Remote Eligibility Specialist II — HOPE Program

State of Maine; Augusta (ME); Hybrid; USD 31,000 - 43,000; Full time

Benefits offered by this job

13 paid holidays

3+ weeks vacation leave

Health Insurance Coverage

Dental Insurance

Retirement Plan

Gym Membership Reimbursement

Parental leave

Job summary

State of Maine, Department of Health and Human Services, is seeking an Eligibility Specialist II in Augusta to support HOPE program development and rural health transformation. You will handle interviews, data gathering, and eligibility determinations in a fast-paced environment, maintaining confidentiality and accuracy.

Partial telework is possible with management approval. Responsibilities include interviewing clients, evaluating documentation, and explaining program eligibility rules.

Qualifications

• A four (4) year combination of education, training, and/or progressively responsible experience in a social services setting– OR – a Bachelor’s Degree in Social Services, Business Administration, or other related field
• Proven interviewing and data gathering skills are required to form the basis for eligibility determinations, claims resolutions, or customer service requests

Responsibilities

• Interview clients, obtain and assess all necessary facts and documentation for eligibility
• Evaluate information and apply allowable standards and criteria
• Explain eligibility requirements, rules and rights to clients and their representatives
• Review information for accuracy, identify inconsistencies and request documents
• Answer inquiries and refer clients to various programs
• Enter data into an automated system and ensure accurate eligibility results
• Communicate with clients, co-workers and other agencies
• Perform intermediate mathematical calculations
• Maintain confidentiality of all applicant and recipient information

Skills

Interpersonal skills

Conflict resolution

Data gathering

Communication skills

Education

4-year combination of education/training/experience in social services setting

Bachelor's degree in Social Services, Business Administration, or related field

Job description

State of Maine, Department of Health and Human Services, is seeking an Eligibility Specialist II in Augusta to support HOPE program development and rural health transformation. You will handle interviews, data gathering, and eligibility determinations in a fast-paced environment, maintaining confidentiality and accuracy.

Partial telework is possible with management approval. Responsibilities include interviewing clients, evaluating documentation, and explaining program eligibility rules.