Information and Eligibility Specialist

Annual salary: $40,000/yr

POSITION OBJECTIVE: Responsibilities include data management, data entry, data reporting and data validation. In addition, this position obtains, maintains and processes client information to determine eligibility for Federal/State funding and Medicaid. In this role you will assist in resolving problems, locating missing/additional information and be responsible for creating and maintaining documentation which meets all Federal and State requirements for client eligibility.

ESSENTIAL FUNCTIONS:

• Accurately enters required program information adhering to strict deadlines
• Obtains and maintains appropriate eligibility documentation
• Completes applications for Medicaid and Federal/State Funds
• SSI applications, tracking and change of payee including DCM technical assistance when needed.
• Maintains open communication with Protective Investigators and Case Managers responsible for supervising cases of children in care, obtaining information on income, household composition and family resources in order to determine eligibility
• Provides technical assistance on the completion of all eligibility forms
• Service Center Medicaid support: verification, provider changes and validation activities
• Document tracking, checklist preparation and requests for more information
• Queries systems to access specific information for distributing weekly/monthly reports to case management and senior management staff
• Performs routine data validation sampling

• Attends regular IES team meetings, staff meetings, service center meetings, case management meetings, in service trainings and conferences as needed.
• Assists with Medicaid plan enrollment activities and tracking.
• Participates and documents CTS staffings.
• Perform IES training activities such as Argos training, DCM orientation and ongoing FSFN support.
• Participates in peer file review activities.
• Participates in Federal Monitoring Reviews.
• Maintain frequent communication with internal staff regarding changes to case data and eligibility including but not limited to Records Room, Adoption, GAP, Master Trust and Operations staff.
• Utilize established checklists, forms and task tracking tools identified in the Data Center Handbook to report work status and maintain required documentation.
• Participates in the agency strategic plan & quality improvement processes
• Ability to safely & successfully perform essential job functions consistent with the ADA, FMLA, & other federal, state, & local standards, including meeting qualitative & quantitative productivity standards.
• Ability to maintain reasonably regular, punctual attendance consistent with ADA, FMLA & other federal, state, & local standards
• Ability to comply with all personnel policies & procedures

We understand the importance that every provider, parent and employee plays in the success of our mission to protect and inspire every child, every day. An essential function of all employees is to provide excellent customer service by being professional and respectful in all interactions each and every day. It is also expected that all employees are timely and responsive in their communication with others.

NON-ESSENTIAL FUNCTIONS:

• Assists with file audits to assess completeness of information
• Duties in other counties as assigned
• Assist Records room as needed.
• Provides feedback on existing IES tools and procedures
• Training and support to new IES team members.

This list of functions is not intended to be exhaustive. The agency reserves the right to revise this job description as needed to comply with actual job requirements.

QUALIFICATIONS:

REQUIRED:

• High School Diploma/GED
• 2 years experience with spreadsheets/databases
• Proficiency in Microsoft Excel, Access, and Word

PREFERRED:

• Minimum of 2 years of child welfare or related experience.
• Record management experience
• Data management experience
• Thorough knowledge of state SACWIS system
• Previous experience in client eligibility determination

SKILLS:

REQUIRED:

• Good organizational skills
• Ability to work with strict deadlines
• Strong analytical and problem-solving skills
• Detail oriented
• Excellent verbal and written communication skills
• Ability to work effectively in a team environment
• Ability to manage multiple tasks and conflicting priorities
• Knowledge of data validation functions
• Proficient MS Excel skills
• Ability to read and interpret legal documents to arrive at appropriate analyses of needs
• Ability to interpret and follow operating procedures
• Knowledgeable in Web Based Applications
• Demonstrate cultural and linguistic competence & sensitivity to population served
• Ability to travel

PREFERRED:

• Strong customer service skills
• Knowledge of quality assurance programs
• Knowledgeable about client information system software

SPECIAL CONDITIONS:

• Thorough Background Screening upon hire including FBI, FDLE, Local Law check, Employment Reference check, DMV check, Criminal Records check, Social Security Trace & Drug Screening. FDLE check will be run at least every 5 years.
• On-call assignments- N/A
• Travel- local: 5% per week, long-distance: 2.5% per month

PHYSICAL & MENTAL REQUIREMENTS: (N=Needed P=Preferred)

Analyzing (N), Bending-neck (N), Bending-waist (N), Calculations (N), Carrying/Lifting (N), Climbing (P), Crawling/Crouching (P), Finger Movements (N), Handling Objects (N), Kneeling (P), Pushing/Pulling (P), Reaching (N), Reading & Comprehending (N), Reasoning (N), Sitting (P), Squatting (P), Standing (P), Twisting-neck (N), Twisting-waist (P), Walking (P), Writing (N)

POSITION STATUS: Non-Exempt

Supervision level:
1 = general direction, 2 = direction, 3 = general supervision, 4 = supervision, 5 = close supervision

Supervised by: Information & Eligibility Manager –