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Eligibility Specialist

2 months 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.

This position performs a variety of tasks related to the determination of eligibility for Public Assistance programs, including Cash Programs, Emergency Programs, Food Support, and Health Care Programs. The incumbent reviews cases to assess needs fit with program rules and ensures complete and accurate case documentation. Work is performed in an office setting.

Please note that the salary range listed is the hiring range. The salary offered for this position will be determined by the experience of the best suited candidate.

Essential Duties
  • Accurate Data Entry: Accurately codes MMIS billing systems with resident's health care eligibility information.
  • Eligibility Determination: Determines eligibility through processing applications, face-to-face interviews, and asset assessments for all programs in accordance with Federal, State, and County guidelines; evaluates ongoing case eligibility; processes household changes as reported or discovered.
  • Client Communication: Explains and interprets policies, rules, and procedures for clients, other individuals, or to groups; explains client rights and responsibilities; provides orientation overviews; explains options and processes; serves as ongoing client resource and advocate.
  • Service Coordination: Coordinates services; collaborates and corresponds with internal and external providers.
  • Knowledge Management: Maintains current knowledge of policies for all programs and shares that knowledge with residents and program participants to keep them informed of their rights and responsibilities.
  • Health Plan Enrollment: Enrolls participants in health plans, including METS/Health Care Exchange; determines cost effectiveness of employer-offered health insurance; serves as client advocate and investigates and resolves problems related to managed care.
  • Computer Navigation: Utilizes and navigates between multiple computer programs to access and provide benefit information and to ensure accurate interfaces and referrals.
  • Disability Determination: Coordinates services to gather necessary medical documentation to allow the state to make disability determinations.
  • Appeals Process: Prepares and participates in appeals processes; takes appropriate action based on appeal decision.
  • Data Privacy: Operates within laws that govern Data Privacy and Freedom of Information.
  • Work Schedule: Works the hours and/or shifts assigned and begins and ends work on time.
Minimum Qualifications
  • 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.
  • One must possess excellent interpersonal skills and be able to multi-task in an environment with changing priorities.