Medical Elig Spec I
Texas Department of Aging & Disability Services
mercedes
hace 13 días

Job Description : Medical Elig Spec I The Texas Health and Human Services Commission (HHSC) seeks highly qualified candidates to fill the Medicaid Eligibility Specialist I position within the Office of Medical and Social Services (MSS), Access and Eligibility Services (AES) Eligibility Operations Field Division.

The MSS is driven by its mission to people, services, and supports by helping individuals and families in need of food, medical care, cash assistance and other social services.

The ideal candidate will thrive in an environment that emphasizes : innovation through new ideas, striving for excellence by taking pride in your work, embracing our differences as a source of strength, accomplishing more through partnership, leading by example, and learning for continuous improvement.

Medicaid Eligibility Specialist I Medicaid Eligibility Specialist I (CT) accurately determines eligibility for TANF, SNAP (food stamps), Medicaid and / or Medicaid for the Elderly and People with Disabilities (MEPD) programs.

Work involves interviewing clients in person or via outbound phone call, documenting information gathered, determining eligibility for benefits, verifying case data, explaining program benefits and requirements.

Work involves making outbound calls to verify client information. Reviews eligibility of clients for ongoing services. Job requires detailed oriented individuals with ability to apply complex policies and procedures.

This position may require travel of up to 75% during the training period. Travel requirement is 20% after training period is complete.

Job Description :

Essential Job Functions : Maintains a regular and predictable work schedule, especially during critical, peak work days (Mondays / Tuesdays).

Interviews clients or authorized representatives via phone or in person to gather information to determine eligibility for benefits.

Processes changes to client status, overpayments, and adjusts or restores benefits. Obtains, verifies, and calculates income and resources to determine client financial eligibility.

Conducts collateral cold calls via conference line to obtain verification of client information. Documents case records using automated systems to form a record for each client.

Communicates effectively with others (internally or externally) to provide, exchange, or verify information, answer inquiries, address issues, or resolve problems or complaints.

Perform other duties as assigned. Must be able to work occasional overtime, as required by management, outside of normal hours of operation, which may include weekends when called upon.

Must be able to work in a highly stressful and fast paced environment, under constant pressure to meet required deadlines, interview service times, standards, and thresholds.

Essential Job Functions :

Knowledge Skills Abilities : Knowledge of interviewing techniques to obtain highly personal information, make inquiries, and resolve conflicting client statements

  • Ability to perform basic arithmetic functions, including using decimals and computing percentages
  • Ability to maintain effective working relationships with others
  • Ability to actively listen to clients, elicit, relate and evaluate information, and interpret terms
  • Ability to complete work within specified deadlines
  • Ability to read, understand, and apply a variety of interrelated instructions, such as those found in guidelines, regulations, and policies
  • Ability to establish priorities according to relative importance and deadlines, set goals, and manage time efficiently
  • Ability to identify conflicting information provided by the clients or their authorized representatives
  • Ability to operate computer equipment
  • Ability to operate call center phone equipment
  • Skill in establishing and maintaining effective working relationships, including the ability to work with people under pressure, negotiate among multiple parties, and resolve conflicts
  • Skill in organizing, prioritizing, writing, proofreading, editing, filing, record keeping, and interpersonal communication
  • Skill in communicating effectively both verbally and in writing.
  • Ability to work in a dynamic fast paced and constant changing environment
  • Ability and skill to perform data entry
  • Knowledge of computer functionality and use of Internet, Microsoft Word, Excel and Outlook.
  • Knowledge Skills Abilities :

    Registration or Licensure Requirements : N / A

    Registration or Licensure Requirements :

    Initial Selection Criteria : High School Diploma or GED equivalent required. Sixty (60) semester hours from an accredited college or university preferred.

    Two years’ relevant customer service experience with public contact required which can include retail, call center, clerical, hospitality, banking, receptionist, or similar customer service experience.

    Bilingual (English / Spanish) skills preferred, not required. Current TIERS and Eligibility Workload Management System (EWMS) knowledge preferred.

    Experience to indicate a general understanding of the knowledge, skills, and abilities needed to perform duties required.

    Prefer experience in social service environment which may include but not limited to interviewing clients, gathering personal information, or making eligibility determinations.

    Applicant must indicate willingness to travel as indicated on job posting in order to be considered for employment. Applicant must indicate willingness to work outside the normal business hours of 8 to 5, Monday-

    Friday and willingness to work weekends as needed.

    Inscribirse
    Añadir a los favoritos
    Eliminar de mis favoritos
    Inscribirse
    Mi Correo Electrónico
    Al hacer clic en la opción "Continuar", acepto que neuvoo recolecte y procese mis datos de conformidad con lo establecido en su Política de privacidad . Tengo derecho a darme de baja o retirar mi autorización en cualquier momento.
    Continuar
    Formulario de postulación