Eligibility Specialist II

Department of Health and Human Services • Portland, OR

1d • Onsite

About The Position

The position of Eligibility Specialist II determines initial and continued eligibility for public assistance programs. This vacancy is within the Long-Term Care Eligibility Unit and has a strong focus on MaineCare policy. The position may also perform quality control work by reviewing eligibility decisions made by others. Work is done in a fast-paced environment that has high standards for customer service and program accuracy. The position gathers sensitive and personal information to make timely and accurate eligibility determinations. Strong interpersonal and conflict resolution skills are necessary as the Eligibility Specialist interacts with people from different walks of life and/or in various emotional states.

Requirements

• A four (4) year combination of education, training, and/or progressively responsible experience in a social services setting which demonstrates interviewing and data gathering skills as needed to form basis for judgments in eligibility determinations, claims resolutions, and/or customer service requests – OR – a Bachelors Degree in Social Services, Business Administration, or other related field.

Responsibilities

• Interview clients, obtains and assesses all necessary facts, data, supporting information, and documentation pertaining to the application or recertification for public assistance.
• Evaluate information and applies allowable standards and criteria.
• Explain program eligibility requirements, rules, regulations and individual rights and responsibilities to clients and their representatives.
• Reviews and analyzes information for accuracy; identifies inconsistencies; requests necessary documentation; verifies and validates data.
• Answers inquiries and refers clients to various programs.
• Accurately enters data into an automated system and ensures accurate eligibility results.
• Communicate verbally and in writing with clients, co-workers and other agencies.
• Perform intermediate mathematical calculations.
• Maintain confidentiality of all applicant and recipient information.

Benefits

• 13 paid holidays
• 12 days of sick leave
• 3+ weeks of vacation leave annually
• Health Insurance Coverage (State pays 85%-100% of employee-only premiums)
• Health Insurance Premium Credit (decreases employee-only premiums by 5%)
• Dental Insurance (State pays 100% of employee-only dental premiums)
• Retirement Plan (State contributes 14.11% of employee's pay towards MainePERS)
• Six weeks of fully paid parental leave
• Additional, unpaid leave may also be available, under the Family and Medical Leave Act

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees