Janet Carlin - Eligibility Worker II Resume Simple
SUMMARY
I am a dedicated, dependable, and results-oriented professional with a strong background in customer service, and the ability to work well with people.
SKILLS
  • medicaid, cash
  • customer service, leadership skills, time management, multitasking, critical thinking, leadership, benefits, analytical, prior authorizations, team player, claims, satisfaction, investigations, metrics, management, authorizations
WORK EXPERIENCES
  • 2018-02-152018-02-15

    Eligibility Worker II

    Boston Red Sox

    • Explain program policies, procedures, and regulations to aid in the public. Provide information to the public and other community agencies.
    • Responsible for the daily deposit of the cash, checks, and credit card transactions for all patients. I also have the ability to work with people and their families.
    • Maintain knowledge of state regulations, Medicaid, and other government regulations. Must be able to explain to the program.
    • Responsible for gathering information from the public and the state of the Indiana state of the Colorado Medicaid program. This includes the application of the eligibility and the rules of the rights.
    • Interview clients to determine eligibility for public assistance programs. Assist applicants in completing applications. Maintain confidentiality of all information.
  • 2018-02-152018-02-15

    Case Manager

    Lawyer's Assistant School of Dallas

    • Provided leadership and training to members, including the development of a plan of care, communication, and quality improvement.
    • Provide ongoing support to the team members, including the ability to work independently, problem solving, and decision making.
    • Provided education and training to members and providers in the community and in-depth communication with healthcare providers and the appropriate departments.
    • Provided training and education to members, families, and community members. Responsible for writing and maintaining Medicare and Medicaid guidelines.
    • I also worked as a team leader in the department of health care providers, as well as the leadership and development of the company.
    • Provided education and training to members and providers in the community and in-depth communication with healthcare providers and the appropriate departments.