Eligibility Specialist 1 - Right From the Start Medicaid (RSM)

Choosecolumbusga; Columbus (GA); Hybrid; USD 35,000 - 42,000; Full time

Job summary

Georgia Department of Human Services is seeking an Eligibility Specialist 1 for the Right From the Start Medicaid (RSM) unit. The role determines initial and renewal Medicaid eligibility and processes applications in a fast-paced state government setting.

You'll use Georgia Gateway for registrations, work with a diverse population, and may telework depending on position, with a comprehensive benefits package and training.

Qualifications

• High school diploma or GED and 1 year of related customer contact/interaction experience.
• Must be able to work independently.
• Ability to enter a high volume of data accurately and efficiently.
• Strong customer service mindset and collaboration with teams.

Responsibilities

• Determines initial and renewal eligibility for Medicaid.
• Processes applications, reviews, hearing requests and/or changes using criteria and policies.
• Registers online applications and renewals via Georgia Gateway.
• Records and evaluate applicant personal and financial data.
• Reviews and processes change requests over the phone when presented.
• Provides professional, courteous customer service to internal and external customers.
• Performs other professional responsibilities as assigned.

Skills

Customer service

Data entry

Independent work

Microsoft Office

Communication

Education

High School diploma or GED

Tools

Microsoft Office Suite

Job description

Eligibility Specialist 1 - Right From the Start Medicaid (RSM)

Explore a World of Opportunity with the State of Georgia!

We are the force that drives Georgia!
Georgia State Government is a large enterprise, composed of various agencies and entities with a common goal to improve the lives of Georgia's more than 10 million citizens!
Join Team Georgia and impact lives everyday while receiving a robust benefits package designed for every stage of your career!

Job Title:

Eligibility Specialist 1 - Right From the Start Medicaid (RSM)

Explore a World of Opportunity with the State of Georgia!

We are the force that drives Georgia!
Georgia State Government is a large enterprise, composed of various agencies and entities with a common goal to improve the lives of Georgia's more than 10 million citizens!
Join Team Georgia and impact lives everyday while receiving a robust benefits package designed for every stage of your career!

Job Title:

Eligibility Specialist 1 - Right From the Start Medicaid (RSM)

Agency:

Department of Human Services

Job Requisition ID:

JR0000002972

Shift:

Compensation Details:

$38,360

Job Description:

Stronger Families for a Stronger Georgia. The Georgia Department of Human Services (DHS) is a dynamic state agency responsible for delivering a wide range of services to Georgia's most vulnerable populations. Our mission is to strengthen Georgia by providing individuals and families access to services that promote self-sufficiency, independence, and protect Georgia's vulnerable children and adults.

Start your career in public service.

The Division of Family and Children Services (DFCS) / Office of Family Independence (OFI) is seeking candidates to fill several positions as an Eligibility Specialist 1 for the RSM unit.

The position will report to an Eligibility Specialist Supervisor.

What we offer.

Enjoy a generous benefits package that includes a flexible work schedule, unique training opportunities, employee retirement plan, 401(k) plan and 457 plan, 13 paid holidays, vacation & sick leave, medical, dental, vision, long/short-term care, life insurance, and employee discount programs; in addition to telework opportunities depending upon the position.

As a continuous recruitment posting, applications will be reviewed on an ongoing basis. Qualified applicants may be considered and hired as positions become available. We encourage interested applicants to apply even if there is not an immediate opening at the time of submission.

SALARY IS NON-NEGOTIABLE FOR THIS POSITION.

• Applicant must pass mandatory standardized testing for the program assigned to the position to maintain the position.
• Mandatory training varies from eight to ten weeks depending on the assigned program and may be scheduled at any DFCS training sites throughout Georgia.
• Although employees may be authorized to telework, upon completion of training, employees may also be subject to report to an office as requested.

Roles and Responsibilities:

• Determines initial and renewal eligibility for Medicaid.
• Processes applications, reviews, hearing request and/or changes using appropriate criteria and policies consistently; according to establish guidelines.
• Registers online applications, renewals, and processes verifications via the state Integrated Eligibility System (Georgia Gateway).
• Records and evaluate applicant personal and financial data.
• Reviews and processes change requests over the phone when presented.
• Documents all call information according to standard operating procedures.
• Keys in a high volume of data using standard office hardware and software.
• Assists Limited English Proficiency and Sensory Impaired (LEPSI) by collaborating with the Language Line.
• Adheres to assigned work schedule/attendance standards as outlined in policy.
• Flexible with work assignments and able to work in multiple queues.
• Provides professional, courteous, and helpful customer service to our internal and external customers.
• Performs other professional responsibilities as assigned.

Minimum Qualifications:

• High school diploma or GED AND (1) one year of related experience which involved customer contact/interaction.

Preferred Skills/Qualifications:

Preference will be given to candidates who, in addition to meeting the minimum qualifications, demonstrate some or all the following skills/experience:

• Four (4) years related experience which involved customer contact/interaction as a regular part of the position OR combination of education and/or customer contact/interaction experience for a total of four (4) years.
• Strong proficiency in the use of Microsoft Office Suite and/or standard software applications typically used in a corporate office environment.
• Ability to enter a high volume of data effectively and accurately on a regular basis using standard office technology.
• Must be able to work independently.
• Demonstrates excellent customer service skills including but not limited to the ability to work with people of different ethnic and social backgrounds. Also including the ability to work with all levels of leadership and management to resolve internal and external concerns.

Additional Information

For more detailed information about the Georgia Department Human Services https://dhs.georgia.gov/

Employment Information

Current State employees are subject to State Personnel Board (SPB) Rules regarding salary.
DHS is an Equal Opportunity Employer
If you require accommodations under the Americans with Disabilities Act (ADA), email the request by the closing date of this announcement to: [e-mail] .

The candidate selected for this position may be subject to pre-employment drug screening, education verification, reference, motor vehicle records, and criminal background checks.

DHS accepts educational credential recognized by the Council for Higher Education Accreditation (CHEA) and/or the US Department of Education (DOE) will be considered. DHS will contact educational institutions to verify degree, diploma, licensure, etc.

As an employee of DHS, in the event of an identified emergency you may be required, as a term and condition of employment, to assist in meeting the emergency responsibilities of the department.

Due to the volume of applications received, we are unable to provide information on application status by phone or e-mail. All qualified applicants will be considered but may not necessarily receive an interview. Selected applicants will be contacted by the hiring official for next steps in the selection process. Only applicants who are selected and interviewed will receive notification.

This position is subject to close at any time once a satisfactory applicant pool has been identified.

Minimum Qualifications:

High School diploma/GED and one (1) year of job-related customer contact/interaction experience.

Equal Employment Opportunity Employer

The State of Georgia does not discriminate based on race, color, national origin, sex, religion, age, disability, or other protected categories in employment or the provision of services.
Qualified applicants may request reasonable accommodation when needed during the application and/or screening process by contacting the appropriate agency Human Resources department.