ELIGIBILITY SPECIALIST I

Mesa County; United States; On-site; USD 31,000 - 35,000; Full time

Benefits offered by this job

Medical

Dental

Vision

Retirement

Paid Sick and Vacation Leave

Life insurance

Long term disability

Job summary

Mesa County is seeking an Eligibility Worker to perform intake and ongoing eligibility determinations for Food Assistance and Medical Programs. You will interpret program rules, conduct interviews, document findings, and coordinate with clients and community resources in a team-focused setting.

The role requires a high school diploma and prior office/public service experience; bilingual English/Spanish is a plus.

Qualifications

• High school diploma or equivalent and two years office or public service experience.
• Bilingual English/Spanish is desirable.
• Ability to conduct eligibility interviews and use eligibility systems.

Responsibilities

• Perform initial intake and determine ongoing eligibility for Food Assistance, Medical Programs and related services.
• Interpret and apply program rules and policies.
• Enter data accurately into complex systems and maintain file organization.
• Provide referrals to community resources and assist clients in completing forms.

Skills

Office experience

Public service

Communication

Education

High school diploma or equivalent

2 years office/public service experience

Tools

Eligibility software

Job description

$22.29 - $25.07 _____________________________________________________________

Performs eligibility work that requires a strong working knowledge and understanding of eligibility program rules and policies and operation of the current proscribed eligibility computer program(s). Performs duties associated with initial intake and ongoing eligibility determination for such programs as Food Assistance, Medical Programs, as described in Colorado Staff Manuals, Volumes III, IVB, and VIII through the Department of Human Services or Department of Health Care Policy and Finance. Interprets rules and regulations of all program areas. Facilitates and/or coordinates the processes and procedures necessary to provide clients with assistance. Performs calculations and accounting functions necessary to establish eligibility and to determine the necessary steps to resolve client situations. Provides referral to other community resources to assist clients. Bilingual English / Spanish is a plus. Conducts initial and ongoing program eligibility interviews and assessments by phone, face-to-face or during a home visit and gathers information such as income and financial resources. Determines initial and ongoing eligibility for such programs as Food Assistance, Medical Programs as described in Colorado Staff Manuals, Volumes III, IV-B, and VIII through the Department of Human Services or Department of Health Care Policy and Finance. Determines eligibility for Expedited Food Assistance. Approves or denies applications, closes cases as necessary, and notifies clients of decisions in writing. Transfers cases to the appropriate eligibility specialist, team, or closed caseload. Assists clients in completing forms and obtaining the necessary documentation for program participation. Assesses client needs and makes referrals to other agency and community services. Screens applications to verify programs being applied for. Uses computerized systems to research current and past assistance status and history. Sets up new case files and properly categorizes household composition. Maintains a working knowledge of the current proscribed eligibility computer system. Performs data entry functions to ensure that required and relevant information is accurately entered into numerous complex data systems. Processes change forms for continued eligibility determination. As required, verifies all information through computer data banks, pay stubs, contacts with employers and banks, etc. Ensures benefit calculations made by the current proscribed eligibility computer program(s) are accurate in order to reduce/eliminate errors. Manages workload and paper flow. Processes case changes as they occur. Ensures that all case documents are filed in the electronic case file appropriately and in a timely manner. Completes required paperwork to restore benefits, provide retroactive payments, and provide supplements. Establishes and computes recoveries and restorations due as a result overpayment or underpayment; notifies fraud investigators when case information indicates that benefits may have been received based on fraudulent information. Informs recipients/applicants of rules and regulations. Explains rights and responsibilities to clients and provides referrals to non-profit agencies and other service providers to facilitate a comprehensive solution to the client’s issues. Maintains a working knowledge of program rules and regulations. Receives, researches, resolves and clears information on required program reports. Processes program sanctions. Identifies the level and kind of sanction. Provides sanction notification to the client being sanctioned. Prepares cases for and attends dispute resolution conferences, appeals hearings, or other court cases in person or by telephone to represent the county and to testify to the facts of the case. Ensures documentation is detailed and clear in the case file. Provides customer service by responding to inquiries regarding programs and services. Handles client complaints and provides needed information regarding program guidelines. Shall engage in heavy public contact via client interviews and front window coverage. May be subject to vulgar, offensive language and behaviors from the public. Based on workload, may be required to participate in mandatory overtime; such overtime may include evenings and weekends. Responsible for understanding and demonstrating proficiency in all aspects of the eligibility position including but not limited to: face-to-face client meetings on a walk-in basis, lobby/client interviews, processing of applications and redeterminations, pulling and returning calls, working mail and any other correspondence submitted by clients. Communicates in a timely and responsive manner with internal teams, community organizations, providers, and State Staff. Oral and written communications must be clear and effective. Attends team and division meetings as requested. Works effectively in a team environment, providing assistance to co-workers as needed. Attends training as assigned. Attends meetings as a representative of the department; conducts self in accordance with department values. Performs other related duties as assigned.

Minimum Requirements

Minimum Requirements: MINIMUM QUALIFICATIONS REQUIRED: Education and Experience: High school diploma or equivalent and two (2) years office or public service experience required. Any combination of education, training and experience which provides the knowledge, skills and abilities required for the job. Bilingual (English/Spanish) (desired)

Supplemental Information

PHYSICAL REQUIREMENTS AND WORKING ENVIRONMENT: This position requires standing, stooping, sitting, bending, twisting, and lifting up to 10 pounds. Work is generally confined to a standard office environment. In compliance with the Equal Pay for Equal Work Act the following items can be used as a determining factor in the starting and ongoing wage of an employee working in this position: A seniority system that rewards employees based on length of employment. A merit system that rewards employees for exceptional job performance. Education, training, or experience to the extent that they are reasonably related to the work in question. Another factor related to job performance or business operations, such as paying a shift differential to workers on less popular shifts Travel, if the travel is a regular and necessary condition of the work performed

This position is eligible for the following Mesa County benefits;

• Medical
• Dental
• Vision
• Retirement
• Paid Sick and Vacation Leave
• Life insurance
• Long term disability

______________________________________________________________ Agency Mesa County Address 544 Rood Ave Grand Junction, CO 81501 Phone 970‑ 244 - 1856 Website http://www.mesacounty.us

Mesa County is looking for innovative, collaborative and enthusiastic people dedicated to serving the citizens of Mesa County. If you want have a challenging career and you have these qualities, let’s make great things happen together, come join Team Mesa! We have a demanding workplace that promotes teamwork, flexibility and initiative while at the same time encouraging a healthy work/life balance. If such an environment motivates you, please consider the exciting career opportunities we have available.