Eligibility Specialist

TX-HHSC-DSHS-DFPS • El Paso, TX

1d • $2,953 - $3,660 • Onsite

About The Position

Under the direct supervision of Program Supervisor and overall Direction of the Program Manager, performs complex (journey-level) administrative support work for the Children with Special Health Care Needs Program (CSHCN-SP). Responsible for the administration, review, completion and submitting of CSHCN applications electronically using a specific database. Assists families in their caseload in renewing CSHCN applications and maintaining clients record according to program specifics. Provides in-services, updates and training for DSHS Social Work staff and community agencies. Coordinates with Medicaid programs such as Children’s Health Insurance Program (CHIP), Emergency Medicaid, TP3O and the Medicaid Buy-In for Children (MBIC). Represents the CSHCN program at workshops, health fairs and other community events. Develops information materials regarding CSHCN policy, benefits and services. Will lead and coordinate all travel processes. Collects, enters, and maintains all items related to travel to include mileage. Conducts switchboard coverage, greeting and directing visitors to appropriate staff, disseminates information as needed. Responsible for the mail system when on rotation. Coordinates administrative assistance meetings and trainings. Ensures that all office systems are appropriately maintained such as picking up mail, stamped faxes, paper in copiers, greet clients in person and other office and clerical duties. May provides guidance to other administrative assistance in the program. Works collaboratively with public health staff in the event of a regional or state disaster. Provides monthly records to Supervisor as needed. Provides 24/7 coverage and other COOP emergency services when needed on rotation and performs other duties as assigned. Maintains confidentiality and maintenance of program filing systems.

Requirements

• Must possess a valid Class C Texas driver’s license, or equivalent license from another state.
• Knowledge of office practices and administrative procedures
• Knowledge of CSHCN policy and procedures
• Knowledge about community and agency programs that may be able to provide services to CSHCN SP
• Knowledge of the E-Travel system, policy and procedures.
• Skill in use of electronic data and word processing equipment as well as software, including Windows, Excel, internet, email, etc.
• Skill in typing, filing, planning, organizing, data collection, and reporting
• Ability to learn, interpret and apply complex and frequently changing program rules, policies and procedures
• Ability train others on complex CSHCN-SP rules, policies and procedures
• Ability to interpret and disseminate information to medical providers, other agencies and the public
• Ability to provide technical assistance and quality assurance
• Ability to learn, interpret and apply community resources, benefits, CSHCN program and eligibility requirements
• Ability to create reports/spreadsheets for the CSHCN and E-Travel systems.
• Ability to train incoming staff on the e-travel system and its policies and procedures.
• Ability to communicate effectively verbally, (including public speaking) and in writing
• Ability to establish and maintain effective working relationships with supervisor and co-workers
• Ability to interact with the public in a professional manner
• Ability to work effectively with external and internal customers
• Experience in Administrative Support. 2 years minimum
• Experience and knowledge of Office practices and procedures. 2 years minimum
• Experience with customer service. 2 years minimum
• Experience in use of computers and related office equipment, including the use of Office Suite, spreadsheets, databases and databases and presentation software. 2 years minimum
• Experience in Oral and Written Communication. 2 years minimum

Nice To Haves

• Experience in Administrative Support. 3 years preferred
• Experience and knowledge of Office practices and procedures. 3 years preferred
• Experience with customer service. 3 years preferred
• Experience in use of computers and related office equipment, including the use of Office Suite, spreadsheets, databases and databases and presentation software. 3 years required
• Experience in Oral and Written Communication. 5 years preferred

Responsibilities

• Receives incoming calls and responds to inquiries for program information.
• Greets and receives requests from walk-ins regarding program information.
• Assist the Social Service Department personnel with ongoing client direct services and Children with Special Health Care Need Program (CSHCN) application submissions.
• Assist clients in completing CSHCN applications, gather supportive documents and maintain proper record for clients on their caseload.
• Assist with the training of incoming Eligibility Support staff.
• Provides limited guidance and assistance to clients with Medicaid programs such as Children’s Health Insurance Program (CHIP), Emergency Medicaid, TP30 and the Medicaid Buy-In for Children (MBIC).
• Enters all client related tasks completed into electronic health record (CMIS).
• Assist with creation of Microsoft Word, Excel, Access and PowerPoint reports, accurate correspondence, labels, graphs, presentations, purchase orders, spreadsheets, tables and other documents.
• Maintains and retrieves statistical data for program use.
• Serves as a scribe for program meetings and other assigned activities.
• Assists with the maintenance of accurate budget entries, generates requisitions when requested.
• Keeps track of budgets and expenditures.
• Prepares budget requisitions accurately and on time as needed.
• Prepares, edits and distributes reports using Microsoft to create timely and accurate correspondence, labels, statistical reports, presentations, and other documents.
• Creates new files for new case management clients.
• Guides and assists clients by routing them to the proper source of service.
• Inputs client data into computer terminal.
• Reserves conferences rooms as needed by the program.
• Assists with coordination activities and planner to organize program events; through monthly calendar.
• Create Administrative work schedules/calendars when assigned.
• Assists with other administrative duties as assigned.
• Maintains CMIS reports and logs for CSHCN clients.
• Handles incoming referrals and opens cases if necessary.
• Files and maintains all CSHCN cases.
• Assists in preparation of weekly workload report on required weekly basis and in a timely manner.
• Provide program reports during monthly staff meetings.
• Assist with travel submissions when needed.
• Assists with organization and coordination of activities for program events and conferences.
• Must maintain an acceptable driving record, a valid class C Texas driver’s license.
• Must maintain a good working knowledge of Human Resources, Information Technology, Administrative Policy and Program Policy.
• Completes all Public Health Emergency Response, COOP, and other state mandated trainings.
• Reports time, labor and travel information in a timely manner.
• Provides 24/7 coverage and other COOP emergency services when needed or on rotation.
• Performs other duties as assigned.

Benefits

• insurance coverage and other benefits available through the State of Texas Group Benefits Plan administered by the Employee Retirement System of Texas (ERS)

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed