Economic Support Specialist

1 month ago

Appleton, United States Outagamie County Full time

The Economic Support Specialist establishes eligibility for Economic Support Programs in accordance with policy. The ideal candidate will have the ability to manage multiple priorities and work in a fast-paced environment. They must also possess critical thinking skills, adapt to change quickly and have good time-management skills. The position allows for telecommuting up to 60% of the time after successful training completion. New Economic Support Specialists must attend virtual, state-sponsored training for approximately 6 – 8 weeks. During that time trainees have access to Staff Development Specialists for support, additional training, resources, coaching and practice in a training environment. Location: Department of Health and Human Services (DHHS) at 320 S. Walnut St. in Appleton, WI Hours: Monday-Friday 8:00 AM - 4:30 PM The following duties are most critical for this position. These are not to be construed as exclusive or all-inclusive. Other duties may be required and assigned: Maintain knowledge of complicated and ever-changing Federal and State rules, policies and procedures for numerous Income Maintenance programs that support the very basic needs (health care, food, shelter, and child care) of customers. Programs include: Medicaid for the Elderly, Blind, and Disabled; other subprograms of Medicaid; BadgerCare Plus; FoodShare; Caretaker Supplement; Child Care Authorizations and Subsidies. Determine eligibility for emergency benefits or priority benefit issuance and manually determine eligibility for non-automated programs and prepare Medicaid certifications. Manage a caseload of 500 or more cases made up of adults, children and families with unique living and financial circumstances. This includes conducting interactive, investigative interviews with customers and/or their legal representative; determining accurate benefit levels by ensuring computer-generated results are accurate; authorizing the issuance of benefits from multiple programs; processing changes to income, assets, household composition and other factors that impact eligibility; assembling required verification; scrutinizing data received from other state and county agencies such as wages and benefits, asset verifications, social security, out-of-state benefits, and child support orders; resolving discrepancies between what is reported by applicants and recipients and what is reported by other agencies; acting on situations that may involve fraud. Upon subpoena, appear and testify in circuit court or jury trial. Coordinate services with child support specialists for paternity establishment and enforcement of Child Support orders; explain good cause criteria for non-cooperation with child enforcement that may involve sexual assault, domestic abuse, child abuse, or emotional abuse. Coordinate with social workers and the ADRC (Aging and Disability Resource Center) to ensure customer needs are met. As mandatory reporters, contact the intake worker located in the Children, Youth and Families Division or the Adult Protective Services Division if abuse or neglect is suspected or witnessed. Refer customers ineligible for Medicaid or BadgerCare Plus to the Federally Facilitated Marketplace (FFM). Calculate the amount of benefit over issuance using Federal and State rules and regulations to create a budget analysis of the reporting quarters impacted. Generate notices to customers alerting them to the overpayment and repayment responsibilities. Refer applicants (front-end verification) and recipients to the fraud investigator and assist in the discovery of information and evidence. Perform as a responsible steward of Federal, State and Local funds. Meet agency, consortium, and state performance requirements and state contract requirements such as timely case processing, FoodShare error rates, call center wait times and speed of answer. Provide timely and quality service to customers, legal representatives and guardians, corporation counsel and attorneys, federal and state staff, and health care professionals in a proficient and empathetic manner and abiding all mandated client confidentiality rules. Navigate numerous systems and databases including: CARES/CARES Worker Web (CWW), Electronic Case File (ECF), Automated Case Directory (ACD), Child Care Electronic Benefits (EBT CSAW), Benefit Recovery Investigation System (BRITS), Alien Verification System (SAVE), Forward Health, DOT Division of Motor Vehicles, Web Access Management Systems (WAMS), Kids Information Data System (KIDS), and Call Center Anywhere (CCA). Decipher complicated documents such as tax forms and schedules, wills and trusts, life and burial insurance, promissory notes, annuities, legal affidavits, child support and child placement court orders, and financial aid awards as part of the eligibility determination process and to determine cost shares based on family circumstances such as, income, assets, spousal impoverishment, medical information, and undue hardship. Represent the State and Outagamie County Health and Human Services at hearings by preparing case details, collecting evidence, and providing testimony before an Administrative Law Judge. Minimum Requirements: Bachelor's Degree in a related field, OR Associates Degree in a related field with 2 years of related experience, OR Successful completion of the training required to perform duties of an Economic Support Specialist or other position that determines eligibility for Health Care, FoodShare, or Child Care and demonstrated ability to successfully manage an economic support/income maintenance caseload. Additional Qualifications: Ability to effectively communicate verbally or in writing with customers with limited reading, writing, and speaking ability. Spanish and/or Hmong bilingual skills preferred. Comprehend and interpret complex policy and procedure manuals and legal, medical, and financial documents, and communicate with other professionals such as attorneys, social workers, and legal representatives. Assist in the planning, development and evaluation of the agency's needs. Ability to be flexible and responsive as demands change and to work independently and be a positive team member. Adhere to professional ethics and standards. Must be organized, dependable, and accurate. Ability to use call center software and equipment and to operate a variety of other office equipment including computer, calculator, telephone, scanner and fax machine. Ability to add, subtract, multiply, and divide and to calculate decimals and percentages. OUTAGAMIE COUNTY IS AN EQUAL OPPORTUNITY EMPLOYER. IN COMPLIANCE WITH THE AMERICANS WITH DISABILITIES ACT, THE COUNTY WILL PROVIDE REASONABLE ACCOMMODATIONS TO QUALIFIED INDIVIDUALS WITH DISABILITIES AND ENCOURAGES BOTH PROSPECTIVE EMPLOYEES AND INCUMBENTS TO DISCUSS POTENTIAL ACCOMMODATIONS WITH THE EMPLOYER. #J-18808-Ljbffr

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