Eligibility Trainee/ Professional
2 weeks ago
Employment Benefits
Comprehensive medical, mental, dental, vision, and additional coverage Sick & Vacation leave Work-Life Balance programs: parental leave, military leave, jury leave, funeral leave Paid State Holidays (designated by the Governor annually) Fitness Centers in select locations Employee discounts with the Retirement and deferred compensation programsPosition Summary & Responsibilities
Position Summary:
The Eligibility Trainee/ Professional (K0228291) Complete the eligibility determination for KanCare (Medicaid and CHIP) and other family medical programs in a timely, accurate and customer responsive manner. This determination is a situation utilizing screening information compiled by the KanCare Eligibility contractor. Investigation of the customer’s circumstances through the use of available computer information systems, researching records provided by the customer and direct customer contact provide the information upon which the eligibility determination is based. Operation of a computer is essential to document eligibility decisions.
Develop a positive working relationship with KanCare Eligibility contract staff in order to assist customers in accessing appropriate services. Represents the agency to the contractor and uses a non-judgmental attitude, communication skills and a working understanding of human behavior to establish an atmosphere in which mutual goals are achieved and positive working relationships are maintained. Act as a resource to the KanCare Eligibility contractor. This may include one-on-one assistance with the screening of medical applications and reviews in addition to medical eligibility determinations.
Job Responsibilities may include but are not limited to the following:
Analyzes the implications of policy and procedural decisions and provides input regarding the impact on customers, staff and the operation of medical programs. Uses knowledge of state eligibility processes and policies and procedures governing managed care enrollment to coordinate and advise on work processes, interpret guidelines or instructions, elicit opinions, resolve conflicts or give guidance to agency and contract staff.
Qualifications
Education : High School, GED Licensing & Certification: Valid Driver's License - Incumbent is required to have and maintain a valid driver's license when operating a state vehicle, a private vehicle, or a rental vehicle for the benefit of the State. Minimum Qualifications: Two years of experience interacting with clients, customers, or the public in a social service, customer service, or problem resolution setting. Education may be substituted for experience as determined relevant by the agency. Preferred Qualifications: Word, Excel, PowerPoint, Access Proofreading, editing, attention to detail Independent judgment and initiative Effective communication both verbal and written Experience working in a paperless system or using imaging Experience providing excellent customer service Experience interviewing, investigating, compiling information, and documenting decisions Experience making eligibility determinations using regulations, policies, and procedures Medicaid experience using regulations, policies and procedures-
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