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Jett Bryant
Eligibility Consultant
Summary
Highly experienced Eligibility Consultant with a proven track record of success in assessing and determining eligibility for various government programs, including Medicaid, Medicare, and SNAP. Expertise in income and asset verification, case management, and program knowledge, ensuring compliance with regulations and providing timely and accurate eligibility decisions. Committed to delivering exceptional customer service while adhering to strict confidentiality guidelines. Proficient in utilizing technology and managing high caseloads efficiently and accurately.
Education
Associate’s Degree in Healthcare Administration
July 2017
Skills
- Eligibility Determination
- Program Knowledge (Medicaid, Medicare, SSI)
- Income and Asset Verification
- Case Management
- Communication and Interpersonal Skills
- Attention to Detail
Work Experience
Eligibility Consultant
- Utilized knowledge of federal and state regulations, policies, and procedures to guide eligibility determinations.
- Provided clear and concise explanations of eligibility decisions to clients, caregivers, and healthcare providers.
- Adhered to strict confidentiality guidelines to protect sensitive client information.
- Managed high caseloads with efficiency and accuracy, meeting performance targets.
Eligibility Consultant
- Assessed and determined eligibility for various government programs, including Medicaid, Medicare, and SNAP, ensuring compliance with program regulations.
- Conducted interviews with clients to gather and verify personal, financial, and medical information.
- Processed applications, reviewed documentation, and issued eligibility decisions within established timeframes.
- Collaborated with healthcare professionals, social workers, and other stakeholders to ensure accurate and timely determinations.
Accomplishments
- Developed and implemented streamlined intake and screening processes, resulting in a 15% reduction in processing time and improved patient satisfaction scores.
- Established partnerships with community organizations and social service agencies to expand access to healthcare services for eligible individuals.
- Improved claim reimbursement rates by 10% through accurate coding and documentation, maximizing financial resources for the healthcare organization.
- Trained and mentored new staff members, ensuring compliance with eligibility and enrollment regulations and promoting a high level of service.
- Participated in industry conferences and workshops to stay abreast of evolving regulations and best practices in healthcare access management.
Awards
- National Board for Certification in Healthcare Access Management (NBCHAM) Certified Healthcare Access Professional (CHAP)
- Recognized by the Healthcare Financial Management Association (HFMA) as a Certified Patient Access Professional (CPAP)
Certificates
- Certified Eligibility Professional (CEP)
- Certified Healthcare Eligibility Specialist (CHES)
- Certified Social Security Disability Advocate (CSSDA)
- Certified Medicaid Professional (CMP)
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How To Write Resume For Eligibility Consultant
- Highlight your knowledge of eligibility guidelines and government programs
- Demonstrate your strong communication and interpersonal skills
- Showcase your ability to work independently and as part of a team
- Emphasize your commitment to providing excellent customer service and maintaining confidentiality
- Quantify your accomplishments whenever possible to showcase your impact
Essential Experience Highlights for a Strong Eligibility Consultant Resume
- Assessed and determined eligibility for Medicaid, Medicare, SSI, and other government programs
- Conducted interviews to gather and verify personal, financial, and medical information
- Processed applications, reviewed documentation, and issued eligibility decisions within established timeframes
- Utilized knowledge of federal and state regulations, policies, and procedures
- Provided clear and concise explanations of eligibility decisions to clients, caregivers, and healthcare providers
- Adhered to strict confidentiality guidelines to protect sensitive client information
- Managed high caseloads with efficiency and accuracy, meeting performance targets
Frequently Asked Questions (FAQ’s) For Eligibility Consultant
What is the primary role of an Eligibility Consultant?
An Eligibility Consultant determines whether individuals meet the criteria to receive benefits from government programs such as Medicaid, Medicare, and SNAP
What skills are essential for success as an Eligibility Consultant?
Strong communication, interpersonal, and analytical skills, as well as knowledge of government regulations and programs
What is the typical work environment for an Eligibility Consultant?
Eligibility Consultants typically work in office settings, interacting with clients and reviewing documentation
What is the average salary for an Eligibility Consultant?
The average salary for an Eligibility Consultant varies depending on experience and location but typically ranges between $35,000 and $60,000
What are the career advancement opportunities for an Eligibility Consultant?
Eligibility Consultants can advance to roles such as Supervisor, Manager, or Director of Eligibility Services
What are the ethical considerations in the role of an Eligibility Consultant?
Eligibility Consultants must maintain confidentiality, avoid conflicts of interest, and act in the best interests of clients
How can I prepare for a career as an Eligibility Consultant?
Pursue an education in healthcare administration or a related field, gain experience working with clients, and stay updated on government regulations and programs