Eligibility Specialist

1 week ago


Shakopee, Minnesota, United States Scott County Full time
Job Summary

The eligible register developed from this posting may be used to fill future FT and PT vacancies within this classification. As an Eligibility Specialist with Scott County, you will perform a variety of tasks related to the determination of eligibility for Public Assistance programs.

Key Responsibilities
  • Accurately code MMIS billing systems with resident's health care eligibility information.
  • Determine eligibility through processing applications, face-to-face interviews, and asset assessments for all programs in accordance with Federal, State, and County guidelines.
  • Evaluate ongoing case eligibility and process household changes as reported or discovered.
  • Explain and interpret policies, rules, and procedures for clients, other individuals, or to groups.
  • Provide orientation overviews, explain options and processes, and serve as an ongoing client resource and advocate.
  • Coordinate services, collaborate, and correspond with internal and external providers.
  • Maintain current knowledge of policies for all programs and share that knowledge with residents and program participants.
  • Enroll participants in health plans, including METS/Health Care Exchange, and determine cost effectiveness of employer-offered health insurance.
  • Serve as a client advocate and investigate and resolve problems related to managed care.
  • Utilize and navigate between multiple computer programs to access and provide benefit information and to ensure accurate interfaces and referrals.
  • Coordinate services to gather necessary medical documentation to allow the state to make disability determinations.
  • Prepare and participate in appeals processes and take appropriate action based on appeal decision.
  • Operate within laws that govern Data Privacy and Freedom of Information.
  • Work the hours and/or shifts assigned and begin and end work on time.
Requirements
  • Requires high school diploma/GED and four years of related work experience, or high school diploma/GED plus one or more years post-secondary education and two years of related work experience, or an Associate's degree or higher.
  • Related work experience MUST BE in a position involving health and human services, program eligibility, or working to determine and provide public assistance benefits to a broad range of clientele.
  • The incumbent shall provide a reliable means of transportation for the performance of work responsibilities.
  • Recent MAXIS/METS system or Financial Worker/Eligibility Specialist experience and bilingual abilities strongly preferred.
Selection Process

Selection for this position will be based on a minimum qualifications screening and rating of training and experience. Top candidates will be forwarded to the hiring manager or supervisor for consideration for interview and/or additional assessments. Final selection will include a background check and approval by the County Board.



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