Eligibility Specialist resume examples

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Summary
Experienced in aiding and assisting nurses in a hospital. Provide knowledgeable support in administrative field. Experienced 15 years serving our country through the US Army Reserves.
Skills
  • Microsoft Office Proficiency
  • Strong interpersonal skills
  • Operating tools and equipment (electric saw, mechanic tools, forklift operator, winch operator, Loader operator, dump truck operator, back-hoe operator, computer, typewriter, copy machines, power drills)
  • Experienced in filing and updating records
  • Experienced in use of all office equipment
  • Fast and accurate typing
  • Bilingual: Samoan/English-speak, read and write
  • Understands mobility assistance needs
  • Trained in grooming and bathing assistance
Experience
Certified Nurse Assistant 11/2015 to 12/2017 LBJ Tropical Medicine Center Fagaalu, Eastern Read and recorded temperature, pulse and respiration.
Prepared patient rooms prior to their arrival.
Collected urine and fecal samples.
Cleaned and organized patients' living quarters.
Kept facility stocked with necessary supplies, equipment and instruments.
Obtained and set up suction equipment.
Recognized and reported abnormalities and/or changes in patients' health status to nursing staff.
Maintained a clean, orderly and well-stocked environment.
Specialized Data Entry Clerk 04/2015 to 11/2015 Department of Health Pago Pago, AS
Received, entered and updated patient data. 
Called patients for appointments and follow up.
Technical Customer Service Representative 09/2013 to 04/2015 Department of Health Pago Pago, AS
Received reports for the technicians.
Ordered technical supplies.
Corresponded with different consumers on available stock and prices.
Created an Organization chart for the department.
Specialized payroll Clerk 08/2010 to 09/2013 National Emergency Grant Pago Pago, AS
Prepared payroll sheets.
Tallied hours individual's worked.
Compiled hours not to exceed payroll and contract hours.
Lessened the load of payroll issues by 80%.
Eligibility Specialist 10/2009 to 08/2010 National Emergency Grant Pago Pago, AS
Addressed negative customer feedback immediately.
Resolved customer questions, issues and complaints.
Prepared and processed applications for individuals.
Visited worksites regularly.
Made sure safety protocols are followed and practiced.
Wheeled Vehicle Mechanic 05/1999 to 05/2014 United States Army Reserve Pago Pago, AS Performed Preventative Maintenance Checks on vehicles, weapons, sensitive items and equipment. Provided administrative support and carried out skills training classes associated with being a soldier.
Wheeled Vehicle Mechanic 05/1999 to 05/2014 US Army Reserve Pago Pago , AS Coordinated training schedules and filed crucial administrative paperwork.
Maintained rifles, masks, night vision goggles and equipments.
Education and Training
Certificate: Certified Nurse Assistant 2013 American Samoa Community College Mesepa, Western, American Samoa
High School Diploma: General Studies 1994 Samoana High School Utulei, Eastern, American Samoa

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Professional Summary

Experienced  personell  including clerical, managerial, retail, and call center experience. Personable and professional under pressure.

Skills
  • Proficiency In Conflict Resolution
  • Customer Service
  • Quick learner
  • Managerial Experience
  • Some Accounting Experience
  • Strong Problem Solver
  • Experience working with servers
  • Familiarity with Excel
  • Data Entry Experience
  • Inventory Experience
  • Self-motivated
Work History
Dispatcher/Jailer, 10/2018 to Current
 Clay county Sheriff's Office – Clay center, Nebraska
  • Dispatched  information to officers including traffic information, confidential information  such as registration and license details, directions, emergencies, and much more.
  • Filed reports, inmate profiles, hot files and more.
  • Entered warrants,  stolen property into the criminal justice database.
  • Answered emergency calls  responded appropriately including remaining calm, gathering detailed pertinent information and dispatching first responders.
  • Jail duties including booking inmates in/out, providing meals, commissary, medicine, and basic hygiene products, cleaning the office, and more.
Legals Clerk, 06/2015 to 12/2018
 The Hastings Tribune – Hastings, NE
  • Created  Public Notices to be published in the newspaper for courts,  law offices and business owners. This required detail oriented  work  and working with demanding deadlines.
  •  Prepared and sent out affidavits for each public notice published. 
  • Answered calls, addressed customer inquiries, solved problems and provided information
  • Greeted customers entering the office to ascertain what each customer needed
  • Created Ads and Obituaries to be published in the paper.
  • Received payments, created invoices.
Waitress, 04/2012 to 12/2016
 Bernardo's Steak House – Hastings, NE
  • Provided excellent customer service to incoming customers.
  • Cash Handling
  • Successfully worked in a high paced environment
Eligibility Specialist, 08/2008 to 01/2009
 Family Social Services Administration – Marion, IN
 For this position, I entered data into two complex systems to determine the eligibility for Indiana residents for the Healthy Indiana Plan (HIP). HIP is a program that offered discounted health and dental insurance for a number of Indiana residents. I sent out correspondence regularly and also took phone calls to answer client inquiries. This was a fast paced environment and I enjoyed this position very much.
Education
High School Diploma: 2007
 Marion High School - Marion, IN
Associate of Applied Science: Health and Human Services Central Community College - Hastings, NE
 I did not obtain this degree, but never the less, I learned many very valuable skills during 2 years of classes.

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Summary

 

Dynamic and motivated professional with a proven record of generating and building relationships, managing projects from concept to completion, and coaching individuals to success. Diverse background that includes Executive Responsibility, Community Relations, Community Health. Skilled in building cross-functional teams, demonstrating exceptional communication skills, and making critical decisions during challenges. Adaptable and transformational leader with an ability to work independently. Committed to quality and excellence. 

Skills
  • Operations Management
  • Program Development
  • Case Management 
  • Event Planning 
  • Public Relations 
  • Project Management 
  • Strategic Planning
  • Conflict Resolution 
  • Organizational Development
  • Community Development 
  • Entrepreneurial Leadership
  • Business Development
  • Human Resources 
  • Facility Management
  • Self-Motivated
  • Training and Development
  • Public Speaking
  • Community Outreach
  • Effective Coalition Building
  • Skilled Multi-Tasker
Experience
Martinez Street Women's Center San Antonio, TX Community Health Manager 09/2018 to Current
City of Houston Houston, TX Community Liaison 10/2014 to 06/2018
  • Developed, administered, coordinated and monitored activities for the Magnolia Multi-Service Center and Human Services Operations.
  • Monitored the maintenance of the facility inside and outside.
  • Linked the community with Health and Human services needs by connecting them to community organization services. My function was to coordinate services among being leasing and bringing new community agencies to our Multi-Service Center.
  • Supervised and evaluated the performances of our staff.
  • Participated in development of plans to accomplish goals and objectives of projects, reviewed and reported on goals and evaluated project's performance and also gather and analyze data and information that identifies program needs and the evaluation of program effectiveness.
  • Coordinated and lead efforts to organize partners to address Health and Human Service the need and prepared to make presentations to both the community and our partners.
  • Participated in the implementation of department initiatives related to service linkage and public health collaboration. 
  • Liaised with community members, business owners and officials to address current issues. 
  • Prepared statistical reports and analysis to assisted management in decision-making.
  • Served as a liaison and collaborated with governmental and public agency representatives, community outreach and advocacy groups, and service providers. 
City of Houston Houston, TX Community Relations Specialist 03/2014 to 10/2014
  • Functioned as the liaison between the Community and the City's Human Services, providing reference and referral services and information assistance.
  • Furnished information to the community residents, provide them with referrals to agencies as appropriate and assisted clients by completing forms, writing letters, and explaining various program.
  • Maintained the liaison with other community social agencies and industry related programs and assess community needs. 
  • Promoted community events and news through monthly newsletters.
  • Created and delivered community safety presentations. 
Cardon Outreach Houston, TX Eligibility Specialist 12/2013 to 03/2014
  • Assisted patients in the completion of application processes for State, Federal and private medical programs.
  • Liaised between patients, hospitals and outside agencies in order to facilitate eligibility approvals.
  • Advocated for both patients and hospital clients by ensuring that patients are covered appropriately. 
  • Maintained case notation and updated all applicable systems
  • Performed assertive and thorough follow up. 
  • Monitored status of each case while communicating with multiple parties.  
 
 
​
State of Texas Harlingen , TX Patient Nursing Assistant 10/2013 to 12/2013
  • Used therapeutic communication skills to promptly and effectively engage patients to assist them in meeting their objectives of their individual treatment plans.
  • Provided supportive, age-specific care to patients as assigned by the Registered Nurse and- designated and assist patients with activities of daily living, hygiene, and eating in order to promote independence and self-care. 
  • Monitored patients as assigned and provided observation to ensure the health and safety of all patients.
  • Escorted patients to appointments as required.
  • Served as a liaison to the Treatment Team, providing on-going, verbal and written communication concerning patient's progress or lack thereof, to individualized goals. 
  • Use advance computer, documentation skills, and reporting procedures to communicate patient care information clearly and concisely in a timely manner. 
  • Promoted safety through the continuous monitoring of the environment and active engagement of patients, to minimize unsafe situations and injuries.
Centro Educativo MLJ Mexico City, Mexico Executive Director 08/2003 to 05/2013
  • Provided leadership direction in establishing and developing the community's first American English language school.
  • Managed, coached and supervised teachers, paraprofessionals and administrative personnel.
  • Accountable for fiscal management, budget development, human resources, curriculum/ program development, administration and public relations.
  • Led the planning and achievement of goals and objectives consistent with the school's mission.
  • Maintained and improved the school's reputation and positive image in the markets served also reviewed student's survey information to prioritize areas of improvement.
  • Achieved high staff morale and retention through effective communication, prompt problem resolution, pro-active supervisory practices and facilitating a pro-active work environment. 
Education and Training
Bachelor of Science: Psychology 2007 Universidad Nacional Autonoma de Mexico, Mexico City , Mexico , Mexico
Master Trainer: Chronic Disease Self-Management 2014 Stanford University School of Medicine, Houston , TX , USA
Certificate : Paraprofessional Certificate 2001 Texas State Technical College , Harlingen , TX , USA
Languages
Spanish
Certifications
State of Texas Community Health Worker
State of Texas Notary Public
Awards
Certificate of Appreciation
For continual commitment to deliver outstanding customer service to all Houstonians
Issued: Mayor Annise Parker 
 
Certificate of Recognition 
The Texas House of Representatives extends a sincere congratulations for the hard work and dedication you have shown at the Magnolia Multi-Service Center and the community. 
 
City of Houston Bravo Award
The Highest Recognition For A City of Houston Employee 
Issued by: Mayor Sylvester Turner 
Affiliations
Conversado Entre Amigas - Board Member
Houston Air Alliance- Board Member

This resume is created in 7 minutes.
Professional Summary
Office Assistant with 10+ years of billing, patient charting, insurance claims and appointment scheduling in a busy medical office setting. Highly organized and detail-oriented with more than 30 years office experience.
Skills
  • Microsoft Office 2014
  • Excellent communication skills
  • 10 - key
  • Fax and copiers
  • Medical billing
  • HIPAA compliance
  • Advanced clerical knowledge
  • Appointment setting
  • Payroll
  • CMS-1500 billing form
  • Data Entry
  • knowledge of ICD-10, CPT and HICPC
Work History
Eligibility Specialist, 08/2005 to 03/2011
Spindletop MHMR – Beaumont, Texas
    One on one interviews with clients to determine eligibility. Assisted clients in completing paperwork. Scheduled appointments, data entry, made copies, sent faxes and handled all incoming and outgoing correspondence. Charted and recorded all information in client files. Quickly responded to crisis situations when severe mental health and behavioral issues arose. Effectively managed time and caseloads. Served as Legal Representative in Administrative Law Court for client Disability claims. Answered and managed incoming and outgoing calls while recording accurate messages.
Office Manager, 01/2000 to 11/2004
Fletcher Automotive – North 5th Street
    Customer service, data entry, weekly payroll, organized work records and filed monthly reports. Managed office supplies, vendors, organization and upkeep. Greeted numerous visitors, including VIPs, vendors and interview candidates. 
Payroll and Billing Clerk, 03/1990 to 09/1999
Texas Home Health – Silsbee, Tx
    Billed for Medical services, data entry, generated monthly reports, distributed incoming mail to correct recipients throughout company, audited and entered time sheets for payroll. Ordered and distributed office supplies while adhering to a fixed office budget. 
Education
Certification upon completion: Medical Billing and Coding, Current
Brazosport College - Lake Jackson, Texas
High School Diploma: 1980
Silsbee High School - Silsbee, Tx

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