Natasha Powell

213 Baker Street Suffolk, VA 23434 | 757-934-2219 | napowell79@gmail.com

March 30, 2016

Dr. Khadijah Miller
Hiring Manager
Department of Social Services
5265 The Hornes
Eastville, VA 23347

Dear Dr. Miller:

Enclosed please find my resume. I am very interested in applying for the position of Family Services
Specialist .I am confident that you will find my skills ideally applicable to your needs.
My skills and a qualifications include:

Strong decision making, analytical, and problem solving skills

Excellent organizational skills and very detail oriented

Proven ability to handle diverse, fast paced workplace with multiple levels of responsibility
Thank you in advance for your consideration. I look forward to meeting with you to discuss this opportunity.

Sincerely,

Natasha Powell

213 Baker Street

Suffolk, VA 23434
Phone 757-934-2219

Natasha Powell
Objective

Compassionate and motivated individual seeking to use organizational

and active listening skills along with degree in Interdisciplinary Studies in
order to assist individuals seeking assistance from the Department of
Social Services

Summary of
qualifications

Work experience

Strong decision making, analytical and problem solving skills

Excellent organizational skills and very detail oriented
Proven ability to handle diverse, fast-paced workplace with
multiple levels of responsibilities
Excellent interpersonal relations, project management, and
leadership skills
Daily monitoring of policy and procedure adherence

4/2011 Present

Amerigroup Corporation

Va. Beach, Va.

Claims Resolution Analyst

Research and ensure resolution of claim payment issues to include
incorrectly paid claims and engaging the appropriate departments for
resolution
Assist in the review of state, executive, and provider complaints to
determine the resolution of their issue in a timely manner
Interact with network providers and internal customers ensuring the
issues are fully resolved
Perform trend analysis

Perform UAT testing

Recommends new or modified procedures/processes to solve

complex problems taking into consideration the business
requirements and application capacity and limitations.

4/2009 4/2011

Amerigroup Corporation

Va. Beach, Va.

CAMP Analyst
Acts as a liaison for Health Plan and Operational Departments

Manages customer expectations and communicates project risks,

opportunities and changes to client and development teams
Responsible
for
investigating,
creating
and
maintaining
documentation related to business scope and objectives,
configuration analysis and requirements, risk assessment of all
options and translates approved request into proper system
requirement specifications.
Responsible for managing and coordinating all activities related to

project scope and its interdependencies on other department

activities to complete requested and approved projects, including
requesting, validating, and editing of reports.
Recommends new or modified procedures/processes to solve
complex problems taking into consideration the business
requirements and application capacity and limitations.
Investigates and facilitates the resolution of claims issues, including
incorrectly paid claims, by working with multiple operational areas
and health plans and analyzing the systems and processes involved
in member enrollment, provider information management, benefits
configuration and/or claims processing.

Identifies the interdependencies of the resolution of claims errors on

other activities within operations.

Assists in the reviews of state or federal complaints related to

claims. Coordinates the efforts of several internal departments to
determine appropriate resolution of issues within strict timelines.

Interacts with network providers and health plans regularly to

manage customer expectations, communicate risks and status
updates, and ensure issues are fully resolved.

Performs claims and trend analysis, ensures supporting

documentation is accurate and obtains necessary approvals to close
out claims issues.

6/2007 4/2009

Amerigroup Corporation

Va. Beach, Va.

Business Solutions Analyst II

Perform requirements gathering, analysis, and process and data flow for
simple processes of low to moderate complexity
Knowledge of the inter-relationship among various managed care
operational areas
Provides business and data analysis support for new development
projects and market expansions
Reads and interprets design documents

Basic knowledge of current technology trends

Manage the ACM process for Business Requirements

Lead requirement gathering session with business owners and other

team members
Develop requirements documentation and obtain approvals of the
requirements from the business owners and other stakeholders
Document key business decisions and processes, and validate them
with the business owner

3/2006 6/2007

Amerigroup Corporation

Claims Supervisor

The daily supervision of claims staff

Va. Beach, Va.

Monitoring of all aspects of claims processing, productivity, and quality

assurance for Behavioral Health, Long Term Care, Summit Care, and
Special Needs Product
Daily coaching and counseling of associates to assist with meeting
departmental standards for productivity and quality
Handling Provider settlements for the Specialty Team

Delegating workflow to the claims team via the Subject Matter Expert
and Claims Research Specialist to ensure claims inventory is properly
distributed
Participating in senior management and high level meetings relating to
staffing and departmental policies
Conducting weekly team meetings and training on new claim policies
and procedures
Writing and administering of corrective action

Reporting daily Work In Progress and inventory metrics to Senior Staff

Complete 90 day and yearly evaluations in a timely manner

Monitor Macess queues to ensure claims are processed timely

Oversee time management and attendance of staff

Deliver individual score card to ensure productivity and quality metrics

are met
Attend the Monthly MOR calls for Behavioral Health

Monitoring the CSR and ensuring the phone metrics were met

Handle escalated provider calls

Supervised as many as 20 direct reports

1/2005 3/2006

Amerigroup Corporation

Va. Beach, Va.

Research Specialist
Processed and responded to all Behavioral Health and Long Term Care
Projects from the Health Plan
Process RNFs

Mentor and Train teammates on new claims policies and procedures

Process CAMP Projects and Settlements

Work Correspondence and Phone Logs

Assisted with the training for the Special Needs Product

Assisted team with any claims questions

6/2003- 1/2005

Amerigroup Corporation

Va. Beach, Va.

Claims Analyst

Processed medical claims for the Texas market

Processed inpatient claims

Work the anesthesia report

Work overpayment and ohi projects for CCU

Work phone logs and correspondence

5/2001- 5/2003

Vicare

Suffolk, Va.

Senior Claims Analyst

Monitor claims inventory to ensure clean claims were processed within
14 days and pended claims were processed within 30 days
Assisted the Plan with escalated claims issues

Conducted 90 day and yearly evaluations

Performed on the job training

Work closely with the Senior Customer Service Representative to

handle escalated provider calls
Coached, mentored, and developed staff to ensure individual
productivity metrics were met
Processed medical, dental, vision, and flexible spending claims

Reviewed and released high dollar claims

Conducted weekly team meetings to ensure lines of communication

were open
Supervised as many as 15 direct reports

Oversee time management and attendance of staff

8/2000 12/2000

GC Services

Chesapeake, Va.

Directory Assistance Operator

Provide directory assistance for business and residential listings

Verified addresses

3/2000 8/2000

Reliance Staffing

Suffolk, Va.

Receptionist/File Clerk

Filed

Answered telephones

6/1996 6/1998

Pioneer Southern

Suffolk, Va.

Accounts Payable Clerk

Education

Answered multi-line telephone

Filing

Creating purchase orders

Entering invoices for payment

Set up customer files

Norfolk State University, Norfolk, VA 2017

Bachelor of Science, Interdisciplinary Studies
Concentrations: Psychology, Sociology, Health Service Management
Tidewater Community College, Norfolk, VA 2012
Associate in Science Degree, Social Sciences

Family Services Specialist I/II (Northampton)

Position Information
Position Information
Working Title Family Services Specialist I/II (Northampton)
Role Title
Local-Classified
Job Open Date 03/15/2016
Job Close Date 03/31/2016
Open Until Filled
No
Is this position funded in whole or in part by the American Recovery &
Reinvestment Act (Stimulus Package)? No
Hiring Range $29,930 (May be higher depending on qualifications)
Agency Dept of Social Services - Local (76501)
Agency Website
Location
Northampton - 131
Sublocation
Position Number
00029
Job Posting Number
1010323
Type of Recruitment
General Public - G
Does this position have telework options?
No
Bilingual/Multilingual Skill Requirement/Preference
No
Job Type
Full-Time (Salaried)
Job Type Detail Full-Time Salaried - Non-Faculty- FTS-1
Pay Band
UG
Job Description
This recruitment may be filled as a level I or II.
A Family Services Specialist I represents the entry level employees
working under close supervision while being trained in program areas
such as Adult Protective Services, Child Protective Services, Foster
Care/Adoption, Child Care and Employment Services. Employees
perform routine entry level casework activities and the casework is
usually reviewed by the supervisor prior to implementing case action.
A Family Services Specialist II represents the full performance level.
Employees are responsible for developing and implementing
individualized service plans involving the application of casework
methods and basic service level caseloads of Adult Protective Services,
Child Protective Services, Foster Care and Adoptions. Employees
perform all tasks independently and seek supervisory advice on unusual
situations or when policies and procedures require supervisory review or
involvement.
Interprets laws, policies and regulations as applied to specific area of
responsibility. Monitors, coordinates and administers specific programs
as assigned. Coordinates services within specific area of responsibility.
Interviews and assesses customer needs and other relevant factors
such as education/skill levels, abilities, interests and support systems.
Informs clients of related service programs rules/regulations and right to
participate. Presents cases to determine appropriate services and
writes/implements service plans. Provides case management services to

monitor compliance. Manages program waiting list. Tracks

expenditures,prepares/submits budget estimates and ensures payment
for services. Completes necessary federal, state and local planning and
reporting requirements. Conducts overall monitoring of programs in
specific area of responsibility. Serves as resource to clients and the
community in area of expertise. Provides after hours on-call coverage
and responds to emergencies in child/adult protective services and/or
foster care.
Minimum Qualifications
Minimum of a Bachelors degree in a Human Services field or minimum
of a Bachelors degree in any field with a minimum of two years of
appropriate and related experience in a Human Services area as
mandated in Section 22VAC40-670-20 of the Administrative Code of
Virginia and implemented by the Virginia Board of Social Services.
Knowledge of social work principles and practices, human behavior and
motivational theory, and social, economic, and health problems.
Knowledge of laws, policies, and regulations relating to human services
program areas and legal procedures as related to program area. Skill in
operating a motor vehicle. Skill in operating a personal computer with
associated software, preferably Microsoft Office. Ability to communicate
effectively both orally and in writing. Demonstrated ability to interview,
assess needs, counsel and refer clients to other resources, as needed.
Demonstrated ability to develop and implement service plans in order to
ensure the delivery of appropriate services to the client. Ability to
analyze case information to make sound judgments within the
framework of existing laws, policies, and regulations. Ability to respond
to the clients emotions in order to accomplish services objectives. Ability
to plan and manage own work activities including service delivery,
preparing reports and correspondence, record keeping responsibilities
and related activities. Ability to establish and maintain effective
relationships with others and stay abreast of current trends and
developments in the social work field.
Preferred Qualifications
Possession of a BSW or MSW degree and/or a Commonwealth of
Virginia Social Worker license. Prefer previous experience working with
social work principles and practices. Prefer experience with agency
associated database programs and software. Prefer experience in
Foster Care, Child Protective Services, or Adult Protective Services and
completion of required training programs.
Special Requirements
Applicants may be subject to a Criminal History Background search,
Central Registry search, DMV/driving record check, and/or preemployment drug screen.
All offers of employment are contingent upon satisfactory results of the
required checks and screening.
This position is covered under Code of Virginia 63.2-1601.1 or 63.21720 requiring the finalist candidate to submit to fingerprinting and
provide personal descriptive information for a criminal history record
check through the Central Criminal Records Exchange and a search of
the Central Registry.
Employee must be willing to work in the community emergency shelter in
the event of a natural disaster or emergency.
Based on the response to this posting, this position may be filled as a
Family Services Specialist I or a Family Services Specialist II. Applicants
are encouraged to provide a complete listing or work experience and
qualifications on the application.

Special Instructions to Applicants

This website will provide a confirmation or receipt when the application is
submitted for consideration.
Consideration for an interview is based solely on the information within
the application.
Please refer to your account for the status of your application and this
position.
Applications must include complete work history, including periods of
unemployment, if applicable.
Contact Information
Name Mozella Francis
Phone
Fax
FAXED APPLICATIONS WILL NOT BE ACCEPTED FOR THIS
POSITION
Email EMAILED APPLICATIONS WILL NOT BE ACCEPTED FOR
THIS POSITION
Address
MAILED APPLICATIONS WILL NOT BE ACCEPTED FOR THIS
POSITION.
https://virginiajobs.peopleadmin.com/postings/38661