Supportive Eligibility Specialist with extensive application engagement and dedicated service skills. Bilingual professional with skill to maintain accurate records, schedule appointments and handle various administrative responsibilities.
Overview
9
9
years of professional experience
Work History
Eligibility Specialist
Texas Health And Human Service Commission
Boerne, Texas
04.2019 - Current
Reviewed applications for different aid programs and determined which qualification criteria for individuals.
Documented all communication with applicants and inputted information into system using [Software].
Followed guidelines when reviewing applicant data to determine eligibility for economic assistance.
Scheduled appointments with applicants to gather information and explain benefits processes.
Maintaining contact with various vendors and facilities to address issues and inquries.
Eligibility Specialist Supervisor
Hospital Solutions, Inc
Kerrville, Texas
05.2016 - 03.2019
Reviewed applications for different aid programs and determined which qualification criteria for individuals.
Increased overall revenue by approximately 16.5% through billable account reimbursement.
Planned, developed, implemented, and evaluated programs and projects.
Performed eligibility assistance, case management, referrals or related function.
Review and confirm approved claims including medical insurance requirement to facilitate final payments processed.
Eligibility Supervisor
Cabell Huntington Hospital
Huntington, West Virginia
01.2013 - 04.2014
Optimized organizational systems for payment collections, AP/AR, deposits and recordkeeping.
Supervised and monitored the registration staffs production and quality of output.
Ensured compliance with applicable regulations of facility and government programs.
Delegated tasks to administrative support staff to organize and improve office efficiency.
Monitor the daily department workflow to maximize staff performance and address any procedural issues.
Information Technology Specialist
Cabell Huntington Hospital
Huntington, West Virginia
01.2013 - 04.2014
Performed daily system monitoring, verifying integrity and availability of hardware, server resources, systems and key processes.
Implementation and support of Cerner and Affinity Revenue Cycle Applications.
Formulated a new billing system for hospital employees to ensure accuracy in revenue cycle.
Technology and Operations Manager III at Texas Health and Human Service CommissionTechnology and Operations Manager III at Texas Health and Human Service Commission