ELIGIBILITY VERIFICATION SPECIALIST

New York City, NY • Manhattan, NY

115d

About The Position

The Bureau of Case Integrity & Eligibility Verification's mission is to maximize revenue generation for DSS/HRA/DHS and outside Agencies, ensure payments are categorically eligible for their respective funding streams and carry out cost avoidance projects to minimize audit disallowances. The Office of Revenue Management and Development (ORMD) is recruiting one (1) Principal Administrative Associate II to function as an Eligibility Verification Specialist, who will: Review and provide documentation for: Safety Net cases with Single Issuance payments to determine eligibility for claim adjustments, and Housing Preservation and Development (HPD) cases, ensuring cases are categorically eligible for their respective funding streams. Work on projects to determine which cases qualify for a category eligible for state or federal funding, and the effective date of adjustment for federal and state reimbursements by reviewing case record entries and date of change and occurrence. Review Duplicate Client Identification Number (CIN) cases to determine which CIN should be disenrolled. Process invalid Social Security Numbers files produced by Family Independence Administration (FIA) to assist in reducing fraud. Participate in the Turnaround Document (TAD) Error Correction Project to target centers with the largest number of backlogged cases in error status, identify problems and recommend corrective action. Perform quality assurance for Enterprise Data Warehouse (EDW) queries, and Welfare Management System (WMS) lookups.

Requirements

• A baccalaureate degree from an accredited college and three years of satisfactory full-time progressively responsible clerical/administrative experience, one year of which must have been in an administrative capacity or supervising staff performing clerical/administrative work of more than moderate difficulty.
• An associate degree or 60 semester credits from an accredited college and four years of satisfactory full-time progressively responsible clerical/administrative experience including one year of the administrative supervisory experience.
• A four-year high school diploma or its educational equivalent approved by a State's department of education or a recognized accrediting organization and five years of satisfactory full-time progressively responsible clerical/administrative experience including one year of the administrative supervisory experience.
• Education and/or experience equivalent to the above, with all candidates required to possess one year of administrative or supervisory experience.

Nice To Haves

• Knowledge of Welfare Management System (WMS)
• Knowledge of Paperless Office System (POS)
• Knowledge of HRA One Viewer
• Knowledge of Electronic Medicaid of New York (eMedNY)

Responsibilities

• Review and provide documentation for Safety Net cases with Single Issuance payments to determine eligibility for claim adjustments.
• Work on projects to determine which cases qualify for a category eligible for state or federal funding.
• Review Duplicate Client Identification Number (CIN) cases to determine which CIN should be disenrolled.
• Process invalid Social Security Numbers files produced by Family Independence Administration (FIA) to assist in reducing fraud.
• Participate in the Turnaround Document (TAD) Error Correction Project to target centers with the largest number of backlogged cases in error status.
• Perform quality assurance for Enterprise Data Warehouse (EDW) queries, and Welfare Management System (WMS) lookups.

Benefits

• Public Service Loan Forgiveness eligibility
• New York City residency requirement with certain exceptions

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Justice, Public Order, and Safety Activities
• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees