Medicaid Eligibility Specialist - Public Health Impact

NYC Department of Social Services; New York (NY); On-site; USD 44,000 - 50,000; Full time

Job summary

The NYC Department of Social Services is seeking six Medicaid Eligibility Specialists for the Home Care Services Program to review Medicaid applications and renewals, verify documentation, and determine eligibility under NYC, NYS, and federal guidelines.

The team will use the Welfare Management System and EDITS Plus, HRA One Viewer, and eMedNY, issue notices and updates, and coordinate with supervisors to meet strict timeframes. Residency required in NYC and benefits information provided.

Qualifications

• Completion of 30 semester credits at an accredited college or university.
• A four year high school diploma or equivalent and one year of related experience.
• Experience interviewing, gathering information and advising on eligibility for public assistance or related programs.
• Knowledge of social services, housing or health benefits systems.

Responsibilities

• Review Medicaid applications and renewals for HCSP consumers.
• Verify documentation for completeness to determine eligibility.
• Operate WMS and related applications; complete notices and system updates.
• Consult with supervisor on complex cases to meet deadlines.

Skills

Case data review

Critical thinking

Organized / detail oriented

Education

30 semester credits

High school diploma or equivalent

Tools

WMS

EDITS Plus

HRA One Viewer

eMedNY

Job description

The NYC Department of Social Services is seeking six Medicaid Eligibility Specialists for the Home Care Services Program to review Medicaid applications and renewals, verify documentation, and determine eligibility under NYC, NYS, and federal guidelines.

The team will use the Welfare Management System and EDITS Plus, HRA One Viewer, and eMedNY, issue notices and updates, and coordinate with supervisors to meet strict timeframes. Residency required in NYC and benefits information provided.