eligibility specialist ii resume example with 19+ years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • H: (555) 432-1000
  • C:
  • Date of Birth:
  • India:
  • :
  • single:
  • :

Client-centered Eligibility Specialist with a career spent accurately managing records, handling appointment scheduling and overseeing other administrative tasks in fast-paced settings. Bilingual individual committed to engaging others and delivering exceptional service. Ready to tackle new challenges in an office-based environment. Reliable professional offering an extensive career promoting positive customer experiences. Sharp Eligibility Specialist boasting expertise in managing and eligibility information for members and groups. Dedicated employee known for punctuality, pursuing employment options where good customer service and positive attitude will make a difference. Flexible hard worker ready to learn and contribute to team success.

  • Program understanding and advisement
  • Knowledgeable in [Software]
  • Recordkeeping and data input
  • Application assessment
Eligibility Specialist II, 06/03/2 - Current
South Carolina Job Board Otranto, SC,
  • Conversed with people daily, providing high level of respect and patience with each interaction.
  • Inputted all communication with applicants into computer system to facilitate future clarification and knowledgeable support to be able to determine eligibility.
  • Performed careful reviews of applicant data to ascertain compliance with eligibility criteria for health care / funeral assistance.
  • Explained eligibility details to clients with kindness and respect.
  • Conducted interviews with applicants, explaining benefits process and which programs were available.
  • Called applicants to set up appointments and explain CIHCP program.
  • Processed applications, including documents to determine eligibility.
  • Utilized Chassis Software when inputting applicant information into agency's computer system.
  • Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our program.
  • Prioritized and organized tasks to efficiently accomplish service goals.
  • Demonstrated self-reliance by meeting and exceeding workflow needs.
  • Provided excellent service and attention to clients when face-to-face or through phone conversations.
  • Maintained confidential case documentation.
Receptionist, 01/2009 - 01/2013
Cb Richard Ellis Gilbert, AZ,
  • Scheduled and confirmed appointments.
  • Answered and directed incoming calls using multi-line telephone system.
  • Delivered administrative support to team members, including making copies, sending faxes, organizing documents and rearranging schedules.
  • Maintained daily calendars, set appointments with clients and planned daily office events.
  • Processed payments and updated accounts to reflect balance changes.
  • Sorted incoming mail and directed to correct personnel each day.
  • Screened and verified visitors for identification credentials and purpose of visit to maintain security of personnel and office environment.
  • Answered phone calls, provided information to callers and connected callers to appropriate people.
  • Handled payment processing and provided customers with receipts and proper bills and change.
  • Welcomed patrons to front desk and engaged in friendly conversations while conducting check-in process.
  • Greeted incoming patients and verified paperwork to manage smooth intake processes.
  • Managed customer complaints and rectified issues to complete satisfaction.
  • Pulled and organized requested documentation.
  • Reviewed safety, health and sanitation processes throughout all areas and enforced rules to promote security and safety.
  • Confirmed transactional data by verifying name and payment information and clearly communicating costs and fees to patrons.
  • Signed for packages, recorded all deliveries and distributed to personnel.
  • Applied knowledge of medical terminology and insurance processes to support office administration productivity.
  • Organized and filed loose-leaf paperwork and documentation.
  • Reviewed files to check for complete and accurate information.
Customer Service Representative, 07/2004 - 11/2008
Bass Pro Shops Rossford, OH,
  • De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
  • Educated customers on special pricing opportunities and company offerings.
  • Documented conversations with customers to track requests, problems and solutions.
  • Assisted customers in making payments on accounts and setting up payment plans.
  • Fielded customer complaints and queries, fast-tracking them for problem resolution.
  • Provided outstanding service to new and long-standing customers by attending closely to concerns and developing solutions.
  • Assessed customer account information to determine current issues and potential solutions.
  • Asked probing questions to determine service needs and accurately input information into electronic systems.
  • Informed customers about billing procedures, processed payments and provided payment option setup assistance.
  • Built client rapport while accurately processing repair documentation and troubleshooting technical discrepancies through completion.
  • Performed customer negotiations to reach fair conclusion for both business and customer.
  • Implemented creative solutions to deal with special circumstances.
  • Improved employee retention through moral-boosting events and fair compensation packages, including scheduled performance reviews.
  • Cultivated impactful relationships with customers and drove business development by delivering product knowledge.
  • Confirmed delivery of orders and troubleshot missed delivery dates, shortages and overages.
  • Escalated customer concerns, store issues and inventory requirements to supervisors.
  • Remained constantly aware of customer activity to ensure safe and secure shopping environment.
  • Recommended improvements to products and services to mitigate complaints.
  • Strengthened traceability by developing organization systems for client contracts, records, reports and agendas.
Education and Training
High School Diploma: , Expected in 05/1999
Pharr San Juan Alamo - Pharr,
Status -
: , Expected in
San Antonio College of Medical & Dental Assistants - Pharr, TX,
Status -

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Resume Overview

School Attended

  • Pharr San Juan Alamo
  • San Antonio College of Medical & Dental Assistants

Job Titles Held:

  • Eligibility Specialist II
  • Receptionist
  • Customer Service Representative


  • High School Diploma
  • Some College (No Degree)

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