Entitlement Eligibility Specialist

Position Summary: Manage and operate systems skillfully to track the stages of benefit applications and appeals processes that will provide concrete statistical data. The EES Specialist must be resourceful by providing consumers with options and have the ability to explain the possible consequences regarding that consumer’s specific financial situation. The EES Specialist will act as a liaison between the consumer and governmental agencies, until such a time where the consumer has been educated and can advocate for him or herself.
Essential Accountabilities:

• Maintain and encourage confidentially in respect to HIPPA Laws at all times.
• Screen all consumers to assess their eligibility for both private and/or governmental benefits.
• Assist the consumer in completing all applications necessary to apply, appeal, and maintain governmental and/or private benefits.
• Be prepared to travel to all governmental/private agencies (i.e. ALJ Hearings, face-to-face interviews and Social Security visits etc.…).
• Be knowledgeable of your consumer’s financial status.
• Basic mathematical skills are required to maintain accurate consumer balances.
• Prepare consumer allowances as necessary.
• Prepare narrative; excel spreadsheet and statistical reports indicating the consumers’ benefits status in a timely fashion.
• Review, process, scan, document and file all incoming mail/documents as required.
• Notify department members of all emergencies that may arise.
• Assist in the event of EES Department staff shortage, such as vacations, holidays, leaves of absences and vacancies, etc.….
• Maintain accurate information in the department database system for all consumer documents.
• Provide in-service training to WellLife Network. Mental Health/Developmental Disabilities staff and external agencies as needed.
• This does not limit the assignment of duties or exclude the performance of other duties not mentioned, as assigned by the supervisor.

Qualifications: 

• Associate Degree required, Bachelor’s Degree preferred. 
• Excellent oral and written communication skills are required. 
• Must be able to exercise good follow- up and documentation skills, have knowledge of Microsoft office application software. 
• Work experience with Mental Health and Developmental Disabilities populations is required. 
• Must have a valid New York State driver’s license and possession of a vehicle for use while on company time.

About WellLife Network:

ABOUT US: Since 1980, WellLife Network, has been meeting the growing challenges of individuals with intellectual/developmental disabilities and mental illness. Our multidisciplinary approach and centralized referral process help to ensure that each person we serve receives the appropriate range of services and level of care, with an individual treatment plan, coordinated by highly competent and supportive case management professionals. In its early years, WellLife Network operated and maintained community residential facilities for people with developmental disabilities and mental illness, and provided programs of care, service, habilitation, rehabilitation, and social and recreational activities, in a home-like environment. Partnerships Make It Happen For almost four decades, WellLife Network has changed, evolved, and expanded, while remaining true to its mission of meeting the diverse needs of New York communities, businesses, and society and assisting those we serve to achieve greater personal and economic independence. WellLife Network has a long and valued tradition of working in partnership with the government, the business community, private philanthropy, and our colleagues in the nonprofit sector to offer proactive responses to society’s social and economic challenges. Since its founding, the WellLife Network culture has been marked by program growth and organizational development. A Network of Services - A Culture of Caring and Best Practices Today, with an annual operating budget of $100 million, a workforce of 1,800 staff, interns, and volunteers, and an affiliate subsidiary company, WellLife Network delivers critical services in the areas of behavioral health, intellectual/developmental disabilities, housing, co-occurring substance abuse behaviors, family support, vocational training, and care management. These services meet the pressing needs of more than 25,000 individuals and families annually, some 2,000 New Yorkers every single day. A culture of caring, best practices models, a spirit of innovation, and a commitment to measuring results and producing high returns on investment drive our work. A key element to our successful growth is our focus on technology, financial viability, and quality assurance – critical infrastructure supports that enable WellLife Network to deliver services with cost-efficiency, effectiveness, transparency, and accountability in a manner that mirrors the standards of high-performing business enterprises.

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