Eligibility Specialist Resume Examples

eligibility specialist /administrative assistant

  • Insured customers with special needs received all possible benefits that they are qualified for, through research and development of individual plan for each family.  
  • Responsible for informing customers of their benefits eligibility from the government and as well as accompanied them to their appointments. 
  • Acted as a liaison with the office of social security and food stamps.  
  • Advocated on behalf of all customers by attending the necessary government office meetings, and providing correct information so that their benefits continued. 
  • Coordinated meetings with clientele and government offices to solve discrepancies.  
  • Contested any discrepancies that might occur with the customers’ benefits by the collection of all necessary data to support the clients’ needs for government help. 

eligibility specialist

  • Maintain open lines of communication with Human Resources department heads of various companies.
  • Determine insurance effective dates and types of insurance coverage for employees of various companies.
  • Make changes and adjustments to employees coverage and plans.
  • Work closely with Account Managers, Underwriting and Cobra departments.
  • Plan and design medical ID and prescription ID cards, present them to various companies for approval.
  • Work in a timely manner, to enter enrollment forms for employees of various companies, to ensure completion of open enrollment within designated timeframe.

eligibility specialist

  • Compile, record, and evaluate personal and financial data in order to verify completeness and accuracy, and to determine eligibility status.   
  • Complete phone interviews for 10-20 applicants a day
  • Determine a family’s eligibility for Food Stamps, MO Healthnet, Child Care and Temporary Assistance.
  • Able to process time-sensitive benefits accurately and quickly.

eligibility specialist

  • Assisted caller with information pertaining to Medicaid.
  • Answered calls about Medicaid Application and renewal.
  • Assisted caller with information regarding their Medicaid coverage.
  • Assisted caller with renewal packet.

eligibility specialist

  • Receive applications for new enrollments and plan changes.
  • Determine eligibility based on the information provided on the application and systems.
  • Medicare & Medicaid Focused
  • Ability to multi task
  • Meet process goals on an hourly basis

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