Post job

Explore jobs

Find specific jobs

Explore careers

Explore professions

Best companies

Explore companies

OverviewJobsSalaryResume

Skills

What They DoEducationCertificationsDemographicsJob DescriptionHow To HireBest CompaniesBest StatesBest CitiesRemote JobsJob OutlookComparePart Time jobsEntry Level jobsFull Time jobsWork From Home jobs
zippia ai icon

Automatically apply for jobs with Zippia

Upload your resume to get started.

Eligibility specialist skills for your resume and career

Updated January 8, 2025
4 min read
Eligibility specialist example skills
Below we've compiled a list of the most critical eligibility specialist skills. We ranked the top skills for eligibility specialists based on the percentage of resumes they appeared on. For example, 14.3% of eligibility specialist resumes contained medicaid as a skill. Continue reading to find out what skills an eligibility specialist needs to be successful in the workplace.

15 eligibility specialist skills for your resume and career

1. Medicaid

Here's how eligibility specialists use medicaid:
  • Determined eligibility for Medicaid benefits for low-income families, based on State and Federal established policies and guidelines.
  • Coordinated eligibility determinations and other related activities associated with Medicaid benefits for Aged, Blind, and Disabled.

2. Patients

Here's how eligibility specialists use patients:
  • Advised patients with benefit and eligibility information by phone and/or internet to determine coverage choices in order to process therapy recommendations.
  • Interviewed patients using multiple data based system to assess and determine Medicaid eligibility coverage for long term care services.

3. Provide Technical Assistance

Here's how eligibility specialists use provide technical assistance:
  • Provide technical assistance and orientation to child development teachers and providers.
  • Answer questions and provide technical assistance to the CIMC WD Office staff regarding the CSBG Program Policies.

4. Social Work

Here's how eligibility specialists use social work:
  • Worked directly with county supervisors and social workers to determine clear understanding regarding state statues and mandates relative to reimbursement eligibility.
  • Maintained extensive follow-up with financial counselors, social workers and case managers regarding patient benefits.

5. 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.

Here's how eligibility specialists use data entry:
  • Researched benefits and insurance eligibility, call center environment, highly detailed data entry, followed and maintained HIPAA protocols.
  • Perform administrative responsibilities including filing, accurate data entry, and phone/reception support.

6. Community Resources

Community resources are a set of resources that are used in the day to day life of people which improves their lifestyle in some way. People, sites or houses, and population assistance can come under the services offered by community resources.

Here's how eligibility specialists use community resources:
  • Explained eligibility requirements, form completion requirements, community resources for financial assistance, housing opportunities and tenant selection methods.
  • Review referrals for services and interview applicants to explain eligibility requirements, form completion requirements, and community resources.

Choose from 10+ customizable eligibility specialist resume templates

Build a professional eligibility specialist resume in minutes. Our AI resume writing assistant will guide you through every step of the process, and you can choose from 10+ resume templates to create your eligibility specialist resume.

7. Program Eligibility

Here's how eligibility specialists use program eligibility:
  • Conducted detailed office interviews with clients to determine program eligibility based upon income, resources, and availability of government resources.
  • Managed a client caseload requiring excellent oral and written communication skills to explain complex program eligibility issues to clients.

8. Eligibility Determination

Here's how eligibility specialists use eligibility determination:
  • Performed initial eligibility determination and reviewed ongoing eligibility determination for childcare services.
  • Manage customer intakes including: eligibility determination and updates, renewals, transfers and placement of children in appropriate childcare settings.

9. Client Eligibility

Here's how eligibility specialists use client eligibility:
  • Request information to determine client eligibility or needs and forward requests for approval to appropriate staff in accordance with established procedures.
  • Interviewed clients with complex barriers to employment and self-sufficiency to determine client eligibility to public assistance programs/ Medi-Cal.

10. Public Assistance Programs

Public Assistance Programs are programs designed to improve the lives of members of the public by offering them the assistance they need either in cash or in-kind like foods, clothes, and everyday items. These programs are often offered by the government to alleviate poverty in the populace. NGOs are also involved in providing public assistance programs.

Here's how eligibility specialists use public assistance programs:
  • Provide accurate and complete information to state eligibility consultant who will make the final eligibility decision for various public assistance programs.
  • Determine the eligibility of applicants and recipients for public assistance programs through gathering information and evaluating information for accuracy and consistency.

11. Social Services

Here's how eligibility specialists use social services:
  • Conducted intake and assessment of clients as well as reviewed applications to determine eligibility for social services programs.
  • Gathered, verified and evaluated confidential financial and personal information to enter into Social Services database.

12. 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.

Here's how eligibility specialists use social security:
  • Assisted patients with completing applications for government programs, which included Medicaid, Social Security Disability, and Financial assistance.
  • Interviewed and counseled patients referred by hospitals for Medicaid eligibility and Social Security and food Stamp assistance where necessary.

13. Health Insurance

Here's how eligibility specialists use health insurance:
  • Developed and implemented new resource program for Hilltop that provides updated information on medical providers accepting public health insurance programs.
  • Determined health insurance eligibility for the Cover VA Program according to Virginia regulations/guidelines by reviewing documentation to accurately enter data.

14. Federal Laws

The laws formed and upheld by the federal administrating body of a country are known as federal laws. A federal administrating body or government is formed by a political party after being elected by the general public.

Here's how eligibility specialists use federal laws:
  • Performed work in an office environment within the limits of established state and federal laws, and agency policy and procedures.
  • Interpret policy and ensure compliance with state and federal laws, regulations, legal mandates, action plans, and policies.

15. TANF

Here's how eligibility specialists use tanf:
  • Ensured implementation of policies by accurately determining eligibility for TANF, Food Stamps and Medicaid.
  • Completed client interviews either face-to-face or via phone to determine eligibility for TANF, Medicaid Aged, Blind and Disabled Categories.
top-skills

What skills help Eligibility Specialists find jobs?

Tell us what job you are looking for, we’ll show you what skills employers want.

List of eligibility specialist skills to add to your resume

Eligibility specialist skills

The most important skills for an eligibility specialist resume and required skills for an eligibility specialist to have include:

  • Medicaid
  • Patients
  • Provide Technical Assistance
  • Social Work
  • Data Entry
  • Community Resources
  • Program Eligibility
  • Eligibility Determination
  • Client Eligibility
  • Public Assistance Programs
  • Social Services
  • Social Security
  • Health Insurance
  • Federal Laws
  • TANF
  • Customer Issues
  • Medical Assistance
  • DHS
  • Financial Assistance
  • Financial Eligibility
  • Client Data
  • HIPAA
  • Medical Services
  • Process Applications
  • Inbound Calls
  • Child Care
  • Computer System
  • Outbound Calls
  • State Policy
  • Corrective Action
  • Hippa
  • FS
  • Financial Data
  • State Agencies
  • Food Assistance
  • Data Collection
  • Cobra
  • Government Programs
  • Government Assistance
  • Program Benefits
  • Application Forms
  • Client Interviews
  • State Programs
  • Legal Rights
  • Phone Messages
  • Program Guidelines
  • Referral Services
  • WMS

Updated January 8, 2025

Zippia Research Team
Zippia Team

Editorial Staff

The Zippia Research Team has spent countless hours reviewing resumes, job postings, and government data to determine what goes into getting a job in each phase of life. Professional writers and data scientists comprise the Zippia Research Team.

Updated January 8, 2025

Browse office and administrative jobs