Medicare Outreach Specialist

• Nov 2017 - Present

Retired

• Mar 2016 - Nov 2017

Program & Policy Analyst Advanced

• Jul 2014 - Mar 2016

The Division of Health Care Access and Accountability is responsible for administering three major programs (Medicaid, FoodShare, and Disability Determination) making it one of the most complex Divisions in state government. Address any new requirements or modifications needed for Third Party Liability/coordination of benefits (COB) policy and online handbooks Ongoing effort to hold third parties liable to ensure Medicaid is payer of last resort Knowledge of Third Party Liability regulations Act as main contact between vendor and DHS for Casualty Subrogation cases Write issue and option papers Researching, analyzing and defining ways to maximize Third Party Liability collections in a cost effective manner for the Wisconsin Medicaid Program Worked on cases to resolve issues for Medicaid members with Third Party Liability

Insurance Counselor

• May 2008 - Jul 2014

Board on Aging and Long Term Care, Madison WI 53704 Provide counseling and education to consumers regarding health insurance Develop PowerPoint material for outreach presentations Develop press releases for consumers Creation of reports and referrals Knowledge of Medicare, Medicare Supplements, Medicare Advantage, Part D, Prescription, Military, Employer and Retiree Group Plans, Medicaid and Long Term CareAs a Medigap Counselor, I handled over 2000 calls a year. Developed a training power point presentation. Documented "lessons learned" after each Annual Election in the Fall. Studied and earned my Wisconsin Insurance License within months of starting this position, which was required by Office of the Insurance Commissioners (OCI) for the State of WI in order to counsel the public. Composed Press Releases. Enjoyed Public Speaking and Presentations. Medigap counselors provide guidance to persons who are enrolling into Medicare, aged 65 or disabled, who need information on the various options available which provides comprehensive healthcare coverage. Counselors provide information on how different forms of insurance (i.e.: Medicare Supplement, Medicare Advantage, Employer/Retiree Group Plans or Medical Assistance) work with Medicare. We also provide pre-retirement counseling for persons who may not be starting Medicare now so that they are better prepared when their Medicare begins.

Casualty Recovery/Subrogation/Tort

• Oct 2001 - May 2008

Department of Health and Family Services, Division of Health Care Access and Accountability, Casualty Recovery Program•Enforce Wis. Stat. 49.89 (Third party liability); make recommendations on the impact of laws and regulations as they affect the Casualty Recovery Program for Wisconsin Medicaid.•Negotiate with attorneys regarding subrogation settlements•Develop procedures and forms•Develop and conduct statewide training in Casualty Collections using Mediasite webcast

Patient Account Representative

• 1986 - 1997

•Researched and reconciled the collection of patient accounts•Monitored compliance of legal and hospital procedures and laws governing Medicaid and Medicare •Researched and reconciled the collection of patient accounts•Monitored compliance of legal and hospital procedures and laws governing Medicaid and Medicare