LiveCareer-Resume

eligibility supervisor resume example with 5+ years of experience

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

Goal-oriented Eligibility Supervisor with 10 years of experience, 5 in a supervisory position, in customer service and administering of social services including Medi-Cal, CalFresh, and General Assistance. Lead teams effectively to maximize productivity while retaining service quality. Demonstrated proficiency in time management and training. Proactive leader with strengths in communication and collaboration. Adept at managing concurrent objectives to promote efficiency and influence positive outcomes.

Skills
  • Data entry
  • File and data retrieval systems
  • Report writing
  • Scheduling and calendar management
  • Computer skills
  • Planning
  • Team building
  • Time management
  • Supervision
  • Organization
  • Team management
  • Multitasking
  • Leadership
  • Customer service
Experience
Eligibility Supervisor, 06/2019 - Current
Jefferson County Sheriffs Wheat Ridge, CO,
  • Monitor Medi-Cal Intake and Continuing, CalFresh Intake and Continuing, and General Assistance Intake and Continuing timeliness application and reporting and quality for team
  • Trained new team members on office procedures and daily duties.
  • Conducted staff performance evaluations to monitor progress and recommend professional development plan.
  • Facilitate meetings with unit, peers, and executives
  • Managed scheduling and payroll for team of 10.
  • Managed daily operations by supporting continuous delivery of excellent services and care.
  • Trained employees on best practices and protocols while managing teams to maintain optimal productivity.
  • Review and apply policy, C-IV data entry, Use of ImageNow, MEDS, CalHeers, and use of SharePoint.
  • Review, interpret, and implement County, State, and Federal Policy, Rules, and Regulations.
  • Auditing, training, coaching, and mentoring Eligibility Technician I, Eligibility Technician II, and Eligibility Technician III in Medi-Cal, CalFresh, and General Assistance .
  • In charge of monitoring Expedited Services for District 40 CalFresh to meet 90% service level.
  • Collaborate with Peers and Managers to discuss Workload for Eligibility Technicians.
  • Subject Matter Expert for SAL system that distributes workload and applications for Eligibility Technicians
  • CalFresh Overtime Coordinator- Researched, analyzed, and communicated the need for overtime for Calfresh based on workload needs to meet quantity requirements for the McFresh Operation in District 40
  • Participated in In-Person and Virtual Eligibility Technician I Interview Panels and assisted with determining hiring.
  • Collaborated with Regional Manager and other peers for District 40 Telephone Process due to the closure of the Customer Call Center and increased telephone call volume for Moreno Valley office.
  • Participated in the “Banks” project with Lupe Flores, Chera Swatman, and Deputy Directors for DPSS. Established Banks in C-IV for Task distribution of work. Collaborated on use of Banks and how to utilize them for the County of Riverside.
  • Inland Empire Health Plan Collaboration with Lupe Flores and Program Specialists. Determined time frames for Collaboration Areas and Needs for the Medi-Cal program with processing of Medi-Cal changes that directly affect IEHP members and their plans.
  • Motivating staff during COVID with personal and work changes.
  • Provided coverage for units when a Supervisor was out.
  • Monitored office changes with implementation of new CalSAWS system
  • In-Charge for Regional Manager for the period of 02/2021-07/2021
Assistant Eligibility Supervisor, 01/2021 - 06/2021
County Of Riverside DPSS City, STATE,
  • Review and apply policy, C-IV data entry, Use of ImageNow, MEDS, CalHeers, and use of SharePoint.
  • Review and implement County, State, and Federal Policy, Rules, and Regulations.
  • Auditing, training, coaching, and mentoring Eligibility Technician I, Eligibility Technician II, and Eligibility Technician III in Medi-Cal and Calfresh.
  • Collaborate with Peers and Managers to discuss Workload for Eligibility Technicians.
  • Provided coverage for units when Supervisor was out
  • Interview customers by phone, Inform callers of possible eligibility to programs under Affordable Care Act and CalFresh ,review and process applications for possible Medi-Cal and CalFresh eligibility
  • Assist customers with referrals and Health Care Reform open enrollment, request verifications and obtain facts from customers in order to determine eligibility for programs.
  • Issue Medi-Cal and CalFresh benefits for eligible recipients, request and verify received verifications for later benefits in the CalHEERS system.
  • Provided trainings for Medi-Cal for processing Intake Applications and Redeterminations, and Transitional Medi-Cal to Eligibility Technicians
Eligibility Technician I/II, 12/2011 - 12/2014
County Of Riverside DPSS City, STATE,
  • Medi-Cal Program.
  • Processing Annual Redeterminations, Processing Mid-Year Status reports, Processed Transitional Medi-Cal Reports, Customer Service, Imaging, C-IV usage, Case Management, Covered California applications, CalHeers usage, Phone Agent, Processing MAGI Referrals County of Riverside.
  • Conversed with people from different cultures daily, providing high level of respect and patience with each interaction.
  • Input communication with applicants into computer system to facilitate future clarification and knowledgeable support.
  • Performed careful reviews of applicant data to ascertain compliance with eligibility criteria for economic assistance.
  • Explained eligibility details and affordability options to patients with kindness and respect.
  • Conducted interviews with applicants, explaining benefits process and which programs were available.
  • Called applicants to set up appointments and explain benefits processes.
  • Reviewed criteria for different aid programs to determine eligibility for various applicants.
  • Processed benefits applications and documents for food stamps and medical assistance.
  • Prioritized and organized tasks to efficiently accomplish service goals.
  • Juggled multiple projects and tasks to ensure high quality and timely delivery.
  • Provided excellent service and attention to customers when face-to-face or through phone conversations.
  • Demonstrated self-reliance by meeting and exceeding workflow needs.
Education and Training
High School Diploma: , Expected in 06/2007
-
St. Monica Catholic High School - Santa Monica, CA,
GPA:
Status -
Bachelor of Arts: Sociology, Expected in 06/2011
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University of California Riverside - Riverside, CA,
GPA:
Status -
Master Degree: Leadership and Organizational Studies, Expected in 08/2021
-
California Baptist University - Riverside, CA,
GPA:
Status -

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Resume Overview

School Attended

  • St. Monica Catholic High School
  • University of California Riverside
  • California Baptist University

Job Titles Held:

  • Eligibility Supervisor
  • Assistant Eligibility Supervisor
  • Eligibility Technician I/II

Degrees

  • High School Diploma
  • Bachelor of Arts
  • Master Degree

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