Eligibility Verification Specialist

City of New York•New York, NY

1d•Onsite

About The Position

APPLICANTS MUST BE PERMANENT IN THE PRINCIPAL ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE “The Department of Social Services (DSS) is comprised of the administrative units of the New York City Human Resources Administration (HRA) and the Department of Homeless Services (DHS). HRA is dedicated to fighting poverty and income inequality by providing New Yorkers in need with essential benefits such as Food Assistance and Emergency Rental Assistance. DHS is committed to preventing and addressing homelessness in New York City by employing a variety of innovative strategies to help families and individuals successfully exit shelter and return to self-sufficiency as quickly as possible. 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 position to function as an Eligibility Verification Specialist in its Bureau of Case Integrity and Eligibility Verification (BCIEV)/Case Integrity Unit, who will: - Review and analyze Cash Assistance case records and computer data to determine which cases qualify for a category that is eligible for State and Federal funding. Identify retroactive obligations that have not been claimed and determine the effective date of adjustment for Federal and State reimbursements as established by case record entries and date of change and occurrence. - Review of emergency Single Issuance Cash Assistance grants, with Safety Net payments to determine if the payment can be claimed in a more favorable funding stream. Also, ensure the claim adjustment does not exceed the time limit for each payment type. - Review Anti-Eviction cases for individuals requiring legal services for homelessness prevention and rental assistance, who were deemed not eligible for claim reimbursement through system Enterprise Data Warehouse match, to determine the individual category. - Review cases for category integrity of participants receiving emergency housing from Housing Preservation and Development (HPD); track each HPD participant’s case category eligibility to ensure participants eligibility does not exceed the time limit. - Review of Asylee, Refugee, or Cuban and Haitian Entrant recipients of Cash Assistance, deemed eligible for 100% of Refugee Cash Assistance (RCA), to ensure the individual has not exceeded the eligibility period. Review the payments to determine the State portion of the reimbursement to the City of New York. Adhere to tight Federal mandated claim deadlines. - Review Family Independence Administration (FIA) Invalid Social Security Number Validation files of Cash Assistance and Supplemental Nutrition Assistance Program (SNAP) individuals with an invalid Social Security Numbers to assist with minimizing audit disallowances and minimizing fraud. - Keep abreast of current Federal, State and Agency policy and procedures to ensure categorically eligible payments adhere to all appropriate regulatory requirements. Assess the potential impact on claims and claim adjustments the requirements governing the various funding streams to ensure BCIEV is current and in compliance with existing funding requirements. - Perform quality assurance for Enterprise Data Warehouse (EDW) queries testing and providing feedback to enhance EDW queries. - Complete manual case lookups in response to press inquiries, FOIL requests, and DSS/DHS/HRA Senior staff requests, when data match results are inconclusive, to provide accurate details, case category and eligibility. - Perform case review analysis of Agency audit findings of cases potentially claimed in an incorrect category. Provide back-up documentation to substantiate claims and claim adjustments submitted by Finance Office/ORMD units. Prepare and store forms which are applicable to the funding stream. Adhere to tight State prescribed claim deadlines.

Requirements

APPLICANTS MUST BE PERMANENT IN THE PRINCIPAL ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE
1. 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; or
2. 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 described in "1" above; or
3. 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 as described in "1" above;
4. Education and/or experience equivalent to "1", "2", or "3" above. However, all candidates must possess the one year of administrative or supervisory experience as described in "1" above. Education above the high school level may be substituted for the general clerical/administrative experience (but not for the one year of administrative or supervisory experience described in "1" above) at a rate of 30 semester credits from an accredited college for 6 months of experience up to a maximum of 3½ years.

Responsibilities

Review and analyze Cash Assistance case records and computer data to determine which cases qualify for a category that is eligible for State and Federal funding.
Identify retroactive obligations that have not been claimed and determine the effective date of adjustment for Federal and State reimbursements as established by case record entries and date of change and occurrence.
Review of emergency Single Issuance Cash Assistance grants, with Safety Net payments to determine if the payment can be claimed in a more favorable funding stream.
Ensure the claim adjustment does not exceed the time limit for each payment type.
Review Anti-Eviction cases for individuals requiring legal services for homelessness prevention and rental assistance, who were deemed not eligible for claim reimbursement through system Enterprise Data Warehouse match, to determine the individual category.
Review cases for category integrity of participants receiving emergency housing from Housing Preservation and Development (HPD); track each HPD participant’s case category eligibility to ensure participants eligibility does not exceed the time limit.
Review of Asylee, Refugee, or Cuban and Haitian Entrant recipients of Cash Assistance, deemed eligible for 100% of Refugee Cash Assistance (RCA), to ensure the individual has not exceeded the eligibility period.
Review the payments to determine the State portion of the reimbursement to the City of New York.
Adhere to tight Federal mandated claim deadlines.
Review Family Independence Administration (FIA) Invalid Social Security Number Validation files of Cash Assistance and Supplemental Nutrition Assistance Program (SNAP) individuals with an invalid Social Security Numbers to assist with minimizing audit disallowances and minimizing fraud.
Keep abreast of current Federal, State and Agency policy and procedures to ensure categorically eligible payments adhere to all appropriate regulatory requirements.
Assess the potential impact on claims and claim adjustments the requirements governing the various funding streams to ensure BCIEV is current and in compliance with existing funding requirements.
Perform quality assurance for Enterprise Data Warehouse (EDW) queries testing and providing feedback to enhance EDW queries.
Complete manual case lookups in response to press inquiries, FOIL requests, and DSS/DHS/HRA Senior staff requests, when data match results are inconclusive, to provide accurate details, case category and eligibility.
Perform case review analysis of Agency audit findings of cases potentially claimed in an incorrect category.
Provide back-up documentation to substantiate claims and claim adjustments submitted by Finance Office/ORMD units.
Prepare and store forms which are applicable to the funding stream.
Adhere to tight State prescribed claim deadlines.