Benefits And Eligibility Specialist Senior

Arizona Department of Administration•Phoenix, AZ
•Onsite

About The Position

The Arizona Department of Economic Security (DES), Division of Benefits and Medical Eligibility, Family Assistance Administration, is seeking a Benefits and Eligibility Specialist Senior to work at Phoenix Children’s Hospital in Phoenix, Arizona. The position serves as a lead for Eligibility Interviewers Specialist, providing assistance, direction, monitoring, and training in fraud and overpayment interviewing and investigative techniques. It also performs complex eligibility work, including determining initial and ongoing eligibility for public assistance programs and services. This is an in-person, on-site position. The employee must abide by hospital rules and policies related to annual and mandatory vaccinations, testing, and screenings. The position supports onboarding and training, helps ensure accurate and timely case determinations, and contributes to agency performance goals and reviews.

Requirements

  • Knowledge of interviewing and assessment techniques.
  • Knowledge of federal and state laws, statutes, regulations, policies, and procedures pertaining to public assistance programs.
  • Knowledge of FAA eligibility systems and tools, including AZTECS, OnBase, the FAA online manual, HEAPlus, and Google tools and applications.
  • Knowledge of mathematical computation, community resources, and customer service practices.
  • Skill in interviewing and active listening to obtain accurate information.
  • Skill in monitoring and tracking automated activity.
  • Written and verbal communication skills to explain and interpret applicable laws, rules, regulations, and guidelines.
  • Ability to evaluate information and make appropriate decisions, resolve program-related issues, and detect and evaluate potential fraud.
  • Ability to access, maintain, review, and interpret database information, and compile and present program information.
  • Ability to lead, direct, and train other Eligibility Interviewers.
  • Ability to establish and maintain effective working relationships and explain complex program benefits, requirements, procedures, and rules to people from diverse socioeconomic and cultural backgrounds.
  • Successfully pass a background and reference check; employment is contingent on completing the process and the agency's ability to reasonably accommodate restrictions.
  • Newly hired State employees must successfully complete E-Verify.
  • Must abide by hospital rules and policies related to annual and mandatory vaccinations, testing, and screenings.
  • If driving or use of a vehicle is an essential job function, the stated driver’s license requirement applies.

Nice To Haves

  • Two years of experience performing eligibility reviews and determinations.

Responsibilities

  • Assist with onboarding new Eligibility Interviewers.
  • Mentor, coach, train, and educate Eligibility Interviewers returning from training on case-read summaries and ensure determinations are accurate and consistent with program policies and procedures.
  • Plan workflow and control daily work arrangements for assignments and duties.
  • Attend and participate in work groups focused on process improvements.
  • Compile data to update huddle boards.
  • Conduct eligibility determinations as needed.
  • Receive, read, and prepare responses to client correspondence; confer with complainants in person or by telephone to gather information and resolve eligibility matters promptly.
  • Assist with determining initial and ongoing eligibility for benefits and processing cases.
  • Ensure assignments and projects are completed accurately and on time.
  • Meet daily objectives, performance measures, and agency goals.
  • Prepare for regional and state reviews and audits.
  • Provide direction, monitoring, and technical support to Eligibility Interviewers, including in fraud and overpayment interviewing and investigative techniques.

Benefits

  • Affordable medical, dental, life, and short-term disability insurance plans.
  • Participation in the Arizona State Retirement System (ASRS) and Long-Term Disability plans.
  • 10 paid holidays per year.
  • Paid vacation and sick time.
  • Paid parental leave of up to 12 weeks per year for a newborn or newly placed foster or adopted child.
  • Deferred compensation plan.
  • Wellness plans.
  • Tuition reimbursement.
  • Stipend opportunities.
  • Infant to Work Program.
  • Rideshare and public transit subsidy.
  • Career advancement and employee development opportunities.
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