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Title Enrollment Specialist Case Management
Target Location US-GA-Atlanta
Email Available with paid plan
Phone Available with paid plan
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Lelita BakerUnion City, Ga Street Address
Email: EMAIL AVAILABLEPhone: PHONE NUMBER AVAILABLE (cell)Objective: Dedicated and experienced Welfare Eligibility & Enrollment Specialist with a strong background in integrated eligibility systems and state government programs. Seeking to contribute expertise in eligibility determination and enrollment processes to support a State funded initiative through IDR consulting.Professional Experience:Welfare Eligibility & Enrollment Specialist [South Fulton DFCS; Change Healthcare /Atlanta GA April,2014  June, 2022 and April,1998- April,2001Conducted eligibility assessments and facilitated enrollment for applicants in State Government sponsored services including TANF, SNAP, and Medicaid.Utilized integrated eligibility systems to streamline application processes and ensure accuracy in eligibility determination.Collaborated with state governmental agencies to navigate complex eligibility requirements and resolve applicant inquiries.Provided comprehensive case management services, offering guidance and support to applicants throughout the enrollment process.Maintained detailed records of applicant interactions and enrollment outcomes, ensuring compliance with program regulations.Contributed to the continuous improvement of enrollment processes by identifying areas for efficiency and implementing best practices.Demonstrated sensitivity and professionalism in addressing the needs of diverse applicant populations.Resolve Application Specialist2014 - 2022Filed online requests for SSDI/SSI hearings, ensuring timely processing and claim accuracy.Maintained regular communication with SSA, ODAR, and attorneys to update claim status.Collected and reviewed medical evidence to support Candidate's Name  claims.Acted as a patient advocate, providing exceptional customer service and support.Managed multiple tasks simultaneously while adapting to a fast-paced environment.Disability Adjudication Specialist2001 - 2014Adjudicated Candidate's Name  Health claims for the state of Georgia, including SSDI, RSDI, reconsideration appeals, and CDRs for adults and children.Assessed, analyzed, and rendered appropriate claim decisions per SSA guidelines.Communicated effectively with claimants, medical professionals, employers, and attorneys.Prepared detailed reports to document claim activity and maintain accurate records.Healthcare Representative2016 - 2018Completed SSI intake for patients/clients, assessing eligibility for benefits.Conducted patient interviews and assessments to identify issues related to disabilities.Analyzed medical records to support SSA applications, ensuring compliance with guidelines.Cultivated relationships with SSA offices, enhancing communication for efficient processing.Education: Bachelor's Degree, Georgia Southern Univ, Statesboro, Ga; Graduation date: July, 1997Skills:Integrated eligibility systemsWelfare eligibility determinationEnrollment facilitationState government programs (TANF, SNAP, Medicaid)Case managementSocial work principlesCommunication and interpersonal skillsDetail-oriented and organizedRegulatory complianceReferences: Available upon request.

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