DHS - Eligibility Specialist II

Pueblo County; Pueblo (CO); Hybrid; USD 42,000 - 54,000; Full time

Benefits offered by this job

Comprehensive Benefits package

Generous Vacation and Sick Leave

Remote & Hybrid working opportunities

County Retirement Program

Autonomy to grow and find your career

Inclusive and diverse environment

Fitness Center

Paid Parental Leave (up to 12 weeks)

Job summary

Pueblo County is seeking an Eligibility Specialist to determine Medicaid/SNAP and related public assistance eligibility. You will gather information, verify details, and maintain case files across multiple systems with moderate independence.

Collaboration with providers and court proceedings may be required. The role offers remote & hybrid work opportunities, a robust benefits package, and career growth in a supportive environment.

Qualifications

• Two years or more of administrative support experience.
• Two years or more experience performing as an Eligibility Specialist.
• Experience working with diverse populations and maintaining case files.

Responsibilities

• Gathers, reviews information from applicants and recipients to determine eligibility.
• Verifies information via direct contact, collateral contacts, phone contacts, and system interfaces.
• Informs applicants of requirements and assists with forms; notifies of appeal rights and procedures.
• Maintains case files and prepares documentation to initiate, continue, and modify public assistance.
• Interacts with service providers and other agencies to achieve positive outcomes.
• Assists in court hearings and appeals; may testify.
• Determines need for recovery of funds or referrals for fraud investigations.
• Provides training and technical support to new staff.

Skills

Administrative support

Eligibility Specialist

Data entry

Communication

Education

High School Diploma or GED

Tools

Mainframe access

Job description

Under minimal supervision, applies rules, regulations, and procedures to determine eligibility for public assistance programs for families and/or adults in the Medicaid and/or Supplemental Nutrition Assistance Program (SNAP, also known as food assistance) and Long Term Care and/or Adult Financial program areas of the Department of Human Services.

Pursuant to the Collective Bargaining Agreement, members of the DHS Bargaining Unit will be given hiring preference.

Supervisor: Stacia Lippert

Unit: Ongoing

This vacancy announcement may be used to fill multiple positions.

• Gathers, assembles, and reviews information from applicants and recipients regarding financial and non-financial criteria relevant to initial or continued eligibility. Establishes and maintains case files; prepares necessary documentation to initiate, continue, and modify public assistance; plans and organizes caseload to ensure that necessary work is completed in accordance with regulations relating to eligibility and timeliness.
• Verifies information by direct contact, collateral contacts, phone contacts, and system interfaces. Enters and updates case/customer information within the automated computer system. Interviews customers to obtain general case information and requests supporting documentation from customers as necessary.
• Informs applicants/recipients of the relevant requirements and benefits of the program for which they have eligibility; assists applicants with completing forms; secures documents; notifies applicants of appeal rights and procedures in response to notices generated by the computer with moderate independence. Keeps customers informed of changes in laws or regulations that affect them. Approves/denies applicants based upon review of case information, in accordance with program rules and regulations under intermittent case checks as performed by lead and/or manager.
• Complex data entry through multiple County and State computer systems requiring detailed, specific program knowledge with moderate independence. Ability to pull social security numbers from the MainFrame processing system. Maintains inquiry-level access in multiple State and County computer systems for basic case information as necessary.
• Provides administrative support for assigned programs including, but not limited to, maintaining records, and verifying accuracy of records.
• Partners with service providers and other agencies to achieve positive outcomes for customers.
• Assists in preparation for documentation and cases for presentation in court hearings and serves as a representative at county and state evidentiary hearings or appeals; testifies as necessary.
• Determines the need for recovery of funds or referral for fraud investigation and completes reports to the proper investigative resource in cases of suspected fraud.
• Assists co-workers as necessary; Provides training and technical support to new and temporary eligibility specialists.
• Attend outreach events as needed.
• May be required to work mandatory overtime.
• May be required to work alternate schedules and in other Pueblo County locations.

EDUCATION

• High School Diploma or GED equivalency required.

EXPERIENCE

• Minimum of two (2) years or more of administrative support experience or related clerical work required.
• Minimum of two (2) years or more experience performing as an Eligibility Specialist required.

SPECIAL REQUIREMENTS

• Must successfully pass background check.

• Comprehensive Benefits package (medical, dental, vision, etc.) for full-time employees
• Generous Vacation and Sick Leave Accrual
• Remote & Hybrid working opportunities
• County Retirement Program
• Autonomy to grow and find your career path with supportive leadership
• Truly inclusive and diverse environment
• Fitness Center (Historic Pueblo Courthouse Building)
• May be eligible for up to 12-week Paid Parental Leave Benefits (full-time employees)