Remote Eligibility Specialist II – Long-Term Care

MaineGuide; Augusta (ME); Hybrid; USD 31,000 - 43,000; Full time

Benefits offered by this job

Paid holidays

Vacation leave

Health insurance

Dental insurance

Retirement plan

Gym reimbursement

FSAs

Job summary

The Department of Health and Human Services (DHHS) in Augusta, ME is seeking an Eligibility Specialist II to determine initial and continued eligibility for public assistance programs with a strong MaineCare policy focus. This role may perform quality control on decisions and handles sensitive information with high standards for service accuracy.

Responsibilities include client interviews, data verification, and clear communication with clients and agencies.

Qualifications

• A four year combination of education, training, and/or progressively responsible experience in a social services setting.
• Bachelor degree in Social Services, Business Administration, or related field is acceptable.

Responsibilities

• Interview clients and collect necessary facts for eligibility determinations.
• Evaluate information against standards and criteria.
• Explain eligibility rules and responsibilities to clients and representatives.
• Review data for accuracy and request missing documentation.
• Enter data into automated systems and ensure correct results.
• Maintain confidentiality of applicant and recipient information.

Skills

Interview skills

Data gathering

Customer service

Conflict resolution

Program eligibility explanation

Education

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

Job description

The Department of Health and Human Services (DHHS) in Augusta, ME is seeking an Eligibility Specialist II to determine initial and continued eligibility for public assistance programs with a strong MaineCare policy focus. This role may perform quality control on decisions and handles sensitive information with high standards for service accuracy.

Responsibilities include client interviews, data verification, and clear communication with clients and agencies.