An Eligibility Clerk works in a variety of enterprise settings and handles administrative tasks relating to reviewing and processing individual claims for the state and federal program benefits and determines overall eligibility. A well-written Eligibility Clerk Resume indicates the following duties and responsibilities – advising clients about certain programs; referring them to relevant programs that suit best towards their eligibility statuses; determining the financial eligibility of the client for specific benefit programs; reviewing and screening applications for the agency’s program participation, and interviewing clients and ensuring the integrity of the information provided.
The most sought-after skills for the post include the following – the ability to multitask and be well organized, the ability to work well with the public and interact with various types of clients; and strong knowledge of various and concerning programs for which the client applies for. Education requirements beyond a degree are not mandatory.
Objective : Eligibility Clerk is responsible for processing, maintaining and updating all employee eligibility information. This includes updating and processing employee information, including adding and deleting employees, updating employee information, and performing other tasks related to the human resources department.
Skills : Fluent In English And Spanish, Typing 40+ WPM.
Description :
Conducted pre-screening with clients using standardized forms to obtain personal, family, and financial data required to determine eligibility for one or more public social services aids and/or basic information required to authorize social service plans.
Gave applicants standard forms and request that routine verifications be returned with completed forms; review forms for completeness when returned by the applicant; assist clients with completing application forms for financial assistant.
Recorded verification of birth, income, property, and other required information according to standard procedures.
Bring discrepancies to the attention of the legibility worker responsible for the case; image required forms and verifications in an established filing order.
Responded to routine telephone calls or lobby visits from applicants and clients, reporting changes in their circumstances or requesting information on the status of their status or care.
Prepared and maintained accurate records and reports; Operating standard office equipment.
Exceeded expectations in all aspects of work with exceptional customer service skills, ability to utilize and maintain general office equipment.
Ability to learn code techniques and procedures for different programs.
Experience
2-5 Years
Level
Junior
Education
BS In Social Work
Eligibility Clerk Resume
Objective : A career-minded Eligibility Clerk professional with a unique combination of business experience and skills who brings an opportunity to apply 20+ years of leadership and management experience to company objectives in a position where income is based on performance.
Skills : Knowledge Of C-IV, GroupWise, ImageNow, Webnow, Familiar.
Description :
Conducted pre-screening and other interviews with applicants and clients using standardized forms to obtain personal, family, and financial data required to determine eligibility for one or more public social service aids and/or basic information required to authorize social service plans.
Gave applicants standard forms and requests that routine verifications be returned with completed forms; reviewed forms for completeness when returned by the applicant; may assist clients with completing application forms for financial assistance.
Recorded verifications of birth, income, property, and other required information according to standard procedures.
Responded to routine telephone calls or lobby visits from applicants and clients reporting changes in their circumstances or requesting information on the status of their application or case.
Prepared and maintained other documents associated with the eligibility/service process; maintains records for use in the development of workload and productivity statistics.
Added new material to file records and created new records.
Demonstrated a strong ability to learn new techniques and procedures, database, and telephone operating.
Experience
2-5 Years
Level
Junior
Education
BS In Social Work
Eligibility Clerk Resume
Objective : A detail-oriented, dependable and reliable individual with 5+ years of Customer Service experience and more than 3+ years of Secretarial skills seeking a challenging career with opportunities for growth and advancement.
Welcomed on-site visitors determine the nature of business and announces visitors to appropriate personnel.
Answered incoming telephone calls, determines the purpose of callers, and forwards calls to appropriate personnel or department.
Reviewed information provided by clients assists clients in accessing computer applications and may explain various program requirements.
Received, sorted, and routed mail.
Furnished standardized information upon request.
Maintained fax machines, assists users, sends faxes and retrieves and routes incoming faxes.
Reviewed verify client information in the Workforce Management System (WFMS) and the Indiana Client Eligibility System (ICES).
Prepared and maintained assigned files.
Operated office machinery related to general office activity, such as a computer, copier, calculator, and FAX machine.
Experience
2-5 Years
Level
Junior
Education
Certificate In Medical Records
Eligibility Clerk Resume
Objective : Eligibility Clerk is a key part of the Department of Homeland Security's (DHS) Customer Service unit. The Eligibility Clerk will check eligibility for all new, replacement, and renewal passports, and help customers with their passport application process.
Skills : MS Office, Typing 50 Wpm, Time Management, Communication, Bookkeeping, Accounts Payable, Account Reconciliation, Call Center Experience, Fast Learner.
Description :
Answered and quickly redirected up to 15-20 calls per hour.
Ordered and distributed office supplies while adhering to a fixed office budget.
Managed office supplies, vendors, organization, and upkeep.
Directed guests and routed deliveries and courier services.
Answered and managed incoming and outgoing calls while recording accurate messages.
Opened and properly distributed incoming mail.
Greeted numerous visitors, including VIPs, vendors, and interview candidates.
Helped distribute employee notices and mail around the office.
Compiled company information and related material and distributed it to candidates.
Experience
2-5 Years
Level
Junior
Education
HS
Eligibility Clerk Resume
Headline : Dynamic learning and development professional adept at managing large-scale training projects with demonstrated expertise in staff development, workshop design, training and delivery, project management, instructional design, leadership training and mentorship, performance assessment, and facilitation.
Skills : Adobe Captivate, Articulate Storyline, Process Improvement.
Description :
Assisted Organizational and Learning Effectiveness (OLE) department in project management and planning, new employee orientation processes and facilitation, company mergers, and departmental training.
Coordinated and implemented workshops for managers and their staff.
Proactively contributed to the achievement of an organization-wide goal for employee engagement survey by volunteering as survey ambassador.
Trained super users for electronic health records (EHR) and computer software (Siemens - Soarian Clinicals and Financial).
Lead trainer in orienting new hires and reestablishing work standards for current hires.
Improved and lead training programs on staff development by providing expertise in personalized OJT processes.
Supported manager with data analysis of patient volume and retention.
Updated departmental standard operating procedures and database to accurately reflect the current practices.
Interviewed and collected patient demographic and socio-economic data, demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information, efficiently performed insurance verification/pre-certification/pre-authorization functions.
Experience
5-7 Years
Level
Executive
Education
MA In Education
Eligibility Clerk Resume
Objective : A detail-oriented Eligibility Clerk professional employs a strong aptitude for decision-making. Excel at troubleshooting. Ability to learn new software in a short amount of time with high retention.
Conducted pre-screening and other interviews with applicants and clients using standardized forms to obtain personal, family, and financial data required to determine eligibility for one or more public social service aids and/or basic information required to authorize social service plans.
Gave applicants standard forms and requests that routine verifications be returned with completed forms; review forms for completeness when returned by the applicant; assist clients with completing application forms for financial assistance.
Recorded verification of birth, income, property, and other required information according to standard procedures.
Responsible for the case; filed required forms and verification in an established filing order.
Completed notices of action and other required forms following eligibility determination; accepted late income reports from clients review them for completion and accuracy.
Prepared and verified in-home social services payroll time sheets.
Received and mailed out questionnaires on in-home social services remedy reassessments; verified and adjust authorization of in-home social services, referring special cases to the social worker.
Determined when to issue notice of intended action or right to fair hearing forms to clients.
Cleared routine case controls using computer printouts; respond to routine telephone calls or lobby visits from applicants and clients reporting changes in their circumstances or requesting information on the status of their applications or case.
Experience
2-5 Years
Level
Junior
Education
HS
Eligibility Clerk Resume
Objective : Secure a job with more advancement opportunities, a retirement plan, and family health benefits. Recognized aptitude for transformational leadership and ability to manage a high level of quality standards.
Skills : Proficient In Microsoft Word, Microsoft Excel, And PowerPoint 2003, Familiar With Access. Worked With AS400, Windows XP And 7, Accent Systems. Typing 25wpm, 10-key. Office Equipment.
Description :
Handled customer questions, complaints, and inquiries concerning non- specialized matters and provided similar level information by telephone.
Spoke with customers and other interested parties explaining rules and regulations for benefit determination, procedures, policies, and agency programs.
Scheduled appointments for customers with their caseworkers.
Interviewed applicants to determine what services they need and their eligibility for these services.
Screened and direct calls and visitors to proper services, providing customer service to both clients and the public.
Identified appropriate sources of information and procedures required to fulfill requests and answer questions from the public.
Assisted in training new employees, created spreadsheets, and formatted documents for the administrative secretary.
Operated and/or utilizing a variety of standard business and office machines and equipment including Windows-based computers, calculators, date stamping, manual filing systems, inter-communication systems, various copiers, telephones, and other office equipment.
Performed a variety of routine clerical functions such as assembling information, filing, opening, sorting, logging, and distributing mail.
Experience
2-5 Years
Level
Junior
Education
Associate Of Applied Science In Communication And Information Technology
Eligibility Clerk Resume
Summary : Seeking an Eligibility Clerk position in which one can utilize the experiences, abilities, and skills to enhance company growth with care and compassion.
Skills : Professional Phone Etiquette, Excellent Communication.
Description :
Enrolled qualified families in the preschool program Maintain records and files, set up appointments.
Developed new student rosters for the beginning of the month, submit monthly reports to the state.
Received monthly payments.
Answered and managed incoming and outgoing calls while recording accurate messages.
Opened and properly distributed incoming mail.
Greeted numerous visitors, including VIPs, vendors.
Helped distribute employee notices and mail around the office.
Maintained a clean reception area, including lounge and associated areas.
Screened all visitors and directed them to the correct employee or office.
Experience
7-10 Years
Level
Management
Education
HS Diploma In General Studies
Eligibility Clerk Resume
Summary : Highly motivated Eligibility Clerk professional offering excellent communication and computer skills. Meets deadlines and works with a high level of multicultural awareness and adaptability.
Skills : MS Word, Excel, and PowerPoint, Switchboard Operator/Medical Record Clerk.
Description :
Assisted clients with applications to obtain medical and food stamp benefits.
Processed paperwork to allow clients to maintain benefits.
Answered general questions about Medicaid.
Directed clients to other facilities for assistance.
Answered phones for our office and /or several counties when needed.
Maintained a high degree of confidentiality.
Interpreted and explained information such as eligibility requirements.
Reviewed information, determining eligibility.
Assisted program director with enrollment, counseling, orientation.
Experience
10+ Years
Level
Senior
Education
Business Administration/Accounting
Eligibility Clerk Resume
Objective : Detailed-oriented Eligibility Clerk with 29 years of experience in medical records/office support role. Organized and professional with strong work ethics.
Skills : Windows, Data Entry, Excel Typing 35 wpm Great Verbal and Communication, Interpersonal also.
Description :
Answered telephone, directed calls to appropriate staff, took/returned messages for office staff.
Typed letters, memos, statistical reports.
Filed/recorded vital information.
Assisted bookkeeper with posting, payroll.
Composed, copied forms/documents needed for office use.
Dispensed applications, informed applicants of information needed to process applications when applying for CETA.
Copied/filed information received with applicant's application.
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