Medical Elig Spec I The Texas Health and Human Services Commission (HHSC) seeks highly qualified candidates to fill the Medicaid Eligibility Specialist I position within the Office of Medical and Social Services (MSS), Access and Eligibility Services (AES) Eligibility Operations Field Division. The MSS is driven by its mission to people, services, and supports by helping individuals and families in need of food, medical care, cash assistance and other social services.
The ideal candidate will thrive in an environment that emphasizes: innovation through new ideas, striving for excellence by taking pride in your work, embracing our differences as a source of strength, accomplishing more through partnership, leading by example, and learning for continuous improvement. Medicaid Eligibility Specialist I (CT) accurately determines eligibility for TANF, SNAP (food stamps), Medicaid and/or Medicaid for the Elderly and People with Disabilities (MEPD) programs. Work involves interviewing clients in person or via outbound phone call, documenting information gathered, determining eligibility for benefits, verifying case data, explaining program benefits and requirements.
Work involves making outbound calls to verify client information. Reviews eligibility of clients for ongoing services. Job requires detailed oriented individuals with ability to apply complex policies and procedures.
This position may require travel of up to 75% during the training period. Travel requirement is 20% after training period is complete. Essential Job Functions:
Maintains a regular and predictable work schedule, especially during critical, peak work days (Mondays/Tuesdays). Interviews clients or authorized representatives via phone or in person to gather information to determine eligibility for benefits. Processes changes to client status, overpayments, and adjusts or restores benefits.
Obtains, verifies, and calculates income and resources to determine client financial eligibility. Conducts collateral cold calls via conference line to obtain verification of client information. Documents case records using automated systems to form a record for each client.
Communicates effectively with others (internally or externally) to provide, exchange, or verify information, answer inquiries, address issues, or resolve problems or complaints. Perform other duties as assigned. Must be able to work occasional overtime, as required by management, outside of normal hours of operation, which may include weekends when called upon.
Must be able to work in a highly stressful and fast paced environment, under constant pressure to meet required deadlines, interview service times, standards, and thresholds. Knowledge Skills Abilities:
N/AInitial Selection Criteria:
High School Diploma or GED equivalent required. Sixty (60) semester hours from an accredited college or university preferred.
Two years' relevant customer service experience with public contact required which can include retail, call center, clerical, hospitality, banking, receptionist, or similar customer service experience. Bilingual (English/Spanish) skills preferred, not required. Current TIERS and Eligibility Workload Management System (EWMS) knowledge preferred.
Experience to indicate a general understanding of the knowledge, skills, and abilities needed to perform duties required. Prefer experience in social service environment which may include but not limited to interviewing clients, gathering personal information, or making eligibility determinations. Applicant must indicate willingness to travel as indicated on job posting in order to be considered for employment.
Applicant must indicate willingness to work outside the normal business hours of 8 to 5, Monday-Friday and willingness to work weekends as needed. Additional Information:
Requisition # 397009Note: Current and former employee applicants should list each position held separately.
For example, Medical Eligibility Specialist I job experience must be listed separately from Medical Eligibility Specialist II job experience. Number of positions to be filled: 1. PN#42232 This position is located at:4601 South 1st, Abilene, TX 79604 This position is included in a career track series.
This position will be filled at the entry level Texas Works Advisor I / Salary Group B12. Persons hired into this position from outside the Health and Human Services Commission (including other HHSC agencies) are on initial probationary status for one year from hire date. This position career tracks to the Texas Works Advisor II / Salary Group B13 when tenure (one year from hire date) and performance requirements are met.
Based on training requirements and previous program eligibility experience, former Access and Eligibility (AES) employees may be considered for rehire at the Texas Works Advisor II/Medicaid Eligibility Specialist II / Salary Group B13. Incumbents are automatically upgraded when tenure and performance requirements are met. Current Texas Works Advisor II/Medicaid Eligibility Specialist II / B13 applicants, if selected, will maintain current job classification and salary group.
Please note that while the posted salary range for this position is $2,320.00 to $3,649.83, only former and current Health and Human Services Commission employees will be offered a salary above $2,460.08 monthly. Current employees promoting into this position will be offered a salary that meets Human Resources salary guidelines for promoting employees. Former employees may be offered a salary above $2,460.08 if they have recent Texas Works or MEPD eligibility experience.
Recent experience includes any experience within one year prior to the application closing date. Applicants who are not current or former Health and Human Services Commission employees will be offered a salary of $2,460.08. Applicants may not have a history of substantiated fraudulent activity against HHSC or any programs it administers.
Applicants who have a non-fraud overpayment with an outstanding balance must agree to repay the overpayment balance as a condition of employment. The Texas Health and Human Services Commission is committed to hiring veterans and creating a work environment that values and retains the skills that service members bring to the job. A veteran is an individual who has served in *the Army, Navy, Air Force, Coast Guard, or Marine Corps of the United States or the United States Public Health Service under 42 U.S.C.
Section 201 et seq., as amended; *the Texas military forces as defined by Section 437.001 of Texas Government Code; or *an auxiliary service of one of those branches of the armed forces; and *has been honorably discharged from the branch of the service in which the person served. Note: There may be no military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position. All active duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position.
For more information see the Texas State Auditor's Military Crosswalk at http://www.hr.sao.state.tx.us/Compensation/JobDescriptions.aspx. HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work. Requisition #MOS Code:
No direct military equivalent.
HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work.
I-9 Form - Click here to download the I-9 form.
In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.
Texas Health & Human Services Commission