Yolanda Burgess
@yolandaburgess
Eligibility and enrollment specialist with 7+ years ensuring HIPAA-compliant program access.
United StatesWhat I'm looking for
I’m a detail-oriented eligibility, intake, and enrollment professional with 7+ years supporting client intake, enrollment processing, and eligibility determination in healthcare and public assistance programs. I consistently review applications, verify documentation, and ensure compliance with Medicaid, HUD, and HIPAA regulations—so clients get accurate decisions and timely next steps.
In my current role, I process new SC Medicaid applications and Annual Renewals, conduct client intake by confirming completeness and compliance, and use MMIS, Curam, and OnBase to document case activity and support enrollment workflows. I also serve as a Subject Matter Expert (SME), resolving Tier 1 helpdesk and enrollment system issues with an 85% resolution rate without escalation, while maintaining HIPAA and Medicaid privacy standards with 90–100% accuracy.
Previously, I provided in-person eligibility determination and renewals for Housing Choice Voucher (HCV) participants, reviewed income and supporting records for program compliance, and maintained accurate files that contributed to a successful state audit. I bring a strong customer service foundation—from scheduling and patient/client intake to recordkeeping and document management—along with a metrics-driven, organized approach to problem-solving and service excellence.
Experience
Work history, roles, and key accomplishments
Remote Eligibility Support Specialist
Pacer Staffing
Sep 2023 - Jan 2026 (2 years 4 months)
Processed new SC Medicaid applications, annual renewals, and enrollment updates to determine eligibility according to state and federal guidelines. Resolved Tier 1 helpdesk and enrollment system issues with an 85% resolution rate and maintained 90–100% HIPAA/privacy accuracy using MMIS, Curam, and OnBase.
Transaction Clerk/Customer Service
Columbia Housing Authority
Jul 2022 - Jul 2023 (1 year)
Provided in-person eligibility determination and renewals for Housing Choice Voucher (HCV) participants while following HUD and agency policies. Conducted intake interviews, verified income and documentation for compliance, maintained accurate participant files, and supported successful state audit outcomes.
Customer Service Representative
Concentrix
Jun 2020 - Oct 2021 (1 year 4 months)
Handled inbound calls during COVID-19 by providing empathetic, professional support while completing patient intake and documentation. Scheduled appointments, addressed enrollment and prior authorization questions, coordinated with healthcare providers, and escalated urgent issues as needed while exceeding productivity metrics.
Office Support
Addus Healthcare
Oct 2018 - Sep 2019 (11 months)
Supported a home healthcare office with professional administrative and customer service intake for patients, staff, and visitors. Collected and processed intake paperwork and onboarding forms, scheduled orientations, maintained confidential records, and ensured documentation accuracy.
Administrative Assistant
The Housing Authority of the City of Charleston
Mar 2009 - Jul 2015 (6 years 4 months)
Provided direct administrative support to senior leadership, managing time-sensitive reports and daily operations. Implemented an electronic filing system, maintained confidential client information, and developed/updated standard operating procedures (SOPs) to improve documentation workflow efficiency.
Education
Degrees, certifications, and relevant coursework
Burke High School
Completed education at Burke High School in Charleston, South Carolina.
Notary Public (Richland County, SC)
Notary Public commission, Notary Public
Notary Public commission for Richland County, South Carolina, with an expiration listed as 6/2033.
Customer Service & Conflict Resolution Training
Conflict resolution training, Customer Service
Completed customer service and conflict resolution training.
Microsoft Office
Microsoft Office training, Microsoft Office
Completed Microsoft Office training.
HIPAA Compliance Training
HIPAA compliance training, HIPAA Compliance
Completed HIPAA compliance training.
Availability
Location
United StatesAuthorized to work in
Job categories
Skills
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