Eligibility Associate Resume Samples

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.

Eligibility Associate Resume example

Eligibility Associate Resume

Headline : Eligibility Associate is responsible for Customer service, research, data entry, claims, patient registration and verification. General office work.

Skills : Microsoft Office, Superior Customer Servie, Banking Software.

Description :

    1. Researches prescription drug claims with insurers.
    2. Verifies patients information while adhering to HIPPA laws.
    3. Ensures claims for medication pays so delivery can complete in a timely manner.
    4. Assigns more complex research with error correction, and have been assigned to a pilot program to speed up the claims process.
    5. Increases team morale and productivity, accept new assignments to increase orders per hour.
    6. Brings information to the team by reporting queue stats and orders remaining to complete.
    7. Works assignments an entire year error free.
Years of Experience
Experience
5-7 Years
Experience Level
Level
Executive
Education
Education
Diploma


Sr. 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.

Skills : Management, Organizing.

Description :

    1. Assisted in completing, submitting and reviewing applications for state assistance.
    2. Gathered, sorted and submitted documents for customers based on applications.
    3. Determined whether customer's application should be expedited based on State of Indiana regulations.
    4. Supervised IMPACT job search program.
    5. Facilitated employment services such as skill matching, resume creation, interview tips and job leads.
    6. Provided leadership and assistance in web-based technology and data collection.
    7. Supervised applicants to ensure successful job search and job matching.
    8. Answered edcase inquiries through voice-over-internet/multi-switch telephone system.
    9. Performed budgetary/accounting tasks such as inventory of bus token/gas card issued.
Years of Experience
Experience
10+ Years
Experience Level
Level
Senior
Education
Education
Bachelor's


Jr. 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 :

    1. Responsible for helping clients with applications for food stamps, cash assistance and Medicaid.
    2. Gathers information from clients for public assistance programs.
    3. Reviews paper applications prior to client submission.
    4. Identifies required data a client would need to submit with the application.
    5. Responsible for answering incoming phone calls and answering client questions regarding their cases.
    6. Responsible for making all reminder phone calls to clients for their appointments.
    7. Responsible for Copying, faxing and filing all client documents.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
Bachelor's

Eligibility Associate I Resume

Objective : Eligibility Associate position that will utilize current abilities and allow 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, Organizing.

Description :

    1. Greets clients and assess needs upon information received.
    2. Enters numerical data into databases in a timely and accurate manner.
    3. Scans documentation and enter into the database.
    4. Obtains scanned records and upload them into the database.
    5. Organizes forms, make photocopies, file records and prepare correspondence and reports.
    6. Reviews and updates client correspondence files and scheduling database.
    7. Assists with receptionist duties, file organization and research and development.
    8. Assists clients in application process.
    9. Acts as liaison between caseworker and client.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
M.A.

Eligibility Associate II Resume

Headline : Experienced shift leader with excellent client and project management skills. Personable and responsible with years in retail and customer service. Solid team player with upbeat, positive attitude. Dedicated Customer Service Representative motivated to maintain customer satisfaction and contribute to company success.

Skills : Management, Organizing.

Description :

    1. Provided onsite training.
    2. Handled incoming and outgoing correspondence, including mail, email and faxes.
    3. Photocopied all correspondence, documents and other printed materials.
    4. Coordinated and scheduled office and telephone appointments.
    5. Investigated issues and problems and drafted responses to urgent requests.Verified that information in the computer system was up-to-date and accurate.
    6. Eliminated outdated records by sending the records to be scanned.Verified and logged in deadlines for responding to daily inquiries.
    7. Created new processes and systems for increasing client satisfaction.
    8. Developed highly empathetic client relationships.
    9. Cross-trained and provided back-up for other customer service representatives when needed.
Years of Experience
Experience
5-7 Years
Experience Level
Level
Executive
Education
Education
Diploma

Eligibility Associate III Resume

Summary : Seeking a Eligibility Associate position within the company where skills and knowledge will be beneficial to the organization.

Skills : Management, Organizing.

Description :

    1. Assisted people with Medicaid, TANF, and the SNAP (foodstamp) programs and determining their eligibility.
    2. Responsible for determining the visitors nature of business and directing them to the correct department.
    3. Responsible for answering incoming telephone calls and either assisting or directing them to the right person.
    4. Maintains fax machines, assists users, send faxes, and retrieves/routes incoming faxes.
    5. Reviews, verifies client information in the Work Force Management System (WFMS) and the Indiana Client Eligibility System (ICES).
    6. Prepares and maintains assigned files.
    7. Operates the office machinery related to general office activity, such as computer, copier, calculator and FAX machine.
Years of Experience
Experience
7-10 Years
Experience Level
Level
Management
Education
Education
Psychology

Asst. Eligibility Associate Resume

Objective : To manage life challenges more effectively. Adhering to personal philosophy, knowledge and its application are powerful vehicles which can help individuals become their own change agents.

Skills : Business Law, Criminal Law, Family Law, American Constitutional.

Description :

    1. Gathers enrollment data from patients; analyze and process data accordingly.
    2. Handles inbound member calls and written correspondence regarding member eligibility.
    3. Makes independent judgments in order to respond to complex or critical member issues.
    4. Works collaboratively with other internal departments to provide seamless support to patients.
    5. Identifies and escalates repetitive questions and /or problems so that corrective action can be pursued and expedited.
    6. Maintains accurate and complete documentation of all contacts.
    7. Completes other projects and additional duties as assigned.
    8. Works in newly expanded prior authorization department and assisted in developing new procedures to expedite processing and shipment delivery times.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
Ph.D.

Lead Eligibility Associate Resume

Summary : Experienced shift leader with excellent client and project management skills. Personable and responsible with years in retail and customer service. Solid team player with upbeat, positive attitude. Dedicated Customer Service Representative motivated to maintain customer satisfaction and contribute to company success.

Skills : Administrative Assistant, Collections.

Description :

    1. Provided onsite training.
    2. Handled incoming and outgoing correspondence, including mail, email and faxes.
    3. Photocopied all correspondence, documents and other printed materials.
    4. Coordinated and scheduled office and telephone appointments.
    5. Investigated issues and problems and drafted responses to urgent requests.Verified that information in the computer system was up-to-date and accurate.
    6. Eliminated outdated records by sending the records to be scanned.Verified and logged in deadlines for responding to daily inquiries.
    7. Created new processes and systems for increasing client satisfaction.
    8. Developed highly empathetic client relationships.
    9. Cross-trained and provided back-up for other customer service representatives when needed.
Years of Experience
Experience
10+ Years
Experience Level
Level
Senior
Education
Education
Diploma

Eligibility Associate/Supervisor Resume

Summary : Looking for employment at an established firm that will allow to enhance skill sets and grow with the company.

Skills : Management, Organizing.

Description :

    1. Took calls and assisting patients with their financial accounts.
    2. Made calls to advise patients of balances and copays on their accounts to ensure patient order resolutions.
    3. Collected payments, and making account adjustments.
    4. Researched complex issues on patient accounts in both A/R and eligibility departments.
    5. Called clients to verify eligibility, and patients to verify DOBs and addresses.
    6. Set up patient accounts in the eligibility department.
    7. Helped cover for eligibility lead.
Years of Experience
Experience
10+ Years
Experience Level
Level
Senior
Education
Education
Bachelor's

Eligibility Associate Resume

Objective : To secure a 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.

Skills : Management, Organizing.

Description :

    1. Gathered detailed personal and income based information related to applications for public assistance programs under the Family and Social Services Administration.
    2. Reviewed applications submitted, identifying missing required client data and verifications that must be collected in support of the eligibility determination.
    3. Initiated and responded to calls from Clients in the data collection process.
    4. Scheduled benefits claimants for adjudication interviews to address questions of eligibility.
    5. Operated office machines, such as photocopiers and scanners, facsimile machines, voice mail systems, and personal computers.
    6. Heared and resolved complaints from customers or the public.
    7. Entered demographic information collect for clients.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
Associate