An Eligibility Worker aids in the process of finding out who qualifies for government aid or medical benefits. The roles and responsibilities may vary from industry to industry, but the Eligibility Worker Resume mentions the following common duties – assisting people who are in need of social services, and helping them in securing it, determining eligibility for social services and benefits; assisting social workers and psychologists in undertaking administrative tasks, educating others, coordinating services, and meeting clients personally in nursing homes, hospitals or community centers.
Agencies look for the resumes that denote the following qualifications – in-depth knowledge of the social services systems, basic computing knowledge to browse the internet, install and uninstall software; administrative experience, interpersonal skills and attention to details. In General, a high school diploma or GED is considered mandatory, however, preference is given to those having a degree in Psychology or sociology or human services.
Summary : Obtain a position in the business field that will utilize education and previous work experience.Enjoy working directly with people and having a positive effect on the way consumers view a product or service.
Skills : Microsoft office; excel, word, power point, Customer Service, Data Entry, Management, Typing.
Description :
Obtain necessary factual information and verify information received from clients.
Determines eligibility and the number of benefits for a variety of income maintenance programs, including cash, food, medical and childcare assistance.
Explains application procedures to individuals or groups and answers questions of individuals on how to complete the application forms.
Communicates program time limits, expectations and other program requirements to the client, and serves as a central point of communication.
Advises clients on viable life options and promotes self-sufficiency.
Informs applicants about managed health care, determines eligibility for enrollment in managed health care, determines the most cost effective insurance.
Performs data entry into multiple counties and state computer systems and retrieves information from those systems.
Re-determines eligibility and benefit amounts required by changes in a client's status, by reviewing and verifying client information, preparing budgets.
Experience
10+ Years
Level
Senior
Education
Bachelor Of Science
Eligibility Worker III Resume
Summary : Obtain a customer service position with an expanding company. Strong interest in pursuing professional development opportunities, including specialized training and licensur in the organization's growth areas.
Skills : Microsoft Office
Description :
Performed interviews for eligibility case determinations and redeterminations, for local, state and federal assistance programs by interpreting applicable policies and procedures.
Composed correspondences, presentations, spreadsheets, and reports as needed.
Explained application procedures to individuals or groups and answered questions of individuals on how to complete the application forms.
Communicated program time limits, expectations and other program requirements to the client.
Performed data entry into multiple local, state, and federal computer systems and retrieve information from those systems.
Advised clients of case status, including explaining eligibility requirements, benefit factors, rights, and responsibilities.
Prepared cases for appeal hearings, documenting the actions taken and provided a summary of agency actions at the appeal hearing.
Experience
10+ Years
Level
Senior
Education
BA
Sr. Eligibility Worker Resume
Summary : Committed and motivated Administrative Assistant with exceptional customer service and decision making skills. Strong work ethic, professional demeanor and great initiative Childcare Worker focused on implementing daily curriculum that will spark imagination, build self-esteem and help children discover new things each day. Skill Highlights Microsoft Office Quick learner Reliable and punctual Flexible schedule Cash handling Braiding.
Skills : Data Entry, Accounting, Clerical, Human Services, Psychology, Administration.
Description :
Perform interactive interviews to elicit eligibility information, identify and approve or deny public assistance benefits based on the proper application of State.
Analyze financial data and other information required for initial determination and for continuing eligibility.
Explain Rights and Responsibilities; inform applicants and recipients rules and policy pertaining to their benefits.
Resolve discrepancies by securing documentation verifying customer statements and utilize third party information such as Social Security.
Access and use computer programs/systems available in the course of this job such as C-IV (County Eligibility Program) and MEDS (State Data Match System).
Enter and retrieve numerical and narrative data and issue benefits from the C-IV computer system.
Read and interpret computer printouts and information found in various computer systems.
Experience
7-10 Years
Level
Management
Education
Associate
Eligibility Worker/Co-ordinator Resume
Summary : Continue career with an organization that will utilize management, supervision and administrative skills to benefit mutual growth and success. Related Skills and Talents: Ability to maintain and manage multiple current and new projects while meeting deadlines. Professionally answer high volume phone calls while completing other tasks.
Skills : Writing, interviewing, research, event organization, case management.
Description :
Interview applicants for and recipients of, one or more aid categories to assist them in the completion.
Conduct such interviews in a Transitional Assistance Department office, Elicit pertinent information concerning.
Review applications and declarations for completeness and consistency; participate in error identification, analysis, prevention and corrective action.
Assist applicants and recipients to obtain additional information and resolve discrepancies in the applications and declarations.
Determine eligibility for Welfare programs in accordance with a variety of state and county procedures; authorize cash, and/or medical or Food Stamp assistance.
Record information for case records; interpret program regulations and other pertinent material to applicants, recipients and the general public.
Compute the amount of grant or the amount of liability authorized and perform other similar required computations.
Experience
7-10 Years
Level
Consultant
Education
Diploma
Eligibility Worker/Representative Resume
Summary : Self-directed Eligibility Worker and innovative thinker with a knack for developing creative solutions to complex problems. Seeking a position with the opportunity for new challenges and professional development and advancement.
Skills : Microsoft Office, Google Docs, Google Docs, Photoshop, InDesign, APStyle.
Description :
Conducts interviews with applicants and recipients for all economic assistance programs; completes all necessary forms and sets up case records.
Explains and interprets policies and programs, rights, and responsibilities to clients, making appropriate referrals to social services or other agencies as needed.
Verifies and evaluates data determines eligibility in a timely manner, using applicable agency policies and procedures; sends appropriate notifications.
Enters and retrieves pertinent data in the computer system for use in the completion of applications, recertification, and all required special reviews.
Maintains an on-going caseload, scheduling appointments and organizing a monthly work plan.
Processes over-issuance and improper payment claims, including initiation of follow-up repayment plans and preparation for fair hearings.
Maintains policy manuals and keeps current on numerous and frequent changes in complex federal, state, and agency policies.
Experience
7-10 Years
Level
Senior
Education
Diploma
Eligibility Worker/Executive Resume
Headline : Energetic and dedicated office assistant with high-level management support roles. An organized, professional and focused individual who excels at prioritizing, completing multiple tasks simultaneously and following through to achieve project goals.
Skills : Proficient In Microsoft Word, Problem Solving, Proficient In Microsoft Office.
Description :
Received and screened a high volume of internal and external communications, including email and mail.
Received and distributed faxes and mail in a timely manner.
Made copies, sent faxes and handled all incoming and outgoing correspondence.
Interview applicants for, and recipients of, one or more aid categories to assist them in the completion and clarification of the prescribed application.
Conduct such interviews in a Transitional Assistance Department office, private homes, hospitals, nursing homes or other locations outside of the department office.
Review applications and declarations for completeness and consistency; participate in error identification, analysis, prevention, and corrective action.
Determine eligibility in accordance with a variety of state and county procedures; authorize cash, and/or medical or Food Stamp assistance.
Experience
5-7 Years
Level
Executive
Education
Diploma
Associate Eligibility Worker Resume
Summary : To seek a career with a stable and reputable company that offer opportunity to grow and to gain experience. Ability Summary keys by touch calculator, cash register, Copiers, Fax, Printer, Scanner, Multi-line phone system, Words Excel, Microsoft Word.
Skills : Human Services, Non-Profit, Microsoft, Social Services, Insurance.
Description :
Explained self-sufficiency message to customers in order to reinforce personal responsibility objective with an emphasis.
Evaluated qualifications for financial assistance programs based on information from customers and made determinations in accordance with program policies.
Explored potential employability of customers applying for assistance.
Made complex eligibility decisions independently according to policies and regulations.
Scheduled and managed own workload with sufficient time to meet deadlines for completion of job responsibilities while adapting to changes in priorities.
Ensured completeness and accuracy of data to make eligibility decisions and to detect fraud.
Worked within strict guidelines that were not flexible to insure that the client's benefits were determined in accordance with state/local/federal guidelines.
Experience
7-10 Years
Level
Management
Education
Human Services
Asst.Eligibility Worker Resume
Headline : Organized, independent worker with strong time-management skills.Proficient worker looking for an opportunity to use knowledge and experience to help grow a company. Recent graduate with excellent research, time management and problem solving skills.
Skills : Microsoft Office, Solidworks,Ms-excel.
Description :
Determining the eligibility of applicants for public assistance.
The job required accuracy when completing cases and an ability to assist applicants and recipients of aid in stressful situations.
Distributes collect and assist applicants and recipients in completing documents upon which eligibility determinations are based.
Obtains information in difficult and emotional situations on such matters as applicant income, assets and financial obligations, parental status and living arrangements.
Enters and retrieves numerical and narrative data from an automated system; reads and interprets computer printouts and information on computer screens.
Advises applicants and recipients of their basic rights and responsibilities associated with public assistance.
Explains program benefits, requirements, and procedures to applicants and recipients, and answers questions.
Experience
5-7 Years
Level
Executive
Education
Prerequisites
Eligibility Worker/Supervisor Resume
Summary : Customer Service Professional seeking a prospective position where prior experience will be utilized to advance in field.
Skills : Microsoft Office, Ms-Excel.
Description :
Interviewed applicants and recipients to determine eligibility for public assistance.
Executed daily operations of Ices and WFMS.Explained rules governing eligibility, grants, methods of payment and legal rights to applicants and recipients.
Evaluated personal and financial data obtained from applicant and recipient to determine initial and continuing eligibility, according to departmental directives.
Initiated procedures to grant, modify, deny and terminate eligibility and grants for various aid programs, such as public welfare, employment, and medical assistance.
Trained and managed for 3months by the state and achieved significant improvements in their productivity.
The authorized amount of grants, based on the determination of eligibility for the number of money payments, food stamps, medical care, and other general assistance.
Identified the need for social services and make referrals to various agencies and community resources available.
Experience
7-10 Years
Level
Consultant
Education
Criminal Justice
Jr. Eligibility Worker Resume
Objective : Extensive experience in working for healthcare clientele including Xerox Healthcare, McKesson, WellPoint, Dominion Power (Medical department) etc. Excellent experience working in a call-center environment and supporting customers over the phone, email and mail correspondence. Utilized fax, email, copier, switchboard.
Skills : Management, Customer Service, Marketing, Training & Development.
Description :
Processed Virginia Application for medical assistance submitted using The Federal Market Place, Xerox customer service center, and Statewide website.
Interacted with customers over the phone on a daily basis providing correspondence of required verification for determining eligibility.
Ensure case information is processed in a complete and accurate manner in accordance with State policy.
Review, approve and deny eligibility following State, Federal and HIPPA mandated guidelines.
Verify the successful transmittal of approved medical assistance applications into a Statewide database.
Work assigned alerts, changes, and incoming documents daily.
Complete all corrective action on a secondary party review, Quality Assurance or Quality Control errors.
Work closely with Local Department of Social Services on special case applicants and extended medical assistance cases.
Experience
2-5 Years
Level
Junior
Education
Diploma
Eligibility Worker/Analyst Resume
Objective : Dependable, enthusiastic individual with a positive attitude and strong communication skills, both verbally and in writing. Proven ability to work independently and handle multiple tasks in a high volume environment.
Maintain updated client records with plans, notes, appropriate forms, or related information.
Advise clients or community groups on issues related to improving general health, such as diet or exercise.
Identify or contact members of high-risk or otherwise targeted groups, such as members of minority populations, low-income populations, or pregnant women.
Contact clients in person, by phone, or in writing to ensure they have completed required or recommended actions.
Distribute flyers, brochures, or other informational or educational documents to inform members of a targeted community.
Attend community meetings or health fairs to understand community issues or build relationships with community members.
Perform basic diagnostic procedures, such as blood pressure screening, breast cancer screening, or communicative disease screening.
Experience
2-5 Years
Level
Junior
Education
B S
Eligibility Worker Resume
Summary : Providing services to the customer/client as needed. To perform any necessary functions to achieve that goal, in the way of operating office machinery, answering telephone calls, making outgoing calls, inputting data into or retrieving date from the computer system.
Answer telephones professionally and courteously, identify the client by asking pertinent questions and answer their questions utilizing the computer database.
Receive telephone or verbal reports of potential fraud or child abuse situations, while maintaining client confidentiality.
Maintain physical case records of forms completed and eligibility verification turned in by clients.
Maintain computer records of all information pertinent to each client on a case by case basis.
Complete manual budgets via a ten-key calculator to get a basic determination of eligibility based on wages and discuss eligibility requirements with clients.
Complete fraud referrals to be given to fraud investigators if fraud is suspected.
Complete referrals to children and youth services if abuse is suspected.
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