Chasity Bates

· Regional Medicaid eligibility vendor manager for 16 Prime facility locations

· Completed contract negotiations with perspective vendors and optimizing resource allocation by conducting thorough cost-benefit analyses on potential vendors.

· Main point of contact with vendor leaders and facility stakeholders

· Analyzed all facility self-pay census, location demographics, and state Medicaid eligibility criteria to determine annual forecast goals for vendor portfolio

· Conducted weekly, monthly, and quarterly reviews of vendor performance to meet annual forecast and KPIs set in contract

· Enhanced report accuracy, conducting thorough data audits on regular basis.

· Reviewed and approved all invoices received from eligibility vendors

· Streamlined reporting procedures by creating user-friendly dashboards for easy access to key performance indicators.

· Weekly reviews of vendor inventory to ensure notes are imported, accounts are updated timely and no eligibility links are missed from vendors

· Conducted monthly meetings with CBO offices for all regions to identify and troubleshoot all state delays with Medicaid payments

· Developed and initiated all workflows, system integration, and vendor employee access as needed

· Requires knowledge of state and federal programs (Medicaid and SS Disability), filing claims for billing, communication and negotiation skills, leadership skills and an ability to work both independently and with a team

· Optimized operational efficiency by redesigning workflow processes.

· Improved financial forecasting, meticulously analyzing past and current financial data.

· Drove revenue growth by identifying underperforming areas and recommending solutions.

• Interviewed applicants and explained scope of different available benefits.
• Streamlined application process for clients by implementing efficient case management techniques, improving overall service.
• Communicated with people from various cultures and backgrounds on application process.
• Maintained detailed records of client interactions, ensuring accuracy and confidentiality of sensitive information.
• Established trust with clients by consistently demonstrating empathy, professionalism, and a commitment to their wellbeing.
• Completed certified application counselor training through the Health Insurance Marketplace.
• Reduced errors in eligibility determinations by maintaining thorough knowledge of program guidelines and regulations.
• Enhanced client satisfaction by providing timely and accurate eligibility determination for various assistance programs.
• Provided exceptional customer service through prompt response times, clear communication channels, and diligent follow-up practices.
• Ensured compliance with local, state, and federal regulations during all phases of the eligibility determination process.
• Worked closely with case management and physicians to ensure the patient forms were completed thoroughly and timely.
• Trained staff on current eligibility requirements and policies.
• Supported continuous improvement initiatives within the agency through active participation in training sessions and workshops.
• Kept current on industry trends and best practices through ongoing professional development activities, ensuring continued excellence in service delivery.

· Medicaid case manager for Region 4 in Georgia which includes eleven surrounding counties

· Collected and analyzed client personal and financial information to make appropriate determinations.

· Improved efficiency in case management by maintaining organized records of client interactions and updates on their progress towards self-sufficiency.

· Demonstrated adaptability in handling high caseloads during peak periods without compromising quality or timeliness of services provided to clients.

· Ensured compliance with program rules and regulations by conducting thorough audits of client files and benefit determinations.

· Furthered professional development by attending relevant trainings, workshops, and conferences focused on economic support services best practices.

· Looked for signs of fraud and reported cases to fraud coordinator and investigators.

· Increased team productivity through effective communication, sharing best practices, and providing ongoing feedback to colleagues.

· Boosted team morale by fostering a supportive work environment that encouraged collaboration among Economic Support Specialists.

· Delivered exceptional results in meeting program goals related to self-sufficiency, employment placement, and retention for clients served.