Job Description
The Client Benefits Services Specialist will act as a liaison with personnel at various agencies including, but not limited to, Social Security Administration (SSA), Bureau of Family Assistance (BFA), Veterans Affairs (VA), Medicaid Administration Services. Also, will ensure that clients obtain optimal benefits, and that the Agency obtains maximum revenues.
Essential Responsibilities :
- Maintain Medicaid coverage for clients that Moore Center is authorized representative
- complete annual Medicaid Redeterminations
- complete applications for financial assistance for BFA benefits, as appropriate
- report major changes in SSA benefits to BFA when TMC is representative payee (e.g. change from SSI to SSDI,
etc.)
report client changes in employment and / or wages, as appropriatereport SSA representative payee changes to BFA when TMC starts / stops acting as representative payee for a clientresponsible for timely resolution of all Medicaid issues related to authorized representative clientsMaintain Social Security benefits for clients that Moore Center is representative payeecomplete applications for SSA benefits as appropriatecomplete & track annual SSA Representative Payee Reportscomplete Social Security Disability Update Reportsreport client changes in employment and / or wages, as appropriatemonthly wage reporting to SSA for SSI recipientsresponsible for timely resolution of all issuesObtain, maintain and track all information related to client benefits and wages (Client Info Sheets)Process and approve all Representative Payee client check requests in compliance with Medicare and SSA regulations.Conduct monthly review of TMC Representative client accounts for accuracy and compliance with SSA regulationsCoordinate with Representative Payee Specialist Business Office staff to ensure receipt and distribution of revenues generated from client benefit programs which includes :a) Monitor Representative Payee Client Account
b) Ensure revenue meets room and board costs
c) Complete / submit monthly room & board reports
d) Monitor cost-of-care billing and revenue
e) Facilitate appropriate distribution of personal needs allowances
f) Attend ad hoc meetings with The Moore Center (TMC) Accounts Receivable staff to review outstanding room and board and cost-of-care balances
g) Responsible for timely resolution of all issues
h) Approve check requests for payment processing from TMC client account
Track hospitalizations / incarcerations for TMC clients as well as to report hospitalizations / incarcerations to SSA and BFA when TMC is Representative payee and / or Authorized RepresentativeEnroll clients into a Medicaid Care Management plan and track related issuesPromptly generate, process and distribute all documents as necessary including, but not limited to, State and Federal Benefit noticesAttend meetings and trainings as appropriateGenerate routine and ad hoc reportsTeamwork, regular attendance in the office, and face-to-face interaction are essential job functionsComplete other duties and responsibilities as assignedRequirements
Qualifications :
Education and Experience
Associate's degree or equivalentBroad knowledge and at least 3 years' experience in software applications including, but not limited to, Microsoft Office Suite and database systems; experience in developmental services preferredKnowledge of Medicaid and Social Security preferredValid driver's license and access to a safe operating vehicle during scheduled working hours100,000 / 300,000 Automobile Liability InsuranceSkills and Abilities
Demonstrate a commitment to The Moore Center's valuesComply with all state, agency and department policies and proceduresAbility to work independently and as part of an inter-disciplinary teamDemonstrate a strong emphasis on customer service skills, both to our clients and all staffDetail-oriented with strong math skillsAbility to meet deadlinesPossess strong time management and organization skills, including the ability to prioritize multiple tasks and ensure timely follow throughDemonstrate creative, innovative thinking and problem solvingInteract effectively with people of varied educational, socioeconomic and ethnic backgrounds, skill levels and value systemsDemonstrate excellent verbal and written communication skillsDemonstrate proficiency in Microsoft Office, including Word, Excel, Outlook, and the ability to master new softwareBenefits
Benefits :
401(k)401(k) matchingDental insuranceEmployee assistance programEmployee discountFlexible spending accountHealth insuranceLife insurancePaid time offRetirement planVision insurance
Salary : $100,000 - $300,000
