BENEFITS AND ELIGIBILITY SPECIALIST SENIOR

Arizona Department of Administration•Phoenix, AZ

5d•Onsite

About The Position

The Department of Economic Security’s Division of Benefits and Medical Eligibility is seeking an experienced and motivated Benefits and Eligibility Specialist Senior to work at Phoenix Children’s Hospital in Phoenix, Arizona. This is an in-person, on-site position. The role 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. The employee must abide by the hospital’s rules and policies regarding annual and mandatory vaccinations, testing, and screenings.

Requirements

Knowledge of interviewing and assessment techniques.
Knowledge of federal and state laws, statutes, regulations, policies, and procedures concerning 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.
Strong 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 provide technical support to staff.
Ability to detect and evaluate potential fraud and to access, maintain, review, and interpret database information.
Ability to compile and present program information and lead, direct, and train other Eligibility Interviewers.
Ability to establish and maintain effective working relationships and explain program benefits, requirements, procedures, and complex rules to people from diverse socioeconomic and cultural backgrounds.
Successfully pass a background and reference check.
Successfully complete E-Verify employment eligibility verification.
Comply with Phoenix Children’s Hospital rules and policies concerning annual and mandatory vaccinations, testing, and screenings.

Nice To Haves

Two years of experience performing eligibility reviews and determinations.

Responsibilities

Assist with onboarding new Eligibility Interviewers.
Mentor, coach, train, and educate returning Eligibility Interviewers on case read summaries and ensure determinations are accurate and consistent with program policies and procedures.
Plan workflow and manage daily work arrangements for assigned duties.
Attend and participate in work groups focused on process improvements.
Compile data to update huddle boards.
Conduct eligibility determinations as needed.
Read and respond to client correspondence and confer with complainants in person or by telephone to gather information and resolve eligibility matters.
Assist in 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 training to Eligibility Interviewers in fraud, overpayment interviewing, and investigative techniques.

Benefits

Affordable medical, dental, life, and short-term disability insurance plans.
Participation in the Arizona State Retirement System 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.