Benefit Programs Specialist II-Medicaid Only
About The Position
This technical position determines and re-determines eligibility for public assistance programs, including TANF, SNAP, Medical Assistance, Energy Assistance, and other social services benefit programs. Work follows established policies, procedures, and regulatory guidelines and requires independent judgment, particularly when assessing social and environmental factors that may affect eligibility. The employee interviews individuals and families seeking assistance, gathers and verifies information, evaluates ongoing eligibility, explains available benefit programs, assesses needs, identifies reasons for requests for assistance, and performs related duties. The position also assists with providing emergency shelter services as mandated, including being willing to work in the community emergency shelter during a natural disaster or emergency. The position reports directly to the Benefit Programs Supervisor or the Assistant Director of Benefits.
Requirements
- At least a high school diploma, supplemented by additional education and experience in benefit programs, or an equivalent combination of education and financial or related human services experience.
- Working knowledge of public service organization practices, principles of economics and basic human behavior, financial assistance programs, and applicable state, local, and federal regulations, guidelines, and policies.
- Ability to apply mathematical concepts, including percentages, formulas, and averages, to perform eligibility calculations.
- Knowledge of interviewing techniques, including effective data collection, verification, and investigative inquiry.
- Skill in operating a personal computer and associated office and agency software.
- Ability to communicate effectively orally and in writing with customers, employers, court personnel, medical professionals, and others, in person and by telephone.
- Ability to analyze information, identify missing data or inconsistencies across sources, and follow written and oral instructions using sound judgment.
- Ability to maintain strict confidentiality and adhere to professional ethics.
- Ability to use discretion, tact, resourcefulness, and sound judgment in problem-solving and decision-making.
- Ability to establish and maintain effective working relationships and a positive, professional demeanor in sometimes stressful situations.
- Valid driver's license to operate a motor vehicle in the Commonwealth of Virginia, with a driving record that meets agency requirements.
- Willingness to work in the community emergency shelter in the event of a natural disaster or emergency.
- Applicants may be subject to criminal history, central registry, DMV/driving record, drug screening, employment, reference, education, credit, and other relevant checks; offers are contingent on satisfactory results.
Nice To Haves
- Prior work experience in financial assistance programs sufficient to determine or re-determine benefit eligibility.
- Prior work experience in benefit programs and use of computer software and hardware.
- Completion of required Benefit Programs training.
Responsibilities
- Determine and re-determine eligibility for public assistance and social services benefit programs.
- Interview individuals and families seeking assistance and gather and verify required information.
- Evaluate ongoing eligibility and explain available benefit programs.
- Assess client needs and identify reasons for requesting assistance.
- Apply relevant policies, procedures, and regulatory guidelines, using independent judgment when appropriate.
- Make appropriate referrals and reassess client circumstances.
- Determine ownership shares where applicable and perform eligibility-related mathematical calculations.
- Establish and maintain case records using automated systems and technologies.
- Access and manipulate data related to estates, retirement accounts, real estate, and reports.
- Assist in providing emergency shelter services as mandated and work in the community emergency shelter during a natural disaster or emergency.
- Perform other related duties as assigned.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Education Level
High school or GED
