Eligibility Coordinator Resume Example
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ELIGIBILITY COORDINATOR
Professional Summary
Knowledgeable and dedicated customer service professional with extensive experience in the Healthcare industry. Solid team player with outgoing, positive demeanor and proven skills in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Specialize in quality, speed and process optimization. Articulate, energetic and results-oriented with exemplary passion for developing relationships, cultivating partnerships and growing businesses.
Skills
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Work History
Clinic Operations Representative , 07/2021 to Current
Children's National Medical Center – Rockville , MD
Children's National Medical Center – Rockville , MD
- Salary $18.17/Hourly Hours per week: 40,
- Checked patient insurance, demographic and health history to keep information current.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Supported office staff and operational requirements with administrative tasks.
- Transcribed phone messages and relayed to appropriate personnel.
- Helped patients complete necessary medical forms and documentation.
- Managed multi-line phone system and pleasantly greeted patients.
- Responded to correspondence from insurance companies to verify patient's coverage.
- Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
Assistant Frontend Manager, 07/2013 to Current
Silver Birch Living – Indianapolis , IN
Silver Birch Living – Indianapolis , IN
- Salary: $17.08/hourly Hours per week: 18,
- Responsible for ensuring distribution of customer service needs were executed while providing direct service support to customers and employees
- Managed frontend staff of 15-20 employees, including cashiers, customer service representatives and parcel pick up personnel
- Driving sales by consistently demonstrating exceptional selling skills and motivating team to ensure that individual, shop or store goals/priorities are being met and properly balanced
- Developed and implemented robust training and mentoring strategies
- Recorded financial transactions and performed account reconciliations
- Maintained strong customer relations and effective customer service standards
- Evaluated employee performance and made recommendations for improvements
Eligibility Coordinator, 07/2019 to 07/2021
BeneSys Inc. – City , STATE
BeneSys Inc. – City , STATE
- Salary: $40,000/yearly Hours per week: 40,
- Liaison is responsible for managing, editing and maintenance of detailed reports, compiled data, promotional materials, presentations, and communications for internal and external department needs such as confirming provider's eligibility of participant's health and welfare benefits
- Administered reciprocity and self-payment provisions including COBRA
- Managing database of over 3,000 members adding and editing eligibility accounts as needed
- Use month-end reports to determine eligibility, reinstatement, and termination of health care coverage
- Prepare and mail enrollment packages and ID cards to all newly elected members
- Work with pension department to ensure Health & Welfare deduction amounts are correct and deducted properly for retire members and widows
- Performed monthly audits for H&W pension deductions reports
- Review monthly status reports and self-payment notices before mailed to members to ensure information is correct
- Mail members who receive late hours adjusted self-pay notices
- Educated patients on eligibility and affordability options by offering insightful information
- Communicated with people from various cultures and backgrounds on application process
- Scheduled appointments with applicants to gather information and explain benefits processes
- Inputted all communication with applicants into computer system to facilitate future clarification and knowledgeable support
Research Assistant Intern, 01/2018 to 04/2018
Office Of Health Care Of Ombudsman & Bill Of Right – City , STATE
Office Of Health Care Of Ombudsman & Bill Of Right – City , STATE
- Salary: $0 Hours per week: 12.
- Prepared materials for submission to agencies and foundations to fund research
- Researched various subjects that were related to project and presented information to appropriate stakeholders
- Assist consulting team in developing research approach
- Stocked, organized and prepared supplies
- Greeted guests in with friendliness and professionalism
- Screened potential subjects to determine suitability for studies
- Collaborated with researchers in preparing study results for publication or presentation
Inpatient Pharmacy Assistant Intern, 07/2015 to 08/2015
Providence Hospital – City , STATE
Providence Hospital – City , STATE
- Salary: $8.25/hourly Hours per week: 20
- Responsible for operations involving oversight of office, resources, equipment, and patient needs.
- Coordinated all center activities to include all office development needs for staff and patients.
- Generated medication labels and necessary reports for refilling medication carts, restocking Pyxis Med Station units and other medications below par level Supported internal and external stakeholders to support collaborations and worked to support organizational needs.
- Responded to requests over phone professionally and promptly
- Order, label, and count stock of medications, chemicals, supplies, and enter inventory data into inventory spreadsheets
- Communicated with various members of healthcare team to ensure patient safety and confidentiality
Education
Bachelor of Arts: Health Service Management, 12/2018
Trinity Washington University - City, State
Trinity Washington University - City, State
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School Attended
- Trinity Washington University
Job Titles Held:
- Clinic Operations Representative
- Assistant Frontend Manager
- Eligibility Coordinator
- Research Assistant Intern
- Inpatient Pharmacy Assistant Intern
Degrees
- Bachelor of Arts : Health Service Management , 12/2018
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