eligibility specialist resume example with 2+ years of experience

Jessica Claire
, , 100 Montgomery St. 10th Floor (555) 432-1000,

Personable Member Service Representative offering 4 years of experience resolving account and service concerns for customers. Smoothly uncovers and solves challenges while promoting company products and maintaining loyal, satisfied customers. Focused on surpassing expectations and driving team success. Dedicated Customer Service professional with knowledge of service delivery and proven multitasking abilities. Committed to maintaining professional relationships to increase profitability and drive business results. Passionate about promoting lasting customer satisfaction by delivering top-notch service and unparalleled support. Proficient in customer service best practices and related options. Effectively drives revenue with skilled promotional and problem- solving abilities. Focused customer relations professional skilled in lead generation, customer relationship development and sales. Accomplished in providing unsurpassed support to demanding customers. Offering experience in related roles, as well as passion for improving service delivery, enhancing knowledge and exceeding expectations.

  • Scheduling Excellence
  • Customer Service
  • Appointment Setting Billing Inquiries
  • Order Entry Troubleshooting Technical Issues
  • Account Opening Recordkeeping
  • Microsoft Access
  • Microsoft Outlook
  • Microsoft Excel
  • Microsoft Word
  • SharePoint
  • Visio
  • Microsoft teams
  • Computer Skills
  • Flexible Schedule
  • Organizational Skills
  • Planning & Organizing
  • Basic Math
  • Friendly, Positive Attitude
  • Team Management
  • Team Building
  • Data Management
  • Insurance Eligibility Verification
  • PC Proficient
  • Data Entry Documentation
  • Microsoft Office Suite
  • Verbal and Written Communication
  • Multitasking and Time Management
01/2021 to 06/2022 Eligibility Specialist Johnston Memorial Hospital Corporation | Smithfield, NC,
  • Performed careful reviews of applicant data to ascertain compliance with eligibility criteria for economic assistance.
  • Explained reasons behind application denials and recommended further action.
  • Entered client information and files into databases for further review and tracking.
  • Gathered financial information from clients regarding income, assets and debts.
  • Coordinated with other departments to promote prompt processing of client applications.
  • Managed intake of new claims and performed routine follow-ups.
  • Processed benefits applications and documents for food stamps and medical assistance.
  • Utilized [Software] when inputting applicant information into agency's computer system.
  • Maintained positive working relationship with fellow staff and management.
  • Granted, modified, denied, or terminated assistance based on key information and eligibility determination.
  • Proofread documents carefully to check accuracy and completeness of all paperwork.
  • Maintained confidential patient documentation to prevent data compromise and comply with HIPAA regulations.
11/2020 to 12/2021 Administrative Assistant Iem | Oakland Park, FL,
  • Developed administrative processes to achieve organizational objectives and improve office efficiency.
  • Managed physical and digital files, monitored spreadsheets and updated reports to coordinate project materials.
  • Scheduled appointments, meetings and events for management staff.
  • Provided top quality control, eliminating downtime to maximize revenue. -Print copies of forms and records to appropriate parties -Scan incoming claim documents to correct claim file according to folder/document type -Followup on requested information
09/2018 to 10/2019 Customer Service Associate First Health Of The Carolinas | Laurinburg, NC,
  • Developed and actualized customer service initiatives to decrease wait times
  • Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns
  • Provided primary customer support to internal and external customers
  • Collected customer feedback and made process changes to exceed customer satisfaction goals
  • Demonstrated items to customers and created customer awareness, interest and sales
  • Executes excellent sales floor merchandising and selling
  • Maintained clean personal appearance, modeled store's outfits when working clothing department settings and wore uniforms per company policy
  • Informed customers about special promotions and provided detailed information for various products
  • Helped large volume of customers every day with positive attitude and focus on customer satisfaction
  • Developed community reputation through commitment to customer satisfaction and strong client relationships
  • Collaborated with store management and program leadership to suggest actionable improvements and corrective action plans
  • Resolved concerns with products or services to help with retention and drive sales
  • Assisted customers with special order requests, and arranging merchandise pick- up
  • Attend meetings and trainings as requested and maintains up-to-date knowledge of all programs and system
Education and Training
Expected in 08/2015 High School Diploma | Martin Luther College, Government High School Batoke, GPA:
Expected in | Computer Science University of Buea, Cameroon, Buea, Cameroom, GPA:
  • Recognized as Employee of the month of March and April 2022 in MAXIMUS for outstanding performance and team contributions.

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Resume Overview

School Attended

  • Martin Luther College
  • University of Buea, Cameroon

Job Titles Held:

  • Eligibility Specialist
  • Administrative Assistant
  • Customer Service Associate


  • High School Diploma
  • Some College (No Degree)

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