Consumer Benefits Specialist

Bluebonnet Trails Community Services; Bastrop (TX); On-site; USD 30,000 - 36,000; Full time

Job summary

Bluebonnet Trails Community Services seeks a Consumer Benefits Specialist to assist clients with Medicaid eligibility and entitlements, and to support SSI/SSDI applications and appeals. You will coordinate renewals, provide referrals, and participate in trainings across BTCS programs.

The role requires a Human Services background, knowledge of Medicaid/Medicare, and SOAR certification or willingness to obtain it within six months. A Texas driver’s license is required.

Qualifications

• Bachelor’s degree in Human Services field.
• If degree is not in Human Services, 24 credits in a human services field.
• Applicable experience may substitute for bachelor’s degree.
• Knowledge of Medicaid, Medicare, and Social Security applications.
• Experience working with persons with disabilities in healthcare or rehab.
• Strong computer and communication skills.
• Ability to work as a team member to support the overall benefits needs of persons served.
• SOAR certification or willing to obtain within the first 6 months.
• Must have a valid Texas driver’s license and maintain approved status throughout employment.

Responsibilities

• Assist consumers with determining eligibility for Medicaid benefits and access to entitlements, and aid SSI/SSDI applications and appeals.
• Provide community referrals and representation during administrative hearings.
• Support benefit renewal and ongoing eligibility for Medicaid programs (QMB, MQMB, waivers).
• Present or staff trainings across programs and departments as needed.
• Serve regionally across Bastrop, Fayette, and Lee locations and coordinate with referral vendors.

Skills

Medicaid knowledge

Disability services experience

Computer & communication skills

Team player

SOAR certification

Texas driver's license

Education

Bachelor’s degree in Human Services

24 credits in Human Services

Job description

The Consumer Benefits Specialist provides consumers with assistance in determining eligibility for, access to and maintenance of Medicaid benefits and entitlements and meets with consumers to aid assistance with SSI/SSDI program application process and follow-up, to include referrals to vendors for assistance with benefits, initial applications, administrative law judge hearings, claims, and appeals.

The Consumer Benefits Specialist also provides community referrals, and representation during administrative law judge hearings in a court setting and meets with consumers to provide benefit renewal assistance with the application process and maintenance of eligibility for Medicaid programs such as QMB, ,MQMB and various Medicaid waivers. Make necessary social service referrals within the community based on consumer needs such as food stamps, and ANF, Medicare prescription extra help applications. Serve as presenter and/or designee on trainings across programs and departments.

The consumer benefits specialist will serve in a regional capacity supporting multiple locations that will include Bastrop, Fayette, and Lee and work closely with referral vendors as primary referral contact.

Location: Bastrop, TX, La Grange, TX and Giddings, TX BTCS locations

Hourly Salary Range: $21.46 - $26.21

Differential Detail

• $1.00/hour, tenure with BTCS
• $1.00/hour, previous experience in a similar role
• $1.00/hour - Career Ladder Specialty
• .75/hour - Bilingual

Join our dynamic and enthusiastic Team dedicated to continuously improving the health and independence of the persons we serve.

Minimum Qualifications

Bachelor's degree in Human Services field.

• If degree is not in Human Services, a minimum of 24 credits in a human services field.

Applicable experience may substitute for bachelors degree.

Knowledge of Medicaid, Medicare, and Social Security applications.

Experience working with persons with disabilities in a healthcare or rehab setting.

Strong computer and communication skills.

Ability to work as a member of a team to support the overall benefits needs of persons served.

Candidate should have SOAR certification or willing to obtain within the first 6 months.

Must have a valid Texas drivers license and maintain approved drivers status throughout employment.

Preferred Qualifications

Texas Community Partner Application and Case Assistance Certificates.