Eligibility Specialist

Scott County

United States

On-site

USD 40,000 - 47,000

Full time

3 days ago

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Benefits offered by this job

Health Insurance

Paid Holidays

Paid Time Off

Job summary

Scott County is seeking an Eligibility Worker to determine financial eligibility for public assistance programs. The role involves processing applications, renewals, and changes, explaining policies, and guiding clients through complex program rules.

You will review financial documents, coordinate with providers, and maintain accurate case records while staying compliant with privacy laws. Strong communication and multitasking are essential.

Qualifications

High school diploma or GED with related public assistance experience or higher education.
Experience and bilingual abilities are strongly preferred for this role.
Knowledge of eligibility rules across programs is essential.

Responsibilities

Determines eligibility through processing applications, renewals, and changes in circumstances.
Interprets policies and guides clients through complex program rules.
Reviews and analyzes tax, financial, and legal documents for eligibility.
Coordinates with internal/external providers to ensure access to services.
Maintains accurate client case records in electronic systems.

Skills

Customer service

Interpersonal skills

Multi-tasking

Communication

Problem solving

Team collaboration

MS Office

Data privacy awareness

Education

High school diploma or GED + 4 years related experience

High school diploma or GED + 1 year post-secondary + 2 years related experience

Associate's Degree + 1 year related experience

Bachelor's Degree related to human services, business, or accounting

Recent public assistance eligibility experience & bilingual abilities

Tools

MS Office

Job description

Job Summary

Hiring Range: $29.09-$34.22 Full Pay Range: $27.37 - $41.06 Job Summary: Performs a variety of tasks related to the determination of eligibility for Public Assistance programs (cash programs, emergency programs, food support, county burial, and health care programs). Reviews cases and program rules to ensure complete and accurate case documentation. Exercises professional judgment, critical thinking, and in-depth analysis of information collected from clientele and multiple data sources in order to determine financial eligibility for programs. *The eligible register developed from this posting may be used to fill future FT or PT or on-call vacancies within this classification*

Essential Duties

Determines eligibility through processing applications, renewals, and changes in circumstances for all programs in accordance with federal, state, and county policies and procedures.
Interprets, explains, and guides clients through complex and frequently changing policies for multiple programs; serves as a client resource and advocate.
Reviews, analyzes, and interprets complex tax, financial, and legal documents as needed for specific program eligibility requirements; consults with the County Attorney's office as required.
Codes MMIS billing systems accurately and timely with enrollees’ eligibility, allowing for payments to health care providers.
Coordinates, collaborates, and corresponds with internal and external providers to ensure clients have access to and are informed on all available services.
Maintains accurate client case records within the county's electronic document management system.
Maintains current knowledge of multiple complex program policies for all programs and shares that knowledge with residents and program participants to keep them informed of their rights and responsibilities.
Enrolls participants in managed health care plans; determines cost effectiveness of employer-offered health insurance and reimburses eligible participants; serves as client advocate and investigates and resolves problems related to managed care.
Utilizes and navigates between multiple case and document management systems for access to benefit information; conducts manual eligibility determinations as needed.
Represents the county in appeal hearings in the presence of a Human Services judge where the appellant may be represented by an attorney.
Prepares appeal summaries citing relevant policy and statute pertaining to the issue being appealed; takes appropriate and timely action based on appeals decision.
Operates within laws that govern Data Privacy and Freedom of Information.
Works the hours and/or shifts assigned and begins and ends work on time.
Performs other related duties as required or assigned.

Minimum Qualifications

Must have one of the following:

High school diploma or GED and 4 years of related work experience in a position involving health and human services or working to determine program eligibility for public assistance benefits for a broad range of clientele.
High school diploma or GED plus one year of post-secondary education and 2 years of related experience.
Associate's Degree and 1 year of related experience.
Bachelor's Degree Education must be related to human services, business, or accounting.
Recent public assistance eligibility experience and bilingual abilities strongly preferred.
One must possess excellent interpersonal skills and be able to multi-task in an environment with changing priorities.
The incumbent must have a reliable means of transportation for the performance of work responsibilities.

Supervisory Controls

With latitude for independent judgment, the employee is under general supervision of an Eligibility Supervisor. The employee follows established procedures and guidelines. Work is reviewed on a systematic basis by State Quality Control reviewers, a supervisor, or a trainer. The incumbent may provide training and assistance to other employees.

Core Competencies and Abilities

Customer Service - Delivers government services in a respectful, responsive, and solution-oriented manner.
Communication - Is always clear about what we're doing and why we're doing it.
Collaboration - Works with partners – communities, schools, faith groups, private business, and non-profit agencies – to see that services are not duplicated but rather are complimentary, aligned, and provided by the partners who can deliver the service most effectively.
Stewardship - Works proactively to make investments, guided by resident input, which will transform lives, communities, and government.
Empowerment - Works with individuals and families to affirm strengths, develop skills, restore hope, and promote self-reliance.
Resiliency - Fosters public preparedness and responds when families and communities face health and safety emergencies.
Innovation - Takes informed risks to deliver services more effectively and learns from successes and failures.
Knowledge - Knowledge of statutory and regulatory requirements of federal, state, and county public assistance programs.
Knowledge of agency programs, operations, policies and procedures, and available community resources.
Demonstrates knowledge and understanding of human behavior, cultural diversities, and language barriers to ensure equitable service delivery.
Knowledge of financial case management and interviewing techniques.
Ability to analyze facts and methodically problem solve.
Ability to provide assistance to others.
Ability to effectively organize and coordinate work activities.
Ability to establish and maintain effective working relationships with employees, clients, and the public.
Ability to prepare reports and to accurately and rapidly process detailed information.
Ability to establish and maintain accurate and systematic records.
Ability to use MS Office software for the performance of essential duties.
Ability to use appropriate discretion in dealing with matters of a confidential nature.

Work Environment and Physical Demands

Typical characteristics of the regular, ongoing work environment of this position requires 40 hours of inside work, typically in an office setting. Some field work may be required. The position is multi-task oriented and includes periods of stress when balancing the needs/demands of multiple clients. Physical activities include sedentary to light work: Reaching, sitting, standing, walking, pushing, lifting, pulling, fingering, grasping, feeling, talking, hearing, seeing, and repetitive motions. Lifts and/or navigates up to 35 pounds on a routine basis in handling files and equipment necessary for performing the essential duties of the job.

Selection Process

Selection for this position will be based on a minimum qualifications screening and rating of training and experience. Top candidates will be forwarded to hiring manager or supervisor for consideration for interview and/or additional assessments. Final selection will include a background check and approval by the County Board.

Work Location

Shakopee, MN

Company Culture

Scott County enjoys a growing mix of commercial, industrial, and housing development, yet also maintains its rural flavor. Scott County is an employer of choice, supporting, encouraging, and engaging employees through focused employee investments and workplace programs and offerings that promote and foster individual and organizational well-being. The net result of this philosophy is public service excellence. No matter what you’re interested in, we have a place for you.

Benefits

A comprehensive benefits package is provided for all employees who work 20 hours per week or more.
Health Insurance - Four-tier plan option available
Dental Insurance - Four-tier plan option available
Life Insurance
Flexible (Pre-Tax) Spending Accounts
Post-Retirement Health Care Savings Plan
Long-Term Disability
11 paid holidays annually
Paid Time Off (PTO) or Vacation & Sick Leave
Paid Parental Leave
Employee Assistance Program
PERA (Public Employee's Retirement Association) Retirement Plans
On-Site Occupational Health Nurse
Active Health & Safety Teams, Committees, and Programs
Short-Term Disability
Credit Union Membership
Deferred Compensation Plans
Minnesota Benefit Association Vision Plan
Scott County Employees Association
Spirit of Scott Federal Student Loan Forgiveness
Training Opportunities (Benefit offerings can and do change on occasion.)