A Program Eligibility Specialist determines if the applicant for various programs qualify or not based on certain pre-set requirements. A well-drafted Program Eligibility Specialist Resume mentions the following core duties and tasks – fact-checking, record keeping, advocacy on behalf of the clients, reviewing applications for various aid programs, ensuring the applicants gain eligibility for it, verifying the application forms, ensuring the forms are correct, checking the information to check accuracy; and advising people on what aid programs benefit them, and keeping tracking of changes in the policies.
Job qualification requirements vary based on the type of the work done, for eligibility, the fact-checkers comb over the paperwork to look for errors; a high school diploma or GED is sufficient as far as the educational requirement is concerned. However, certain advanced roles need a degree preferably in business management.
Objective : As a Program Eligibility Specialist, responsible for determining initial and continuing eligibility for state and federally funded programs. Responsible for establishing and maintaining a trusting relationship with families who receive early education and care services, etc.
Skills : Ms Word, Multi-Tasking, Customer Service, Administration.
Description :
Reviewed and registered Food Stamp, TEA, and Medicaid applications to determine program category in the ANSWER system.
Scheduled appointments for caseworkers to interview clients.
Maintained an assortment of logs including Intake, Appointment, and Quarterly Report logs.
Performed front desk receptionist duties which include greeting clients, screening applications by way of pre-interview with clients to determine program eligibility, logging clients in for appointments, providing service information as they concern food stamps, TEA, Medicaid, children and family services as well as review program policy with clients.
Assisted clients with completing applications, log, and route mail submitted by clients to appropriate workers or supervisors.
Answered the switchboard, taking Medicaid photo identification for clients, and maintaining constant communication with my supervisor of policy and procedure changes.
Retrieved cases from the file room for unit supervisors, caseworkers, Quality Assurance and Fraud Investigations.
Experience
2-5 Years
Level
Junior
Education
GED
Program Eligibility Specialist Resume
Objective : Program Eligibility Specialist with 2 years of experience in Determining eligibility and scoping and advising clients/families of laws or regulations governing program assistance, and discussing client rights and responsibilities.
Skills : Scheduling Skills, Communication Skills, Customer Service.
Description :
Reviewed referrals for services and interviewed applicants and/or family members to explain eligibility requirements, form completion requirements, and community resources.
Provided information regarding resources, assistance, and services available to the applicant and may visit with a client and family members in their homes to determine client needs and provide family and/or parent behavior modification counseling.
Scheduled initial intake conference with client and/or family members, following eligibility determination, to obtain written and oral information regarding the psychiatric, psychological, medical background, financial status, and other previous professional recommendations.
Evaluated requests and professional findings, in accordance with policies and procedures, and initiates procedures to grant, modify, deny, or terminate eligibility for assistance with recommendations and options for services, referring a client to alternative sources, or preparing additional requests for evaluation and assistance.
Developed, individualized plan of care and contacts participating private and public service providers for assistance.
Interpreted policy and ensures compliance with state and federal laws, regulations, legal mandates, action plans, and policies.
Organized forms, made photocopies, filled records and prepared correspondence and reports.
Experience
2-5 Years
Level
Executive
Education
High School Diploma
Program Eligibility Specialist Resume
Objective : Seeking a Program Eligibility Specialist position with an outstanding career opportunity that will offer a rewarding work environment along with a winning team that will fully utilize management skills.
Received inbound calls from Medicaid recipients/beneficiaries regarding claim status.
Verified eligibility with Medicaid providers.
Determined financial eligibility for the AR Kid's First program.
Handled all correspondence from beneficiaries and recipients about accounts.
Mailed applications to potential recipients.
Assisted Call Center Specialists with follow-ups and reviewing claims.
Handled, escalated calls, and provided resolution.
Experience
2-5 Years
Level
Junior
Education
High School Diploma
Program Eligibility Specialist Resume
Objective : As a Program Eligibility Specialist, responsible for responding to requests and inquiring from the centers, parents, providers, and maintains verification of initial and on-going documentation for those enrolled.
Skills : Customer Service, Case Worker, Office Manager, communication Skills.
Description :
Ability to interpret and apply policies, procedures, and guidelines in determining eligibility for assistance programs.
Interviewed applicants to obtain personal information required as proof of eligibility for various government-funded programs.
Assisted applicants in completing the required application form and interviews applicants to obtain additional data as necessary.
Communicate, detailed explanations as to why applicants do not meet the eligibility criteria for services.
Utilized automated systems such as web-based software and scanner systems to complete and track applications.
Reviewed and answered or prepared correspondence relating to agency programs.
Maintained knowledge of federal, state, and local legislation affecting the department determines its impact and takes appropriate action.
Experience
2-5 Years
Level
Executive
Education
Bachelor Science
Program Eligibility Specialist Resume
Summary : Accomplished Program Eligibility Specialist professional with 9+ years of experience with the Department of Human Services and other private organizations. Proven record in utilizing analytical, writing, coordination and presentation skills in various capacities. Developed a solid understanding of process improvement, operational analysis and best practices and the ability to apply them in practice.
Skills : MS Office, Communication Skills, Data Entry, Multitasking, Customer Service.
Description :
Assessed the status of new and existing cases via the Code of Maryland Annotated Regulation.
Interpreted policy and ensured compliance with state and federal laws, regulations, legal mandates, action plans, and policies.
Served as liaison to other divisions and agencies to develop policies and procedures for community-based programs.
Determined eligibility for various public assistance programs via a review of referrals for services.
Interviewed applicants to explain eligibility requirements, form completion requirements, and community resources.
Provided information regarding long term care benefits for qualified applicants and resources such as rehabilitation specialty facility.
Evaluated requests and professional findings, in accordance with policies and procedures, and initiated procedures to grant, modify, deny, or terminate eligibility for assistance with recommendations and options for services, referring the client to alternative sources, or preparing additional requests for evaluation and assistance.
Experience
7-10 Years
Level
Management
Education
Bachelor Science
Program Eligibility Specialist Resume
Objective : Program Eligibility Specialist with 3 years of experience in Supporting CAPSLOs mission by ensuring that the State Child Development program is properly run by maintaining relationships with families & child care providers.
Skills : Microsoft Office, Assisting Skills, Problem Solving Skills.
Description :
Interviewed clients & collected information on their income, resources, household compositions, etc.
Used Microsoft Office Suite (Excel, Word, etc) and other state-sanctioned software to obtain sensitive information, complete reports, and compile information regarding clients' income and resources & expenses/personal information to determine eligibility regarding state/federally funded programs.
Contacted clients' former employers regarding employment and eligibility for rehire/reason for termination, etc.
Ability to interpret and apply policies, procedures, and guidelines for determining eligibility for assistance programs.
Ability to evaluate client information, assess customer needs, and make referrals to other government programs.
Referred clients to other community resources.
Ability to prepare, present, and review oral and written information and reports.
Experience
2-5 Years
Level
Executive
Education
Bachelor Degree
Program Eligibility Specialist Resume
Headline : To secure employment in the field of Service and Social Work that will afford me the opportunity to utilize my years of experience, knowledge and training. Subsequently resulting in a career that is rewarding and beneficial to both me and the organization in which I am associated with.
Skills : Microsoft, General Office, Grant Writing, Typing, Public Speaking.
Description :
Maintained daily schedule of appointments to determine eligibility for client assistance through the SNAP, Medicaid, and TANF Programs.
Assessed the needs of the household, created budgets, referred clients to agencies for additional services.
Furnished mentoring and client interview training to new staff members and served as the supervisor of my unit as needed.
Achieved all areas of training within the agency.
Able to learn and work with all programs offered through DHS.
Used Social services require the ability to process volumes of information, both personal and programmatic.
Worked closely with individuals to understand their needs and how our agency could best serve them was key.
Experience
5-7 Years
Level
Executive
Education
Bachelor Degree
Program Eligibility Specialist Resume
Objective : Seeking a Program Eligibility Specialist, responsible for Applying contract regulations to attendance, parent fees, and compliance's for subsidized child care programs.
Skills : Mediating, Problem Solving, Research, Strong Communciation.
Description :
Determined eligibility for Medicaid and SNAP (formerly Food Stamp program) using policy guidelines.
Did this by interviewing the Client and requested information such as resources and income.
Trained new workers in the program workers.
Helped Clients find resources in the community if they did not qualify for the services they had applied for.
Maintained client records & daily logs regarding case processing to adhere to strict application deadlines.
Implemented all regulations and assures that methods of operation are within state and federal regulations.
Determined family eligibility for services.
Experience
2-5 Years
Level
Executive
Education
GED
Program Eligibility Specialist Resume
Objective : Looking a Program Eligibility Specialist with 5 years of experience in Interviewing clients to determine their eligibility for benefits. Responsible for Acting as a liaison between clients with disabilities and their caseworkers to ensure that the clients are understanding what is needed to assist them.
Skills : Problem Solving Skills, Critical Thinking, Multitasking.
Description :
Reviewed referrals for services and interviews applicants and/or family members to explain eligibility requirements, form completion requirements, and community resources.
Requested information to determine client eligibility or needs and forwards requests for approval to appropriate staff in accordance with established procedures.
Provided information regarding resources, assistance, and services available to the applicant and may visit with a client and family members in their homes to determine client needs and provide family and/or parent behavior modification counseling.
Scheduled initial intake conference with client and/or family members, following eligibility determination, to obtain written and oral information regarding the psychiatric, psychological, medical background, financial status, and other previous professional recommendations.
Wrote, individualized plan of care and contacts participating in private and public service providers for assistance.
Served as a liaison to other divisions and agencies to develop policies and procedures for community-based programs.
Obtained client information to prepare and monitor case plans.
Coordinated services with providers, and prepared information and recommendations.
Experience
2-5 Years
Level
Executive
Education
GED
Program Eligibility Specialist Resume
Objective : Seeking a challenging and diversified position within a growing company where I can utilize me experience, acquired skills, training and accomplishments to positively impact company performance and profitability while obtaining personal and professional growth.
Requested information to determine client eligibility for SNAP and Medicaid or other needs and forwards requests for approval to appropriate staff in accordance with established procedures.
Evaluated requests and professional findings, in accordance with policies and procedures, and initiates procedures to grant, modify, deny, or terminate eligibility for assistance with recommendations and options for services, referring a client to alternative sources, or preparing additional requests for evaluation and assistance.
Completed initial applications, re-certifications, semi-annual reports, and changes on a daily basis.
Gathered and analyzed cultural, educational, social, and demographic data about the community to guide local program development.
Drafted press releases, brochures, and public service announcements to promote progress.
Scanned documentation and entered them into the database.
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