Entitlement Eligibility Specialist - 00310 - Mon-Fri 9AM-5PM

WellLife Network; Elmont (NY); On-site; USD 44,000 - 60,000; Full time

Benefits offered by this job

Competitive hourly rate

Medical, dental, vision benefits

401k retirement plan with matching

Paid time off, holidays, personal days

Gym and wellness access

Training & growth opportunities

Job summary

WellLife Network is seeking an EES Specialist in Elmont, NY to manage systems that track benefit applications and appeals. You will explain options to consumers based on their financial situation and serve as a liaison with governmental agencies until individuals can advocate for themselves.

The role requires handling confidential information under HIPAA, coordinating with multiple agencies, and generating reports.

Qualifications

• Associate degree required; Bachelor’s degree preferred.
• Excellent oral and written communication skills required.
• Must have good follow-up and documentation skills; knowledge of Microsoft Office applications.
• Experience with Mental Health and Developmental Disabilities populations preferred; NY driver’s license and vehicle required.

Responsibilities

• Manage and operate systems to track stages of benefit applications and appeals.
• Provide consumers with options and explain consequences based on their financial situation.
• Act as liaison between consumer and governmental agencies until consumer education is complete.
• Travel to government/private agencies for ALJ hearings, interviews, and Social Security visits as needed.
• Maintain confidentiality and comply with HIPAA in all activities.
• Prepare narratives, Excel reports, and statistics on benefits status; update department database.

Skills

Communication skills

Documentation skills

Microsoft Office

Education

Associate Degree

Bachelor’s Degree

Tools

Microsoft Office

Job description

At WellLife Network, every role plays a vital part in empowering people to live their best lives. As part of one of New York’s largest nonprofit health and human services organizations, you’ll join a team dedicated to compassion, inclusion, and excellence — helping individuals and families thrive every day.

Job DetailsJob Location: Entitlements - Eligibility Services - Elmont, NY 11003Education Level: 2 Year DegreeSalary Range: $25.11 - $25.11 HourlyMake an Impact.

Position Summary

Manage and operate systems skillfully to track the stages of benefit applications and appeals processes that will provide concrete statistical data. The EES Specialist must be resourceful by providing consumers with options and have the ability to explain the possible consequences regarding that consumer’s specific financial situation. The EES Specialist will act as a liaison between the consumer and governmental agencies, until such a time where the consumer has been educated and can advocate for him or herself.

Essential Accountabilities

• Maintain and encourage confidentially in respect to HIPPA Laws at all times.
• Screen all consumers to assess their eligibility for both private and/or governmental benefits.
• Assist the consumer in completing all applications necessary to apply, appeal, and maintain governmental and/or private benefits.
• Be prepared to travel to all governmental/private agencies (i.e. ALJ Hearings, face-to-face interviews and Social Security visits etc.…).
• Be knowledgeable of your consumer’s financial status.
• Basic mathematical skills are required to maintain accurate consumer balances.
• Prepare consumer allowances as necessary.
• Prepare narrative; excel spreadsheet and statistical reports indicating the consumers’ benefits status in a timely fashion.
• Review, process, scan, document and file all incoming mail/documents as required.
• Notify department members of all emergencies that may arise.
• Assist in the event of EES Department staff shortage, such as vacations, holidays, leaves of absences and vacancies, etc.….
• Maintain accurate information in the department database system for all consumer documents.
• Provide in-service training to WellLife Network. Mental Health/Developmental Disabilities staff and external agencies as needed.
• This does not limit the assignment of duties or exclude the performance of other duties not mentioned, as assigned by the supervisor.

Job Qualifications

• Associate Degree required, Bachelor’s Degree preferred.
• Excellent oral and written communication skills are required.
• Must be able to exercise good follow- up and documentation skills, have knowledge of Microsoft office application software.
• Work experience with Mental Health and Developmental Disabilities populations is required.
• Must have a valid New York State driver’s license and possession of a vehicle for use while on company time.

What You’ll Gain

• Compensation: Competitive hourly rate based on experience.
• Robust Benefits: Medical, dental, vision, and 401k retirement plan (with matching).
• Work-Life Balance: Paid time off, holidays, and personal days.
• Wellness Program: Free and low-cost gym and wellness access and support.
• Training & Growth: Ongoing professional development and career advancement opportunities.
• Meaningful Work: Direct impact on the lives of youth and their families.
• Supportive Environment: A collaborative team that values your contributions