CFSC
09.2021 - 02.2022
- Investigated disputes and handled suspected fraud with diligence and attention to detail.
- Educated customers about available services, products and bank resources.
- Collected feedback from customers to help improve service delivery and banking processes.
- Went above and beyond with service to promote loyalty and support bank goals.
Cashier
Dunkin Donut
04.2019 - 07.2020
- Addressed customer needs and made product recommendations to increase sales.
- Operated cash register for cash, check, and credit card transactions with excellent accuracy levels.
- Answered questions about store policies and addressed customer concerns.
- Welcomed customers and helped determine their needs.
Education
BBA - Finance
University of Science And Technology Chittagong
Chittagong 04.2001 -
Skills
Application Processing
Eligibility Determination
Medicaid Knowledge
Policy Interpretation
Documentation and Paperwork
Telephone Etiquette
Appointment Scheduling
Leading Ability
Problem Solving
Languages
English
Proficient
C2
Bangla
Proficient
C2
Hindi
Upper intermediate
B2
Urdu
Upper intermediate
B2
Interests
Reading books
Travelling
Learning new language and culture
Timeline
Medicaid Eligibility Specialist
NYC HRA/Dept. of Social Services
02.2024 - Current
Caregiver
Marks Home Care Agency
09.2023 - Current
Intake Coordinator
Tradition Choice
09.2023 - Current
Customer Service Teller
CFSC
09.2021 - 02.2022
Shift Supervisor
Rite Aid
03.2021 - Current
Cashier
Dunkin Donut
04.2019 - 07.2020
BBA - Finance
University of Science And Technology Chittagong
04.2001 -
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