What are the responsibilities and job description for the FAIR HEARING PROCESS SPECIALIST position at City of New York?
The Department of Social Services (DSS) is comprised of the administrative units of the New York City Human Resources Administration (HRA) and the Department of Homeless Services (DHS). HRA is dedicated to fighting poverty and income inequality by providing New Yorkers in need with essential benefits such as Food Assistance and Emergency Rental Assistance. DHS is committed to preventing and addressing homelessness in New York City by employing a variety of innovative strategies to help families and individuals successfully exit shelter and return to selfsufficiency as quickly as possible.
DSS / HRA Fair Hearing Administration is responsible for providing representation of the Agency at NYS Administrative Hearings in the following program areas : Cash Assistance (CA) Supplemental Nutrition Assistance Program (SNAP) IREA HASA and MISCA Medical Assistance (MA).
FHTMRU is comprised of the Centralized Fair Hearing Aid to Continue (ATC) Fair Hearing Default and Withdrawal Processing Fair Hearing Resolution Processing and the Advocate Inquiry Mailbox Units. The processes within FHTMRU are time sensitive and all Aid to Continue directives must be processed within 5 days as specified by the Morel Lawsuit. All ATC redirect are to be process / addressed upon receipt. Fair Hearing Defaults and Fair Hearing Withdrawals are also to be processed within 5 days of notification date. Resolutions and / or responses to Advocate Mailbox Inquiries are expected to be completed within seven days or prior to fair hearing date whichever comes first. Though Resolutions are to be completed within 5 days they must be processed as quickly as possible to avert fair hearing scheduling. The Fair Hearing Process Specialist provides economic support and employment related services to persons in need in accordance with agency policies procedures and Federal / State regulations and to promote individual and family selfsufficiency. Also prepares Public Assistance / SNAP / Medicaid eligibility forms by incorporating all received data and checking for accuracy of and reviewing authorizations in order to initiate processing of appropriate service required in Aid to Continue Restoration. Conducts an Intensive review of Welfare Management System screens (including All Change Actions Screen Benefits Issuance Screen Case Composition Screen Budget History Screen Recoupment Screen Pending Actions Screen Social Security Screen (SDX). Ensures the accurate and timely processing of case actions to comply with various lawsuits (Morel Piron etc).
The Office of the General Counsel / Fair Hearing Administration is recruiting for two (2) Benefits Opportunity Specialists to function as Fair Hearing Process Specialists for their Fair Hearing Tracking Monitoring and Review Unit (FHTMRU). Under the supervision of the Fair Hearing Process Examiner with some latitude for independence judgment and decision making and in accordance with agency policies procedures and Federal and State regulations provides economic support and employment related services to persons in need and to promote individual and family selfsufficiency. The Fair Hearing Process Specialist prepares Public Assistance / SNAP / Medicaid eligibility forms by incorporating all received data and checking for accuracy of and reviewing authorizations in order to initiate processing of appropriate service required in Aid to Continue Restoration. The duties include :
The Office of the General Counsel / Fair Hearing Administration is requesting to recruit two (2) Benefits Opportunity Specialist / Fair Hearing Process Specialist who will :
Process AidtoContinue directives Fair Hearing Defaults and Resolutions on Public Assistance / SNAP issues related to Fair Hearing Lawsuit driven inquiries utilizing the Fair Hearing Information System (FHIS) and Fair Hearing Electronic Evidence Management System (FHEMS); Reads and data enters case actions related to the AidToContinue Challenge Process; Provides Budget Calculations and Summaries; Utilizes Agency systems (including the Personal Computer (PC) New York City Work Accountability & You (NYCWAY) system Paperless Operation System (POS) Human Resources Administration (HRA) Viewer WEBCOINS etc.) for reviewing and reporting processing data.
Process required case actions relating to Fair Hearing AidtoContinue Directives Fair Hearing Defaults and Fair Hearing Resolutions by following established procedures and instructions taking case actions relating to fair hearing issues. Prepares eligibility forms for Public assistance / Medicaid / SNAP case actions by incorporating all received data from FHIS checking data for accuracy and reviewing authorizations in order to initiate processing of appropriate services.
Conduct an Intensive review of Welfare Management System screens (including All Change Actions Screen Benefits Issuance Screen Case Composition Screen Budget History Screen Recoupment Screen Pending Actions Screen Budget History Screen Social Security Screen (SDX).
Ensure the accurate and timely processing of case actions to comply with various lawsuits (Morel Piron etc). Maintain control of work submitted to the Control unit to monitor pending actions errors etc. to ensure that work is resubmitted as needed in a timely manner.
Decontrol the accurate and timely Fair Hearing case actions resulting from various Fair Hearing processes. Initiates actions on active case and makes referrals to appropriate parties; documents all pertinent data.
Make data entry in FHIS NYCWAY FHEMS AidToContinue Monitoring System for compliance tracking monitoring data collection and reporting purposes.
Qualifications :
1. A fouryear high school diploma or its educational equivalent and three years of
fulltime satisfactory experience working directly in social / human services or a
related setting providing either :
a) client services.
b) employment planning / counseling services which involves job development
skills assessment and employment placement or other economic
opportunity programming.
2. A baccalaureate degree from an accredited college; plus eighteen months of full1time satisfactory experience working as a Benefits Opportunity Specialist; or
3. A baccalaureate degree from an accredited college; plus eighteen months of full1time satisfactory experience as described in one (1) above.
4. College credit from an accredited college may be substituted for this experience
on the basis of 60 semester credits for 9 months of the work experience described
above. However all candidates must have at least 18 months of fulltime
satisfactory experience working as a Benefits Opportunity Specialist or performing
social / human services work as described in one (1) above.
Additional Information :
The City of New York is an inclusive equal opportunity employer committed to recruiting and retaining a diverse workforce and providing a work environment that is free from discrimination and harassment based upon any legally protected status or protected characteristic including but not limited to an individuals sex race color ethnicity national origin age religion disability sexual orientation veteran status gender identity or pregnancy.
Remote Work : Employment Type :
Fulltime
