Onsite Interview Day-Feb 11: Benefits and Entitlement Associate

Jewish Association for Services for the Aged•New York, NY

2d•Onsite

About The Position

JASA serves as a legal guardian for adults deemed legally incapacitated by the courts. Our Community Guardian Program (CGP) Benefits and Entitlement Associates ensure that clients maintain access to Medicaid and other essential benefits. You will manage the full eligibility and benefits process, coordinate with families, DSS, MLTC plans, attorneys, and financial institutions, and resolve issues such as income redirects, NAMI calculations, recertifications, and fair hearings—ensuring clients maintain appropriate coverage and that all financial and legal requirements are met accurately and on time.

Requirements

Undergraduate degree in Business, Social Work, Social or Human Services, or a related field
Strong organizational and documentation skills
Working knowledge of Medicaid eligibility rules, including income/resource limits, spend-down rules, allowable and non-allowable asset transfers, and documentation requirements
Familiarity with Medicaid and other entitlement applications, recertifications, notices, and workflows used by HRA and NYS county DSS offices
Understanding of payer sources used in long-term care, including Medicare, MLTC, MMC, private insurance, and HMOs
Basic familiarity with guardianship and representative authority as they relate to Medicaid applications
Ability to interpret financial notices, verification requests, and budget calculations issued by DSS/HRA
Understanding of fair hearing processes, including filing, preparation, and support
Prior experience in Medicaid, benefits coordination, or long-term care eligibility required
Computer proficiency, including case management systems
Strong written and verbal communication skills
Ability to interact professionally and courteously with families, colleagues, and external partners
Commitment to equity, inclusion, and cultural competence when serving diverse older adult populations

Nice To Haves

long-term care experience strongly preferred

Responsibilities

Conduct financial interviews and obtain all required authorizations and documentation for Medicaid applications
Process initial applications for benefits and entitlements in a timely manner
Prepare, file, and track Medicaid, Medicare Premium applications, and annual recertifications
Communicate and follow up with CGP and DSS caseworkers; complete budget corrections when needed
Escort clients to government and city agencies (Social Security Administration, HRA/Public Assistance, Medicaid, Food Stamp offices)
File and attend Medicaid fair hearings when necessary
Educate CGP caseworkers on income obligations, payer requirements, and signature requirements
Monitor new developments and remain abreast of public policy changes relevant to client benefits and entitlements
Participate in CGP Interdisciplinary Team meetings to support care planning and discharge needs
Attend trainings and seminars to stay informed about trends and changes in benefits and entitlements systems