Eligibility Specialist Resume Samples - Page 3

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Eligibility Specialists determine whether or not applicants meet the necessary qualifications for various programs. Example resumes for this position indicate skills like gathering information related to applications for public assistance programs, reviewing submitted applications, identifying the required client data and verification that must be collected for eligibility determination, and reviewing case information and preparing it for disposition. Education requirements vary for this position, but sample resumes show that good communication and computer skills are essential, as is a high school diploma.

21

Eligibility Specialist

Determines initial and continuing eligibility of clients for income maintenance programs

  • Interviews clients, explains application procedures and assists
  • Assist individuals in utilizing the resources of the division and the community
  • Gathers, verifies, evaluates, and enters necessary social financial, and medical information to determine the need and eligibility for public assistance
  • Prepares summaries of findings to be used in making determination of eligibility
  • Authorizes public assistance based on client circumstances and public assistance program requirements
  • Maintains complete and accurate computerized and/or paper records of client eligibility and prepares reports
  • Performs a variety of diverse tasks while continuing to maintain
  • Explains and interprets agency policy, procedures, and rules
  • Presents pertinent information at agency conferences or appeals or hearings
  • Refers families, children, adults, or aged receiving assistance to other agencies or community resources
Candidate Info
12
years in
workforce
5
years
at this job
22

Eligibility Specialist

  • Knowledgeable of state policies, procedures, & educating clients by phone through inbound/outbound call center interaction
  • Determines eligibility for public assistance such as medicaid, food stamps, and tanf by gathering and reviewing income documents, asset statements, & other relevant documents
  • Displays strong problem solving skills & ability to make decisions in an independent
Candidate Info
16
years in
workforce
4
years
at this job
AS
Business Administration And Management
23

Eligibility Specialist Missouri Career Center

  • Consistently place 100+ outbound calls daily for client recruitment
  • Interview families/youth for determination of eligibility into programs
  • Gather required documents, enter clients information into Toolbox
  • Prepare clients file for counselor/manager
Candidate Info
13
years in
workforce
9
months
at this job
HS
Business Management
24

Eligibility Specialist

  • Verify Medicaid eligibility through NC Tracks
  • Determine coordination of benefits, updating demographics and insurance information
  • Review service authorization requests, cross-checking consumer data against weekly report for enrollment
  • Process enrollment requests submitted by service providers and care coordination teams
Candidate Info
10
years in
workforce
1
year
at this job
Early Childhood Education
25

Medical Eligibility Specialist I

  • Determining eligibility for Medicaid services for the Elderly and People with Disabilities
  • Documents and gathers information or data
  • Verifies case information and explains program benefits and requirements
  • Assist in providing information and referral services for clients, providers, agencies and the general public
  • Knowledge of agency programs, requirements and policies
  • Knowledge of interviewing techniques to obtain highly personal information
Candidate Info
6
years in
workforce
1
year
at this job
HS
High School Diploma
BA
Family And Consumer Science
MA
Public Health
26

State Eligibility Specialist

  • Outbound/Inbound Calls
  • Gathering information related to application for public assistance programs
  • Reviewing application submitted
  • Identifying required client data and verification that must be collected for eligibility determination
  • Reviewing case information & preparing it for case disposition by state eligibility consultant
Candidate Info
10
years in
workforce
2
years
at this job
English And Math
27

Access & Eligibility Specialist

  • Receives incoming calls as part of [company name] Access and Information workgroup
  • Determine caller eligibility for agency related service and assesses appropriate resources
  • Completes an intake and makes referral to agency-designated services
  • Completes data entry on Efforts-to-Outcome (ETO) data management
  • Schedules client appointments and submits referral to appropriate program
  • Receives San Jose clinic patients and assesses eligibility for services using Clinic standards, patient care guidelines, and HIPPA compliance policies
  • Secures client signature on all required forms and assigns individual medical card to each clinic patient
  • Explains benefits to patients regarding their eligibility
Candidate Info
7
years in
workforce
3
years
at this job
28

Eligibility Specialist III

  • Interview benefits recipients at specified intervals to certify their eligibility for continuing benefits.
  • Compile, record, and evaluate personal and financial data in order to verify completeness and accuracy, and to determine eligibility status.
  • Interview and investigate applicants for public assistance to gather information pertinent to their applications.
  • Initiate procedures to grant, modify, deny, or terminate assistance, or refer applicants to other agencies for assistance.
  • Keep records of assigned cases, and prepare required reports.
  • Schedule benefits claimants for adjudication interviews to address questions of eligibility.
  • Prepare applications and forms for applicants for such purposes as school enrollment, employment, and medical services.
  • Provide applicants with assistance in completing application forms such as those for job referrals or unemployment compensation claims.
Candidate Info
14
years in
workforce
11
months
at this job
BA
Journalism And Communications

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