Benefits and Eligibility Specialist

Arizona Department of Administration•Phoenix, AZ

7d•Remote

About The Position

The Benefits and Eligibility Specialist works in the Division of Member and Provider Services (DMPS) and makes financial eligibility determinations for Medicaid programs. The role provides customer service to diverse populations through settings that may include in-person, phone, and call-center interactions. The position is based at 150 North 18th Avenue, Phoenix, Arizona, and offers the flexibility to work remotely on a full-time basis, with occasional in-office presence possible based on business or operational needs. Remote work must be performed within Arizona unless an exception is authorized in advance. The specialist determines eligibility for ALTCS, SSI MAO, Medicare Savings, KidsCare, Specialty Medicaid, and FTW programs; interviews applicants; requests and reviews information; applies policies and procedures; and documents cases in HEAplus through final determination. The role also participates in team meetings, Arizona Management System process-improvement work, and special projects.

Requirements

High school diploma or General Equivalency Diploma (G.E.D.).
Six months of customer service-related work experience.
Successfully pass a test appropriate to the area of assignment.
Successfully pass fingerprint background checks, prior employment verifications, and reference checks; employment is contingent on completing this process and the agency's ability to reasonably accommodate any restrictions.
Successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).

Nice To Haves

One year of customer service-related work experience.
Bilingual Spanish skills.

Responsibilities

Complete financial eligibility determinations for ALTCS, SSI MAO, Medicare Savings, KidsCare, Specialty Medicaid, and FTW programs in accordance with productivity, timeliness, and quality guidelines.
Schedule and conduct interviews, then communicate with customers about information requests, application status, and final decisions.
Request eligibility verification from multiple sources and review documentation in various systems.
Research, follow, and apply prescribed policies and procedures.
Document actions taken, relevant case information, and eligibility-related material in case records using the HEAplus system until a final case determination is made.
Participate in team meetings, Arizona Management System process improvement, and special projects.

Benefits

10 paid holidays per year.
Paid vacation and sick time off: 13 vacation days and 12 sick days per year, accrued beginning on the first day of employment and prorated for part-time employees.
Paid parental leave of up to 12 weeks per year for a newborn or newly placed foster or adopted child through a pilot program.
Bereavement, civic duty, and military leave.
A retirement program with lifetime pension benefits through the Arizona State Retirement System.
Medical, dental, life, and disability insurance.
Eligibility to participate in the Public Service Loan Forgiveness Program, subject to qualifications.
RideShare and public transit subsidy.
Learning and career development opportunities.
Voluntary tax-deferred retirement investments through Nationwide.