Fair Hearing Eligibility Specialist

5 days ago

Brooklyn, New York, United States CITY OF NEW YORK INC Full time
Job Title: Fair Hearing Eligibility Specialist

Company Description

Job Description

The Office of the General Counsel/Fair Hearing Administration of the Department of Social Services oversees DSS's fair hearing process, an administrative law procedure designed to resolve disputes concerning benefits, services, and actions in a variety of programs administered by DSS.

DSS Fair Hearing Administration is responsible for providing representation of the Agency at NYS Administrative Hearings in the following program areas:

Cash Assistance (CA), Supplemental Nutrition Assistance Program (SNAP), IREA, HASA and MISCA - Medical Assistance (MA).

Fair Hearing Administration is recruiting for six (6) Eligibility Specialists, Level II to function as a Fair Hearing Eligibility Specialist for their MICSA Fair Hearing Unit.

The Eligibility Specialist's duties and responsibilities include, but are not limited to the following:

  • Gather information regarding client's eligibility for PHI from submitted forms, via face to face contact, or via telephone to ensure compliance with State fair hearings decisions.

Determine PHI eligibility based upon the pertinent laws, rules, regulations, and procedures in order to provide the appropriate action for each Fair Hearing appellant.

  • Contact appellants to discuss eligibility and resolve as many cases as possible before the hearing is scheduled.

Examine and verifies client's eligibility information using the WMS and FHIS and examines the client's Aid to Continue (AC) eligibility and its ramifications for the case and instigate voluntary withdrawals from the fair hearing process.

  • Process extension of Medical coverage for clients entitled to AC and whose Medicaid eligibility is scheduled to expire or has already expired.

Processes \"clock down\" lists by extending coverage for appellants whose hearings have not been scheduled or have been rescheduled.

  • Provide information regarding PHI eligibility to current and potential clients via telephone and in person.
  • Transmit the required Withdrawal of NYS OTDA Fair Hearing Request form (MAP 316P) to the appellants in instances where the voluntary withdrawal is agreed to.

Review the form to ensure that it is duly signed and complete upon its return. This form provides written proof that the appellant has withdrawn their request for a fair hearing.

  • Maintain log of contact with clients, noting issues that have been resolved and cases that have been either resolved or withdrawn.

Forward the MAP-316P form to the Record Management/Carfare Unit for addition to the appellant's file. Prepare daily, weekly, and monthly activity reports for submission to supervisory staff.

  • Consult with the Unit Supervisor on overall problems and complicated cases as needed.

Qualifications

  • Completion of 60 semester credits at an accredited college; or

A four-year high school diploma or its educational equivalent and two years of full-time satisfactory experience in one or more of the following areas;

  • Interviewing, gathering information and/or preparing necessary documentation for the purpose of making decisions concerning eligibility for public assistance or unemployment, health benefits, social security, casualty, property or liability insurance, or other similar benefits; or

Performing bookkeeping, bank teller duties, housing office teller duties, purchasing agent, assistant store manager, sales representative responsible for accounts, or customer service representative responsible for making determinations; or

  • Dealing with social service agencies or aiding individuals in solving housing, social, financial or health problems as a community organization representative; or

A satisfactory combination of education and/or experience equivalent to \"1\" or \"2\" above. College education may be substituted for the experience in \"2\" above on the basis that 30 semester credits from an accredited college may be substituted for each year of required experience. However, all candidates must have at least a four year high school diploma or its educational equivalent.

Special Note

Work experience which provides only incidental opportunities to perform the job duties as described in \"2a\", \"2b\" and \"2c\" above are not acceptable for meeting the minimum qualification requirements.

Examples of unacceptable work experience include, but are not limited to, experience as a token clerk, check-out clerk, sales clerk, teacher's aide, cashier, receptionist or secretary.

Additional Information

The City of New York is an inclusive equal opportunity employer committed to recruiting and retaining a diverse workforce and providing a work environment that is free from discrimination and harassment based upon any legally protected status or protected characteristic, including but not limited to an individual's sex, race, color, ethnicity, national origin, age, religion, disability, sexual orientation, veteran status, gender identity, or pregnancy.

  • Fair Hearing Eligibility Specialist

    2 weeks ago

    Brooklyn, New York, United States CITY OF NEW YORK INC Full time

    Job Title: Fair Hearing Eligibility SpecialistJoin the City of New York Inc. team as a Fair Hearing Eligibility Specialist, where you will play a crucial role in ensuring the fair and efficient administration of public benefits.About the RoleThe Fair Hearing Eligibility Specialist will be responsible for gathering information regarding clients' eligibility...

  • Fair Hearing Eligibility Specialist

    4 days ago

    Brooklyn, New York, United States CITY OF NEW YORK INC Full time

    Job Title: Fair Hearing Eligibility SpecialistThe Office of the General Counsel/Fair Hearing Administration of the Department of Social Services oversees the fair hearing process, an administrative law procedure designed to resolve disputes concerning benefits, services, and actions in various programs administered by DSS.As a Fair Hearing Eligibility...

  • Eligibility Specialist

    1 month ago

    Brooklyn, New York, United States CITY OF NEW YORK INC Full time

    Job Title: Eligibility SpecialistDomestic Violence Services (DVS) is seeking two (2) Eligibility Specialists to join our team in the Domestic Violence Liaison Division/AVENT Division.Job Summary:Under the direct supervision of an Eligibility Supervisor, the Eligibility Specialist will be responsible for determining eligibility for public assistance for...

  • Eligibility Specialist III

    2 weeks ago

    Brooklyn, New York, United States CITY OF NEW YORK INC Full time

    Job Title: Eligibility Specialist IIIDomestic Violence Services (DVS) is seeking two (2) Eligibility Specialist III to function as Eligibility Specialists in the Domestic Violence Liaison Division/AVENT Division.Job Summary:Under the direct supervision of Eligibility Supervisor, the Eligibility Specialist III will be responsible for determining eligibility...

  • Eligibility Specialist III

    5 days ago

    Brooklyn, New York, United States CITY OF NEW YORK INC Full time

    Job Title: Eligibility Specialist IIIDomestic Violence Services (DVS) is seeking two (2) Eligibility Specialist III to function as Eligibility Specialists in the Domestic Violence Liaison Division/AVENT Division.Key Responsibilities:Inform participants about time-limited benefits and objectives of the program aimed at overcoming barriers to employment and...

  • Medicaid Eligibility Specialist

    2 weeks ago

    Brooklyn, New York, United States CITY OF NEW YORK INC Full time

    Job Title: Medicaid Eligibility SpecialistJoin the City of New York Inc. team as a Medicaid Eligibility Specialist, where you will play a crucial role in determining the eligibility of Medicaid applicants. As a key member of the Office of Constituent Services /Ombudsman, you will be responsible for interviewing applicants, reviewing their documentation, and...

  • Medical Eligibility Specialist

    5 days ago

    Brooklyn, New York, United States CITY OF NEW YORK INC Full time

    Job Summary: We are seeking a highly skilled Medical Eligibility Specialist to join our team at the City of New York Inc.Key Responsibilities:Conduct comprehensive reviews of applications, including financial and legal documentation, to determine Medicaid eligibility.Respond to inbound and outbound telephone calls from clients and authorized representatives...

  • Medicaid Eligibility Specialist

    1 month ago

    Brooklyn, New York, United States City of New York Full time

    Job SummaryWe are seeking a highly skilled and detail-oriented Medicaid Eligibility Specialist to join our team at the City of New York. As a Case Reviewer, you will play a critical role in determining the eligibility of Medicaid applicants and ensuring that they receive the benefits they are entitled to.Key ResponsibilitiesConduct thorough reviews of...

  • Medicaid Eligibility Specialist

    2 weeks ago

    Brooklyn, New York, United States CITY OF NEW YORK INC Full time

    Job SummaryWe are seeking a highly skilled Eligibility Specialist II to function as an EIS Case Reviewer within the Medicaid Eligibility Information Services (EIS) team. As a key member of our team, you will be responsible for interviewing Medicaid applicants, reviewing their documentation, and determining eligibility for Medicaid.Key ResponsibilitiesRespond...

  • Eis Case Reviewer

    5 days ago

    Brooklyn, New York, United States CITY OF NEW YORK INC Full time

    Job SummaryThe Office of Constituent Services /Ombudsman is seeking two Eligibility Specialist II's to function as EIS Case Reviewers who will respond to inbound and outbound telephone calls, interview and/or review documentation, and determine eligibility for Medicaid.Key ResponsibilitiesRespond to client inquiries related to Medicaid coverage, including...

  • Quality Assurance Specialist, Mandarin Language Expert

    1 week ago

    Brooklyn, New York, United States Demo - Maximus Full time

    Maximus is seeking a highly skilled Quality Assurance Specialist to support the Conflict-Free Evaluation and Enrollment Center Expansion Project (CFEEC) in New York City.This position will provide critical support to the CFEEC Project, ensuring the highest level of quality in consumer notices and reports.The ideal candidate will have a strong analytical...

  • Pediatrician - Board Certified or Eligible

    1 month ago

    Brooklyn, New York, United States Greenlife Healthcare Staffing Full time

    Job Title: PediatricianWe are seeking a highly skilled Pediatrician to join our team at a Pediatric Group located in Brooklyn, New York.Requirements:Active state licenseBoard Certified or Board EligibleBilingual in RussianBenefits:$180,000 / year (negotiable)Full benefits packageResponsibilities:Diagnose and treat illnesses, medical conditions, and...

  • Veterinary Medicine Specialist

    5 days ago

    Brooklyn, New York, United States USVTA Full time

    Job Opportunity:We are seeking a skilled Veterinary Medicine Specialist to join our team at USVTA. The ideal candidate will have a Doctor of Veterinary degree and be licensed to practice in their state. As a Veterinary Medicine Specialist, you will have the opportunity to practice advanced medicine with a cohesive and tenured team.Responsibilities:- Provide...

  • Quality Assurance Specialist, Korean Language Expert

    5 days ago

    Brooklyn, New York, United States Demo - Maximus Full time

    Maximus is seeking a highly skilled Quality Assurance Specialist to support the Conflict-Free Evaluation and Enrollment Center Expansion Project (CFEEC) in New York City.This position will provide quality assurance support to the CFEEC Project, ensuring that consumer notices are accurate and meet quality standards.The ideal candidate will have at least 2...

  • Oncology Nurse Specialist

    4 days ago

    Brooklyn, New York, United States Supplemental Health Care Full time

    Job Title: Oncology Nurse SpecialistJob Description:Supplemental Health Care is a leading provider of healthcare staffing solutions, and we are currently seeking an experienced Oncology Nurse Specialist to join our team. As a Oncology Nurse Specialist, you will have the opportunity to work with a variety of patients, providing high-quality care and support...

  • Social Services Specialist

    2 weeks ago

    Brooklyn, New York, United States Equus Full time

    Job Title: SSI/SSDI Case Specialist-WeCAREAt Equus Workforce Solutions, we are committed to providing comprehensive workforce solutions that empower individuals to achieve their career goals. As a SSI/SSDI Case Specialist-WeCARE, you will play a vital role in supporting customers in their journey to receive federal disability benefits.Key...

  • Social Services Specialist

    1 month ago

    Brooklyn, New York, United States Equus Full time

    Job SummaryWe are seeking a highly motivated and detail-oriented Social Services Specialist to join our team at Equus Workforce Solutions. As a Social Services Specialist, you will play a critical role in supporting individuals in their journey to receive federal disability benefits.Key ResponsibilitiesWork closely with customers to understand their needs...

  • Career Transition Specialist

    1 week ago

    Brooklyn, New York, United States Career Systems Development Corporation Full time

    Career Transition SpecialistWe are seeking a highly motivated and experienced Career Transition Specialist to join our team at Career Systems Development Corporation. As a Career Transition Specialist, you will be responsible for counseling students in all aspects of career transition readiness, job search skills, job placement, and job retention.Key...

  • Intake Coordinator Specialist

    2 weeks ago

    Brooklyn, New York, United States Med-Metrix Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Intake Coordinator to join our team at Med-Metrix. The successful candidate will be responsible for coordinating the Medicaid application process for patients of our hospital clients, ensuring prompt payment to our client hospitals.Key ResponsibilitiesContact patients and screen for Medicaid...

  • Engagement Specialist

    1 month ago

    Brooklyn, New York, United States Equus Full time

    Job SummaryWe are seeking a highly motivated and detail-oriented Engagement Specialist to join our team at Equus Workforce Solutions. As an Engagement Specialist, you will play a critical role in conducting outreach to customers, scheduling clinical assessments, and ensuring customer engagement throughout the clinical assessment and service participation...