Cedric J. Ealy
Saint Paul
Summary
Experienced professional with exceptional customer service and problem-solving skills. Committed to continuous learning and skill development. Passionate about delivering high-quality service and exceeding customer expectations. Dedicated to professional growth and success in a dynamic work environment.
Overview
11
11
years of professional experience
Work History
Eligibility Specialist
Scott County Human Services
01.2024 - Current
- Determine eligibility through processing applications, face to face evaluations, and asset assessments for all programs in accordance with Federal, State, and County guidelines
- Enroll participants in health plans, including METS/Health Care Exchange; determines cost effectiveness of employer-offered health insurance
- Prepare and participate in appeals processes; takes appropriate action based on appeal decision
- Provide high levels of customer service and phone reception
Patient Financial Counselor (MNSURE/HPE Certified)
Regions Hospital
01.2020 - 08.2023
- Monitors patient accounts from preadmission to discharge to assure collectability.
- Verified and updated patients’ demographics
- Conducted full screening via phone/ face to face with patients to determine eligibility for government-based programs
- Applied and completed applications for MA, EMA HPE, LTC-MA Certain Populations MA etc.
- Acted a liaison for social workers who needed applications completed for patient discharge and transition to TCU units
- Explained guidelines and application procedures for programs such as Minnesota Medical Assistance and Minnesota Care.
- Obtained appropriate signatures to facilitate the billing process
- Initiated follow ups to all various counties regarding application status/approval
- Performed an elevated level of administrative/clerical duties
- Performed and completed full patient registrations
- Completed and processed financial applications for out-of-state patients
- Created rotation and assignment schedules for my team
- Cross trained new employees to the team.
- Provided information to patients about MNsure programs and QHP
- Fax, scan, and email documents to the correct facility including counties.
- Experienced in understanding and applying patients with DHS forms 6696, 3531, 3876, 4470, 3881 etc.
Medical Receptionist II
Park Nicollet Hospital-(Ophthalmology)
05.2019 - 01.2020
- Provided customer service
- Performed front line office duties/task (clerical duties)
- Greeting patients daily
- Checked patients in/out of office
- Schedule appointments for new and recurring patients based on provider schedule availability
- Scheduled/rescheduled/cancelled patient’s appointment when applicable.
- Accurately answering and responding to incoming telephone calls
- Processed copay/medical payments
- Worked with my chart systems
- Faxed/mailed glasses prescriptions
- Performed appointment confirmation calls for patients for future appointments
- Acquired medical knowledge in ophthalmology such as cataract procedures, cysts, Humphrey Visual Testing/OCT scans, consultations, etc.
- Acquired medical terminology by self-teaching (motivation to learn about ophthalmology)
- Scheduled contact lens appointment for patients
- Supplied contact support for the call center
- HIM (registered patients from start to finish) data entry
- Provided important levels of communication between our doctors and patients
- Highly trained in Epic system learning
- Provide patients with proper forms, questionnaires, etc.
- Helped patients direct to appropriate clinic locations
- Verified/Updating demographics
- Scheduled retinal consultations and appointments
- Coordinate emergency schedule changes
- Coordinate schedule holds if needed based on provider schedule
- Ordered access for patients who need extended care
- Dropping off specimen for each given provider
- Verified insurance
Contact Center Agent 2/Military Specialist/Outbound Specialist
Great Lakes Educational Loan Services
08.2014 - 05.2019
- Analyze, research, and resolve borrower issues with student loans
- Provide accurate and detailed information on all borrowers’ accounts
- Negotiate payment arrangements and discuss all repayment programs, deferment, and forbearance options
- Follow guidelines for military borrowers and stay updated on program updates/changes
- Provide basic credit reporting information to borrowers
- Follow legal disclosure guidelines and department procedures
- Made sure compliance, laws, Federal regulations are met (Stating call record/debt disclosure policies)
- Utilize various online account systems and research tools
- Performed multiple administrative/clerical duties
- Recommend changes to procedures to ensure department operations maintaining compliance
- Follow identity theft procedures on behalf of borrower
- Helped de-escalate calls by following call flow procedures and utilizing existing tools.
- Take necessary feedback from co-workers, supervisor etc.
- Provided constructive feedback of my own
- Scheduled and process payments
Education
Bachelor of Science - Human Resource Management
Metropolitan State University
Saint Paul, MN05-2027
Associate of Applied Science - Human Resources Management
Saint Paul Community & Technical College
Saint Paul, MN05.2025
High School Diploma -
Arlington Senior High School
Saint Paul, MN06.2008
Skills
- Customer service skills/Attentive listening Skills
- High-level oral and written communication skills
- Leadership skills
- Ability to analyze and solve problems based on work environment
- Microsoft Word, PowerPoint, Excel, Outlook
- Fully trained in Epic systems
- MNsure Certified through state of MN
- Type approximately 40-55 WPM
- Time management skills
- Experienced in MMIS, MAXIS, METS and swift programs (DHS systems)
- Effective communication skills
- Data entry
- Telephone etiquette
- Policy interpretation
- Multitasking Abilities
- Documentation skills
- Interpersonal skills
- Conflict resolution
- De-escalation techniques
- Analytical skills
- Regulatory compliance
Languages
English
Full Professional
Timeline
Eligibility Specialist
Scott County Human Services
01.2024 - Current
Patient Financial Counselor (MNSURE/HPE Certified)
Regions Hospital
01.2020 - 08.2023
Medical Receptionist II
Park Nicollet Hospital-(Ophthalmology)
05.2019 - 01.2020
Contact Center Agent 2/Military Specialist/Outbound Specialist
Great Lakes Educational Loan Services
08.2014 - 05.2019
Bachelor of Science - Human Resource Management
Metropolitan State University
Associate of Applied Science - Human Resources Management
Saint Paul Community & Technical College
High School Diploma -
Arlington Senior High School
Similar Profiles
Jeff DaikerJeff Daiker
Social Services Supervisor at Scott County Health And Human ServicesSocial Services Supervisor at Scott County Health And Human Services
Brandon BennettBrandon Bennett
County Caseworker at County of Delaware County, Human ServicesCounty Caseworker at County of Delaware County, Human Services
Dyral J. BrownDyral J. Brown
Intern- Independent Living Program at Arlington County Department of Human Services Child and Family Services DivisionIntern- Independent Living Program at Arlington County Department of Human Services Child and Family Services Division
Justin RoweJustin Rowe
Low Voltage Technician at AmeriComLow Voltage Technician at AmeriCom
Cameron StennesCameron Stennes
Tribal Cultural Specialist at Upper Sioux Community - Tribal Historic Preservation OfficeTribal Cultural Specialist at Upper Sioux Community - Tribal Historic Preservation Office