Eligibility & Case Manager - Medicaid & Social Services

Knowledge Services; Fort Wayne (IN); On-site; USD 20,000 - 29,000; Full time

Benefits offered by this job

Paid time off

Benefits

40-hour work week

Job summary

Knowledge Services in Fort Wayne, IN is seeking an Eligibility Specialist to process applications and maintain cases in the State eligibility system on-site. You will handle inbound calls from Medicaid, SNAP, and TANF applicants and recipients, resolving client service issues per FSSA policies and procedures.

The role requires a high school diploma or equivalent, Indiana eligibility experience preferred, and strong problem-solving and communication skills.

Qualifications

• Must have a High School Diploma, GED, or equivalent.
• Indiana Eligibility experience strongly preferred.
• Demonstrates strong critical thinking and problem-solving skills.
• Excellent communication and interpersonal skills.
• Accurate data entry, typing at least 40 keystrokes per minute.

Responsibilities

• Applies eligibility rules and regulations when evaluating information submitted by customers in support of initial or continuing eligibility determination.
• Checks various system interfaces and exchanges to verify Customer information.
• Assist in answering all in-coming phone calls from customers.
• Attend meetings and trainings as requested and maintains up-to-date knowledge of all programs and systems.
• Contacts customers to clarify eligibility information if necessary.
• Displays excellent communication skills, and an understanding of human behavior to establish an atmosphere in which all contacts are positive.
• May educate customers on basic program services and eligibility requirements.
• Meets Quality Assurance (QA) and other key performance metrics.
• Maintains updated knowledge of project and corporate policies and procedures.
• Verifying data, reviewing case information, and preparing it for case disposition by the State Eligibility Consultant.
• Reprocesses applications, including case repair, and missing information responses in an accurate and timely manner.
• Ability to identify risk by escalating to management and routing technical issues to the appropriate staff.
• Meets all performance requirements associated with eligibility processes.
• Performs other duties as may be assigned by management.

Skills

Critical thinking

Problem-solving

Interpersonal skills

Attention to detail

Typing 40 wpm

Communication skills

Education

High School Diploma, GED or equivalent

Some college preferred

Job description

Knowledge Services in Fort Wayne, IN is seeking an Eligibility Specialist to process applications and maintain cases in the State eligibility system on-site. You will handle inbound calls from Medicaid, SNAP, and TANF applicants and recipients, resolving client service issues per FSSA policies and procedures.

The role requires a high school diploma or equivalent, Indiana eligibility experience preferred, and strong problem-solving and communication skills.