MEDICAL CARE PROGRAM ASSOCIATE I

Maryland; Chestertown (MD); On-site; USD 42,000 - 54,000; Full time

Job summary

Maryland Department of Health in Kent County is seeking an Eligibility Assistant to help residents apply for Medical Assistance, enroll and maintain eligibility through Maryland Health Connection. The role reviews information, explains processes and coordinates referrals to health resources.

You will support access to health coverage, perform data entry, and ensure compliance with state and federal regulations, while providing client education and answering inquiries.

Qualifications

• High school diploma or GED required.
• Six months clerical experience in medical care, health insurance, or entitlement programs.
• Six months of general clerical or administrative experience in data entry, intake and interviewing, inquiries, writing, and maintaining policies and procedures.

Responsibilities

• Assist Maryland residents with Medical Assistance applications and enrollment through Maryland Health Connection.
• Review, verify and process eligibility information in accordance with state and federal regulations.
• Provide client education, coordinate referrals to health and community resources, and support access to health coverage and services.

Skills

Clerical experience

Data entry

Record keeping

Intake

Interviewing

Responding to inquiries

Explaining information

Writing correspondence

Policies and procedures

Education

High school diploma or GED

Job description

GRADE

ASTD10

LOCATION OF POSITION

MDH - Kent County Health Department300 Scheeler RoadChestertown, MD 21620

Main Purpose of Job

The main purpose of this position is to assist Maryland residents with application, enrollment, redetermination and continued eligibility for Medical Assistance programs through Maryland Health Connection. This position reviews, verifies and processes eligibility information in accordance with state and federal regulations, provides client education, coordinates referrals to health and community resources and supports access to health coverage and services.

MINIMUM QUALIFICATIONS

• Education: Graduation from an accredited high school or possession of a high school equivalency certificate.
• Experience: Six months of clerical experience applying policies in a medical care, health insurance or federal or State entitlement program.
• OR
• Six months of general clerical or administrative experience in one or more of the following: data entry and record keeping, intake and interviewing, responding to inquiries, explaining information, writing correspondence, maintaining policies, procedures, rules, and regulations, and completing general clerical tasks.
• Notes:
  • 1. Candidates may substitute additional general clerical experience on a year-for-year basis for the required education.
  • 2. Candidates may substitute thirty credit hours from an accredited college or university for the required experience.

DESIRED OR PREFERRED QUALIFICATIONS

• Experience assisting individuals with application, enrollment, or case maintenance activities for medical assistance, Medicaid, Maryland Health Connection, Health Benefit Exchange programs or other public health benefit programs.
• Experience reviewing, verifying, and obtaining documentation necessary to process eligibility determinations, maintain case records and resolve complex eligibility issues or case discrepencies.
• Experience processing program referrals and specialized program documentation, including activities related to Complaint Resolution Unit referrals, Prenatal Risk Assessments, Newborn Reports, Local Health Service requests or similar program-specific functions.
• Experience conducting community outreach activities, participating in community resource events and educating clients regarding managed care organizations, health insurance options, public health programs and available community resources.
• Experience determining eligibility for state-funded or federally-funded assistance programs, including applying policies, regulations and eligibility criteria to individual cases.

SELECTION PROCESS

Applicants who meet the minimum (and selective) qualifications will be included in further evaluation. The evaluation may be a rating of your application based on your education, training and experience as they relate to the requirements of the position. Therefore, it is essential that you provide complete and accurate information on your application. Please report all related education, experience, dates and hours of work. Clearly indicate your college degree and major on your application, if applicable. For education obtained outside the U.S., any job offer will be contingent on the candidate providing an evaluation for equivalency by a foreign credential evaluation service prior to starting employment (and may be requested prior to interview). Complete applications must be submitted by the closing date. Information submitted after this date will not be added. Incorrect application forms will not be accepted. Resumes will not be accepted in lieu of a completed application. Candidates may remain on the certified eligible list for a period of at least one year. The resulting certified eligible list for this recruitment may be used for similar positions in this or other State agencies.

BENEFITS

STATE OF MARYLAND BENEFITS

For questions regarding this recruitment, please contact the MDH Recruitment and Selection Division at 410-767-1251.

If you are having difficulty with your user account or have general questions about the online application system, please contact the MD Department of Budget and Management, Recruitment and Examination Division at 410-767-4850 or [e-mail].

Appropriate accommodations for individuals with disabilities are available upon request by calling: 410-767-1251 or MD TTY Relay Service 1-800-735-2258.

We thank our Veterans for their service to our country.

People with disabilities and bilingual candidates are encouraged to apply.

As an equal opportunity employer, Maryland is committed to recruitment, retaining and promoting employees who are reflective of the State's diversity.