Detail-oriented Eligibility Specialist with expertise in eligibility review and client education. Adept at navigating regulatory requirements and resolving disputes to ensure compliance and client satisfaction.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Eligibility Specialist
CentroMed
San Antonio
09.2016 - Current
Reviewed patient applications for eligibility in health programs.
Educated clients on eligibility requirements and application processes.
Assisted in resolving eligibility disputes and inquiries from clients.
Maintained comprehensive knowledge of program regulations, policies, and procedures.
Reviewed applications for eligibility and determined whether applicants met the criteria to receive benefits.
Education
High School Diploma -
Thomas Edison High School
San Antonio, TX
05-1997
Skills
Application review
Policy interpretation
Eligibility determination
Record keeping
Compliance assessment
Regulatory knowledge
Certification
Certification on Texas Health and Human Resources. Expires 9/2025
Assister Certification Training for Market Place, Expires 9/2025