Eligibility Specialist II

5 days ago

Spartanburg, South Carolina, United States State of South Carolina Full time
Job Summary

We are seeking an Eligibility Specialist II to join our team at the State of South Carolina. As an Eligibility Specialist II, you will be responsible for determining and re-determining Medicaid eligibility according to Medicaid policies and procedures.

Key Responsibilities
  • Collect and evaluate documentation from applicants to determine individual and family eligibility for the Medicaid program.
  • Complete all assigned eligibility determinations, reviews, and changes in an accurate and timely manner.
  • Use various information sources, electronic tools, and systems provided by the Department to collect, assemble, evaluate, and act upon information provided by applicant/beneficiaries and third parties.
  • Follow policies and procedures for the collection and analysis of applications and documentation.
  • Perform follow-up activities in an efficient and effective manner.
  • Document all notes and steps clearly and completely for review and hand-off to other specialists.
Requirements
  • A high school diploma and experience in customer services, social services, human services, and/or Medicaid processing.
  • A bachelor's degree may be substituted for the required program experience.
  • Overtime and/or weekend work with Deputy approval.
  • Sitting or standing for long periods of time.
  • Lifting requirements: 20 lbs.
  • Occasional overnight travel.
Preferred Qualifications
  • Eligibility Specialists must have a familiarity with computers, standard Microsoft Office software, internet browsers, and the ability to read, write, and speak English in a clear and concise manner.
  • Must be able to perform basic mathematical computations.
  • Eligibility Specialists must be able to work in a professional office environment with a diverse group of teammates and provide excellent customer service either face to face, telephonically or through written communication.
  • Eligibility Specialists must be able to learn, retain, and apply information about federal rules and standards for processing Medicaid eligibility determinations.
  • Specialists must maintain productive workspaces and must perform tasks in an effective manner to ensure the completeness, accuracy, and timeliness of eligibility determinations.
Benefits

The State of South Carolina offers eligible employees generous benefits, including health and dental insurance; retirement and savings plan options; and paid vacation and sick leave. Plus, work-life balance programs such as telecommuting and flexible work schedules are available to employees of some state agencies.

Eligible employees may enroll in health insurance, which includes prescription coverage and wellness benefits. Other available insurance benefits include dental, vision, term life insurance, long term disability and flexible spending accounts for health and child care expenses.

State employees are also offered retirement plan options, including defined benefit and defined contribution plans. Additionally, eligible employees may elect to participate in the South Carolina Deferred Compensation Program, which is a voluntary, supplemental retirement savings plan offering 401(k) and 457 plan options.

State employees may also be eligible for other benefits, including tuition assistance; holiday, annual and sick leave; and discounts on purchases, travel and more.

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