EMERITA "EMIE" HUSAIN
Waipahu,HI
Summary
Experienced Eligibility Worker with a comprehensive understanding of public assistance programs and relevant federal, state, and local regulations. Proven ability to evaluate client needs, interpret complex information accurately, and ensure timely processing of applications. Strengths incorporate strong interpersonal skills for sensitive communication with diverse populations, alongside thorough knowledge in electronic data systems used in documentation. Demonstrated impact by consistently maintaining high accuracy rates while balancing heavy caseloads. Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
8
8
years of professional experience
Work History
Eligibility Worker
Department of Human Services MedQuest Division
Waipahu, HI
01.2017 - Current
- Assessed clients' eligibility for public assistance programs and services.
- Maintained accurate records of client interactions and program activities.
- Provided information to clients regarding their rights, responsibilities, and other relevant matters related to the programs they were applying for.
- Conducted interviews with applicants to verify all documentation provided was accurate and up-to-date.
- Prepared documents and applications for submission to appropriate agencies or organizations.
- Reviewed case files regularly to ensure compliance with regulations and guidelines.
- Researched discrepancies in submitted documentation as needed.
- Corresponded with various government entities on behalf of clients when necessary.
- Updated computer databases with current client information and status updates.
- Coordinated efforts between multiple departments within the organization to ensure efficient processing of paperwork.
- Performed outreach activities within the community to inform individuals about available benefits or services they may be eligible for.
- Served as a liaison between clients, service providers, and other relevant parties involved in the application process.
- Evaluated changes in family or financial circumstances that could affect an individual's eligibility for assistance programs.
- Responded promptly to inquiries from potential applicants by phone or email.
- Developed comprehensive reports detailing each applicant's eligibility status.
- Participated in regular training sessions on new policies or procedures related to eligibility requirements.
- Collaborated closely with social workers, health care professionals, job counselors., in order to provide comprehensive services for eligible clients.
- Conducted interviews with applicants, explaining benefits process, and which programs were available.
- Entered client information and files into databases for further review and tracking.
- Explained reasons behind application denials and recommended further action.
- Responded to client inquiries and concerns and escalated complex problems to department supervisors.
- Reviewed applications to verify client information and resolve discrepancies.
- Maintained positive working relationship with fellow staff and management.
- Answered questions and responded to inquiries to deliver high level of service to patients.
- Maintained confidential patient documentation to prevent data compromise and comply with HIPAA regulations.
Patient Service Representative
Queens Medical Center
'Ewa Beach, HI
01.2019 - 09.2023
- Provided customer service by answering patient questions and addressing concerns.
- Verified insurance information, collected payments, and scheduled appointments.
- Assisted with the completion of medical forms and records.
- Greeted patients upon arrival and directed them to the appropriate area.
- Answered incoming calls in a professional manner.
- Ensured all necessary paperwork was completed prior to patient visits.
- Informed patients about payment options, billing policies, and procedures related to their visit or procedure.
- Inputted patient demographic data into electronic health record system.
- Scanned documents into electronic health record system as needed.
- Performed administrative duties such as filing, faxing, photocopying.
- Adhered to HIPAA regulations when handling confidential patient information.
- Ensured that all necessary documentation is completed prior to discharge of patient.
- Maintained accurate records of services provided during each visit or procedure.
- Documented and managed patient information in computer system.
- Registered patients by verifying records to update computer system and patient charts.
- Coordinated with patients and healthcare professionals to meet patient needs.
- Provided helpful assistance by anticipating and responding to needs of patients and family members.
- Supported hospital and clinic operations using customer service skills and detailed system knowledge.
- Obtained insurance verification and authorization to submit financial clearance of patient accounts.
- Applied HIPAA privacy and security regulations while handling patient information.
- Verified demographics and insurance information to register patients in computer system.
- Registered patients by completing face-to-face interviews to obtain demographic, insurance, and medical information.
- Obtained necessary signatures for privacy laws and consent for treatment.
- Communicated financial obligations to patients and collected fees at time of service.
- Explained various admission forms and policies, acquiring signatures for consent.
- Processed patient responsibility estimate determined by insurance at pre-registration.
- Monitored waiting areas to ensure a comfortable and safe environment for patients and visitors.
- Addressed patient inquiries and concerns, resolving issues in a timely and empathetic manner.
- Facilitated patient registration, verifying all required documentation is collected and filed properly.
- Processed insurance verifications and authorizations to ensure coverage of services.
- Processed patient co-pays, deductibles, and other payments, ensuring accurate financial records.
- Explained policies, procedures and services to patients.
- Verified documentation methodically to avoid critical errors impacting care delivery and payments for services.
Education
Some College (No Degree) - Medical Coding And Medical Terminology
Kapiolani Community College/University of HI Community Colleges
Honolulu, HISkills
- Policy Knowledge
- Proficient in Epic
- Effective customer communication
- Written and verbal communication
- Program understanding and advisement
- Data Entry
- Medicaid knowledge
- Documentation and paperwork
- Recordkeeping and data input
- Application assessment
- Effective communication skills
- Verbal Communication
- Public assistance programs
- Application processing
- Applicant Interviews
- Telephone Etiquette
- Confidentiality
References
References available upon request.
Timeline
Patient Service Representative
Queens Medical Center
01.2019 - 09.2023
Eligibility Worker
Department of Human Services MedQuest Division
01.2017 - Current
Some College (No Degree) - Medical Coding And Medical Terminology
Kapiolani Community College/University of HI Community Colleges
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