The day-to-day duties of an Eligibility Associate include reviewing, filing, and organizing documents, files, and papers in various healthcare industries. Certain other duties associated to the role are listed on the Eligibility Associate Resume as follows – assessing if the individuals qualify for the program or not; reviewing applications for aid programs, ensuring the eligibility of a candidate, verifying the application form to ensure if all necessary details are filled correctly and accurately; acting as information resources, advising people on selecting aid programs, documenting and completing necessary paperwork; and keeping track of client’s appointment.
Job qualifications for the post vary based on the type of work being done, but generally, the person is expected to be a fast and fact-checker; possess basic computer proficiency; have good skills to operate a business such as PR, marketing and Human resources and have work experience in their respective industry. For eligibility, a degree in social work or healthcare administration is required.
Headline : Responsible for ensuring that the content produced within the project promotes the rights of young people with disabilities and encourages their participation in the project activities, meetings, and engagements in the context of climate change.
Skills : Microsoft Office, Superior Customer Service, Banking Software.
Description :
Researched prescription drug claims with insurers.
Verified patient information while adhering to HIPPA laws.
Ensured claims for medication pay so delivery can complete in a timely manner.
Assigned more complex research with error correction, and have been assigned to a pilot program to speed up the claims process.
Increased team morale and productivity, accept new assignments to increase orders per hour.
Worked assignments an entire year error-free.
Answered edcase inquiries through voice-over-internet/multi-switch telephone system.
Experience
5-7 Years
Level
Executive
Education
Diploma
Eligibility Associate Resume
Summary : Outstanding customer service. Excellent professionalism and on the job work ethic. Very punctual. Self-motivated - ability to stay on task with no supervision. Highly organized and skilled with tasks such as filing, correspondence, file/record maintenance, data entry, and answering phones. Works well under pressure and easily adjusts to multi-tasking.
Assisted in completing, submitting and reviewing applications for state assistance.
Gathered, sorted and submitted documents for customers based on applications.
Determined whether customer's application should be expedited based on State of Indiana regulations.
Supervised IMPACT job search program.
Facilitated employment services such as skill matching, resume creation, interview tips and job leads.
Provided leadership and assistance in web-based technology and data collection.
Supervised applicants to ensure successful job search and job matching.
Experience
10+ Years
Level
Senior
Education
Bachelor's
Eligibility Associate Resume
Objective : To obtain employment with a respected company using experience as an Eligibility Associate and twelve years of administrative experience for future employment in the workforce.
Skills : Data Entry, Customer Service, Computer, Cashier, Retail.
Description :
Responsible for helping clients with applications for food stamps, cash assistance, and Medicaid.
Gathered information from clients for public assistance programs.
Reviewed paper applications prior to client submission.
Identified required data a client would need to submit with the application.
Responsible for answering incoming phone calls and answering client questions regarding their cases.
Responsible for making all reminder phone calls to clients for their appointments.
Responsible for Copying, faxing, and filing all client documents.
Experience
2-5 Years
Level
Junior
Education
Bachelor's
Eligibility Associate Resume
Objective : Eligibility Associate position that will utilize current abilities and allow me to learn new skills. Protect public safety by ensuring federal offenders serve their sentences of imprisonment in facilities that are safe, humane, and provide reentry programming.
Skills : Management, Organizational Skills.
Description :
Greeted clients and assessed needs upon information received.
Entered numerical data into databases in a timely and accurate manner.
Scanned documentation and enter it into the database.
Obtained scanned records and upload them into the database.
Organized forms, make photocopies, filed records, and prepare correspondence and reports.
Reviewed and updated client correspondence files and scheduling database.
Assisted with receptionist duties, file organization, and research and development.
Experience
2-5 Years
Level
Junior
Education
M.A.
Eligibility Associate Resume
Headline : Experienced shift leader with excellent client and project management skills. Personable and responsible for years in retail and customer service. Solid team player with an upbeat, positive attitude.
Skills : Medicaid, Data Entry, Solve problems and make decisions.
Description :
Assisted clients in the application process.
Acted as liaison between caseworker and client.
Performed budgetary/accounting tasks such as inventory of bus token/gas card issued.
Created new processes and systems for increasing client satisfaction.
Developed highly empathetic client relationships.
Cross-trained and provided back-up for other customer service representatives when needed.
Completed other projects and additional duties as assigned.
Worked in the newly expanded prior authorization department and assisted in developing new procedures to expedite processing and shipment delivery times.
Experience
5-7 Years
Level
Executive
Education
Diploma
Eligibility Associate Resume
Summary : Responsible for Carrying out basic research on selected aspects of youth and climate change, operations, other activities, etc., including collecting, analyzing, and presenting statistical data and other information gathered from diverse sources.
Skills : MS Office, Management Skills, Planning Skills.
Description :
Assisted people with Medicaid, TANF, and the SNAP (food stamp) programs and determine their eligibility.
Responsible for determining the visitor's nature of business and directing them to the correct department.
Responsible for answering incoming telephone calls and either assisting or directing them to the right person.
Reviewed, verified client information in the WorkForce Management System (WFMS) and the Indiana Client Eligibility System (ICES).
Prepared and maintained assigned files.
Operated the office machinery related to general office activity, such as computer, copier, calculator, and FAX machine.
Experience
7-10 Years
Level
Management
Education
Psychology
Eligibility Associate Resume
Objective : To manage life challenges more effectively. Adhering to personal philosophy, knowledge and its application are powerful vehicles that can help individuals become their own change agents.
Skills : Business Law, Criminal Law, Family Law, American Constitutional.
Description :
Gathered enrollment data from patients.
Analyzed and processed data accordingly.
Handled inbound member calls and written correspondence regarding member eligibility.
Made independent judgments in order to respond to complex or critical member issues.
Worked collaboratively with other internal departments to provide seamless support to patients.
Identified and escalated repetitive questions and /or problems so that corrective action can be pursued and expedited.
Maintained accurate and complete documentation of all contacts.
Experience
2-5 Years
Level
Junior
Education
Ph.D.
Eligibility Associate Resume
Summary : Seeking an Eligibility Associate profession with an outstanding career opportunity that will offer a rewarding work environment along with a winning team that will fully utilize management skills.
Skills : Administrative Assistant, Collections.
Description :
Provided onsite training.
Handled incoming and outgoing correspondence, including mail, email, and faxes.
Photocopied all correspondence, documents, and other printed materials.
Coordinated and scheduled office and telephone appointments.
Investigated issues and problems and drafted responses to urgent requests.
Verified that information in the computer system was up-to-date and accurate.
Eliminated outdated records by sending the records to be scanned.
Verified and logged in deadlines for responding to daily inquiries.
Experience
10+ Years
Level
Senior
Education
Diploma
Eligibility Associate Resume
Summary : To establish a long-term career in a company where I may utilize my Eligibility Associate professional skills and knowledge to be an effective Eligibility Associate and inspiration to those around me.
Skills : Researching Skills, Multitasking, MS Office.
Description :
Took calls and assisted patients with their financial accounts.
Made calls to advise patients of balances and copays on their accounts to ensure patient order resolutions.
Collected payments, and made account adjustments.
Researched complex issues on patient accounts in both A/R and eligibility departments.
Called clients to verify eligibility, and patients to verify DOBs and addresses.
Set up patient accounts in the eligibility department.
Helped cover for eligibility lead.
Experience
10+ Years
Level
Senior
Education
Bachelor's
Eligibility Associate Resume
Objective : To secure an Eligibility Associate position with a company that is on the cutting edge of technology, and customer service, so that abilities can shine and flourish as put forth personal best.
Gathered detailed personal and income-based information related to applications for public assistance programs under the Family and Social Services Administration.
Reviewed applications submitted, identifying missing required client data and verifications that must be collected in support of the eligibility determination.
Initiated and responded to calls from Clients in the data collection process.
Scheduled benefits claimants for adjudication interviews to address questions of eligibility.
Operated office machines, such as photocopiers and scanners, facsimile machines, voice mail systems, and personal computers.
Heard and resolved complaints from customers or the public.
Entered demographic information collected for clients.
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