Entitlement Eligibility Specialist - 100HQ - Mon-Fri 9AM-5PM

WellLife Network; Elmont (NY); On-site; USD 28,000 - 39,000; Full time

Benefits offered by this job

Competitive hourly rate

Medical, dental, vision, and 401k with

Matching

Paid time off, holidays, and personal/

Wellness program access

Training & growth opportunities

Meaningful work with youth and their

Supportive team environment

Job summary

WellLife Network in Elmont, NY, is seeking an EES Specialist to manage systems tracking benefit applications and appeals, and to explain options to consumers based on their financial situations.

You will liaise with government agencies until consumers are educated and can advocate for themselves. HIPAA confidentiality is essential and you’ll empower families throughout the process.

Qualifications

• Associate Degree required; Bachelor’s Degree preferred.
• Excellent oral and written communication skills required.
• Must have good follow-up and documentation skills.
• Must have a valid New York State driver’s license and own a vehicle for use on company time.

Responsibilities

• Maintain confidentiality in respect to HIPAA laws at all times.
• Screen consumers to assess eligibility for private and governmental benefits.
• Assist consumers in completing all applications to apply, appeal and maintain benefits.
• Travel to governmental/private agencies (e.g. ALJ hearings, interviews, Social Security visits).
• Be knowledgeable of consumers’ financial status.
• Perform basic math to maintain accurate consumer balances.
• Prepare consumer allowances as necessary.
• Prepare narratives; Excel reports and statistics on benefits status in a timely fashion.
• Review, process, scan, document and file all incoming mail/documents.
• Notify department members of emergencies that may arise.
• Assist during staff shortages (vacations, holidays, leaves).
• Maintain accurate information in the department database for all consumer documents.
• Provide in-service training to WellLife Network staff and external agencies.

Skills

Excellent oral and written comms

Follow-up and documentation skills

Education

Associate Degree

Bachelor’s Degree

Tools

Microsoft Office

Job description

Make an Impact.

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.

Make an Impact.

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.

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.

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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