Dina Morton
Jackson
Summary
Results-driven Eligibility Representative with a proven track record in client relationship building and policy interpretation. Skilled in multitasking and maintaining confidentiality, ready to enhance operational efficiency and support client needs.
Dedicated professional with 12+ years of experience in the healthcare industry, specializing in eligibility determination and process optimization. Known for strong problem-solving abilities and effective communication, contributing to improved workflows and client satisfaction.
Detail-oriented Eligibility Representative recognized for exceptional teamwork and multitasking skills. Proven expertise in policy interpretation and maintaining confidentiality, ensuring compliance while delivering high-quality support to clients throughout the eligibility process.
Overview
22
22
years of professional experience
Work History
Eligibility Representative
Eligibility Screening Services
2013.11 - Current
- Evaluated client eligibility for various assistance programs to ensure compliance with regulations.
- Processed applications efficiently, maintaining accuracy in data entry and verification of required documentation.
- Assisted clients in understanding program requirements, providing clear guidance on necessary steps for eligibility.
- Coordinated communication between stakeholders to resolve eligibility discrepancies and streamline application processes.
- Trained new staff on eligibility determination procedures, enhancing team knowledge and operational efficiency.
- Resolved discrepancies with client applications to verify eligibility.
- Assisted clients with accurate eligibility form, application and document completion.
- Scheduled appointments with applicants to gather information and explain benefits processes.
- Established databases to track, analyze and automate eligibility application processes.
- Built relationships with diverse stakeholders to achieve successful program implementation.
Registration Representative
RANKIN GENERAL HOSPITAL
2008.05 - 2013.10
- Managed patient registration process, ensuring accuracy and efficiency in data entry.
- Assisted patients with insurance verification and eligibility inquiries, enhancing overall experience.
- Implemented streamlined workflows for patient check-in procedures, reducing wait times significantly.
- Collaborated with medical staff to resolve registration discrepancies, maintaining data integrity across departments.
- Trained new staff on registration protocols and hospital systems, fostering a knowledgeable team environment.
- Maintained accurate records by updating patient demographics, insurance, and financial information.
- Supported hospital compliance efforts by adhering to HIPAA guidelines and maintaining the confidentiality of patient information.
- Improved overall work environment through active participation in department meetings, sharing ideas for enhancements, and supporting team-building initiatives.
- Provided thorough information about admissions policies, financial requirements, and check-in procedures.
- Managed high-stress situations calmly while assisting patients experiencing medical emergencies or other urgent matters.
- Verified insurance benefits, processed payments, and issued receipts.
- Completed registration paperwork, verifying accurate patient information.
Eligibility Representative
SOUTHERN ENTITLEMENT, INC
2004.08 - 2008.04
- Led initiatives to improve workflows, resulting in reduced processing times for client applications and increased satisfaction.
- Developed training materials for ongoing professional development, fostering a culture of continuous improvement within the team.
- Analyzed trends in application data to identify areas for enhancement, driving strategic decisions on program outreach efforts.
- Trained new Eligibility Representatives on best practices, contributing to overall team efficiency and success.
- Achieved high client satisfaction rates through effective communication and empathetic support during the eligibility process.
- Leveraged advanced knowledge of federal, state, and local guidelines to ensure compliance across all aspects of the eligibility process.
- Exceeded performance metrics consistently by accurately determining program eligibility within established timeframes.
- Provided knowledgeable guidance to clients regarding program rules, regulations, and updates.
- Ensured timely resolution of discrepancies by conducting thorough research and documentation.
- Managed high-volume caseloads while maintaining strict adherence to privacy regulations and confidentiality protocols.
Education
GED -
PEARL HIGH SCHOOL
Pearl, MSSkills
- Client relationship building
- Healthcare industry
- Policy interpretation
- Confidentiality
- Microsoft office
- Telephone etiquette
- Teamwork
- Problem-solving
- Multitasking
Timeline
Eligibility Representative
Eligibility Screening Services
2013.11 - Current
Registration Representative
RANKIN GENERAL HOSPITAL
2008.05 - 2013.10
Eligibility Representative
SOUTHERN ENTITLEMENT, INC
2004.08 - 2008.04
GED -
PEARL HIGH SCHOOL