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Eligibility clerk skills for your resume and career
15 eligibility clerk skills for your resume and career
1. Data Entry
Data entry means entering data into a company's system with the help of a keyboard. A person responsible for entering data may also be asked to verify the authenticity of the data being entered. A person doing data entry must pay great attention to tiny details.
- Processed high-volumes of applications; data entry, filed and managed highly confidential credential records according to HIPAA Privacy Regulations.
- Performed data entry tasks using Microsoft Access Software to input client information for verification purposes.
2. Patients
- Provided clerical support service to various hospitals and clinical registration units and screened patients for possible eligibility for various financial programs.
- Provide specialized clerical support to Emergency Registration unit by screening Patients for possible eligibility for various financial assistance and insurance programs.
3. Customer Service
Customer service is the process of offering assistance to all the current and potential customers -- answering questions, fixing problems, and providing excellent service. The main goal of customer service is to build a strong relationship with the customers so that they keep coming back for more business.
- Provide verification assistance and customer service to applicants applying for public assistance.
- Performed as a liaison with claims examiners and customer service representatives.
4. Front Desk
- Vacation relief for Company Front Desk Receptionist
- JOB DUTIES: Exercised Confidentiality Policies, Front Desk Operation ToInclude Secretarial duties-Typing, Filing, Faxing.
5. Financial Assistance
Financial assistance refers to governmental assistance one may receive for a variety of reasons. This help is typically in the form of money, whether a loan, scholarship, grant, or reduced taxes provided to an individual or organization. One of the more common forms of financial assistance is student loans, which offer many prospective students a chance for higher education.
- Perform training with registration and admitting personnel to assure proper registration and knowledge of business practices to include financial assistance programs.
- Determine applicants' eligibility for financial assistance programs and maintain ongoing cases through initial-contact interviews, semi-annual and annual reviews.
6. Scheduling Appointments
Scheduling appointments is the practice of finding a free slot with the person(s) you want to meet. The process of scheduling appointments involves finding mutually free time, negotiating follow-ups, sending reminders, and creating new appointments. Scheduling appointments is important to ensure that the timings of consecutive meetings do not clash with each other.
- Performed receptionist duties by answering telephones, scheduling appointments, typing, and filing; created an efficient filing system.
- Operate telephone switchboard to answer, screen, or forward calls, providing information, taking messages, or scheduling appointments.
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- Verified that information in the computer system for client insurance eligibility was up-to-date and accurate.
- Entered college athletes in the AS400 system for accident insurance eligibility.
8. Financial Data
- Compiled, recorded, and evaluated personal and financial data to verify completeness and accuracy, and determine eligibility status.
- Recorded and evaluated personal and financial data from each applicant to determine initial and/or eligibility.
9. Insurance Benefits
- Document all insurance benefits accurately and legibly.
- Record patient information regarding insurance benefits.
10. HIPAA
- Demonstrate full understanding, and consistent and specific application of the NYS HIV Confidentiality Law and HIPAA Privacy Standards.
- Administered COBRA / HIPAA for over 25 employers.
11. Computer System
- Determine benefit eligibility budgets, calculate and ensure accurateness of benefits by use of the computer system.
- Checked for verification of coverage in the Department of (IS) Mental Health computer system.
12. Process Applications
- Process applications to ensure customers are eligible for benefits such as TennCare, FoodStamp programs.
- Determine eligibility and process applications for Medicaid/Medicare for the elderly and disabled persons in the state of Texas.
13. Medi-Cal
- Processed medical card applications to ensure accuracy; Accounting bookkeeper; conducted field visits to ensure eligibility for Medi-Cal recipients.
- Assist DPSS with Applications and verifications needed to determine Medi-Cal eligibility.
14. Office Equipment
- Used office equipment, such as envelope-sealing machine, copy/fax machine, and computer terminal.
- Operated standard office equipment to include but not limited to computers, copiers, multi-lined telephone systems and facsimile machines.
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List of eligibility clerk skills to add to your resume
The most important skills for an eligibility clerk resume and required skills for an eligibility clerk to have include:
- Data Entry
- Patients
- Customer Service
- Front Desk
- Financial Assistance
- Scheduling Appointments
- Insurance Eligibility
- Financial Data
- Insurance Benefits
- HIPAA
- Computer System
- Process Applications
- Medi-Cal
- Office Equipment
- Social Security
- DHS
- Hippa
- TANF
- Insurance Coverage
- Public Assistance Programs
- Phone Interviews
- Patient Demographics
- Outbound Calls
- Client Eligibility
- Insurance Verification
- Community Resources
- Multi-Line Phone System
- Application Forms
- Patient Charts
- Patient Eligibility
- Eligibility Determination
- Government Assistance
- Client Data
- Government Programs
- Inbound Calls
- Client Applications
- Legal Rights
- WIC
- Client Inquiries
- Medical Coverage
- Customer Inquiries
- Bank Deposits
Updated January 8, 2025
15. Social Security
Social security is a federal government program that offers benefits to those registered under it when they are retired or can't work because of some sort of disabilities.