Cheryl Newland
Mishawaka
Summary
Professional with strong background in eligibility coordination, bringing track record of ensuring accurate and timely processing of applications. Skilled in collaboration, adapting to changes, and achieving measurable results. Reliable team player with focus on driving outcomes and meeting organizational goals.
Overview
11
11
years of professional experience
Work History
Eligibility Coordinator
Silver Birch Assisted Living
02.2025 - Current
- Developed expertise in Low Income Tax Credit and Medicaid Waivers and helped coach applicants through the process by navigating and guiding applicants through Income Qualification, Nursing Assessments, Medicaid Waiver Functional qualification and Medicaid Waiver Financial qualification.
- Provided professional services with objectivity and with respect for the unique needs and values if the individual being provided services.
- Generate multiple weekly spreadsheets/reports, responsible for all annual lease renewals and annual Medicaid Renewals for 106 residents.
Medicaid Eligibility Specialist
Saint Joseph PACE
10.2019 - 02.2025
- Responsible for assisting potential participants who are applying and obtaining Medicaid insurance coverage for the PACE program
- Maintain records and follow up with redetermination requirements for Medicaid and Food stamps for 170-200 participants
- Routinely updating 4 systems with monthly enrollment data, generate 8 required monthly reports
- Fully trained back-up for receptionist at Pace for 4 years
- Contacts healthcare providers as needed to resolve billing errors and provide correct claim procedures
- Provides outstanding customer service to the elderly participants, with reassurance and assistance daily
Eligibility Specialist
Conduent (FSSA)
10.2014 - 10.2019
- Responsible for gathering information related to applications and redeterminations for public assistance programs (Medicaid and Food Stamps) in the Indiana Eligibility Modernization Project
- Works assigned alerts, changes and incoming documents daily
- Answers customer service issues for client questions and/or complaints via phone calls
- Enters client data and documents verification of eligibility for Medicaid into the ICES system
- Assigned to Nursing Home Unit for 3 years
Education
High School Diploma -
Washington High School
South Bend, INSkills
- Government regulations
- Application review
- Policy interpretation
- Confidentiality
- Effective communication skills
- Documentation and paperwork
- Verbal communication
Timeline
Eligibility Coordinator
Silver Birch Assisted Living
02.2025 - Current
Medicaid Eligibility Specialist
Saint Joseph PACE
10.2019 - 02.2025
Eligibility Specialist
Conduent (FSSA)
10.2014 - 10.2019
High School Diploma -
Washington High School