Information and Eligibility Specialist Brevard County

Community Based Care of Brevard•Rockledge, FL

12d

About The Position

POSITION OBJECTIVE: Responsibilities include data management, data entry, data reporting and data validation. In addition, this position obtains, maintains and processes client information to determine eligibility for Federal/State funding and Medicaid. In this role you will assist in resolving problems, locating missing/additional information and be responsible for creating and maintaining documentation which meets all Federal and State requirements for client eligibility. ESSENTIAL FUNCTIONS: Accurately enters required program information adhering to strict deadlines Obtains and maintains appropriate eligibility documentation Completes applications for Medicaid and Federal/State Funds Maintains open communication with Protective Investigators and Case Managers responsible for supervising cases of children in care, obtaining information on income, household composition and family resources in order to determine eligibility Provides technical assistance on the completion of all eligibility forms Service Center Medicaid support: verification, provider changes and validation activities Document tracking, checklist preparation and requests for more information Queries systems to access specific information for distributing weekly/monthly reports to case management and senior management staff Performs routine data validation sampling Attends regular IES team meetings, staff meetings, service center meetings, case management meetings, in service trainings and conferences as needed. Assists with Medicaid plan enrollment activities and tracking. Participates and documents CTS staffings. Perform IES training activities such as Argos training, DCM orientation and ongoing FSFN support. Participates in peer file review activities. Participates in Federal Monitoring Reviews. Maintain frequent communication with internal staff regarding changes to case data and eligibility including but not limited to Records Room, Adoption, GAP, Master Trust and Operations staff. Utilize established checklists, forms and task tracking tools identified in the Data Center Handbook to report work status and maintain required documentation. Participates in the agency strategic plan & quality improvement processes Ability to safely & successfully perform essential job functions consistent with the ADA, FMLA, & other federal, state, & local standards, including meeting qualitative & quantitative productivity standards. Ability to maintain reasonably regular, punctual attendance consistent with ADA, FMLA & other federal, state, & local standards Ability to comply with all personnel policies & procedures We understand the importance that every provider, parent and employee plays in the success of our mission to protect and inspire every child, every day. An essential function of all employees is to provide excellent customer service by being professional and respectful in all interactions each and every day. It is also expected that all employees are timely and responsive in their communication with others. NON-ESSENTIAL FUNCTIONS: Assists with file audits to assess completeness of information Duties in other counties as assigned Assist Records room as needed. Provides feedback on existing IES tools and procedures Training and support to new IES team members. This list of functions is not intended to be exhaustive. The agency reserves the right to revise this job description as needed to comply with actual job requirements.

Requirements

High School Diploma/GED
2 years experience with spreadsheets/databases
Proficiency in Microsoft Excel and Word
Minimum of 2 years of child welfare or related experience.
Strong customer service skills
Good organizational skills
Ability to work with strict deadlines
Ability to work effectively in a team environment
Able to break down problems and information in order to systematically identify the cause of problems or make recommendations; gather information from multiple sources; analyze complex information; organize information for analysis.
Able to be thorough and complete when working with assembling, processing, or providing detailed information; track details even when under pressure.
Able to maintain composure and handle frequent job changes or unexpected disruptions; work with conflicting, delayed, or unclear information; remain effective when faced with change and uncertainty.
Able to maintain a composed problem-solving approach when faced with unrealistic expectations, pressing time demands, frustration, or interpersonal conflict.
Able to persevere in accomplishing tasks or objectives; commit to long hours of work; do everything possible to reach goals; have a sense of urgency about getting results.
Excellent verbal and written communication skills
Ability to manage multiple tasks and conflicting priorities
Proficient MS Excel skills
Ability to read and interpret legal documents to arrive at appropriate analyses of needs
Ability to interpret and follow operating procedures
Knowledgeable in Web Based Applications
Work effectively with and show sensitivity to cultural differences and various socio-economic backgrounds of others.
Able to demonstrate consistency of words and actions; protect confidential information; do what is right even when no one is watching; demonstrate sound business ethics; consistently comply with organizational values.
Ability to travel
Thorough Background Screening upon hire including FBI, FDLE, Local Law check, Employment Reference check, DMV check, Criminal Records check, Social Security Trace & Drug Screening. FDLE check will be run at least every 5 years.

Nice To Haves

Minimum of 2 years of child welfare or related experience.
Record management experience
Data management experience
Thorough knowledge of state SACWIS system (FSFN)
Previous experience in client eligibility determination
Knowledge of quality assurance programs
Knowledgeable about client information system software

Responsibilities

Accurately enters required program information adhering to strict deadlines
Obtains and maintains appropriate eligibility documentation
Completes applications for Medicaid and Federal/State Funds
Maintains open communication with Protective Investigators and Case Managers responsible for supervising cases of children in care, obtaining information on income, household composition and family resources in order to determine eligibility
Provides technical assistance on the completion of all eligibility forms
Service Center Medicaid support: verification, provider changes and validation activities
Document tracking, checklist preparation and requests for more information
Queries systems to access specific information for distributing weekly/monthly reports to case management and senior management staff
Performs routine data validation sampling
Attends regular IES team meetings, staff meetings, service center meetings, case management meetings, in service trainings and conferences as needed.
Assists with Medicaid plan enrollment activities and tracking.
Participates and documents CTS staffings.
Perform IES training activities such as Argos training, DCM orientation and ongoing FSFN support.
Participates in peer file review activities.
Participates in Federal Monitoring Reviews.
Maintain frequent communication with internal staff regarding changes to case data and eligibility including but not limited to Records Room, Adoption, GAP, Master Trust and Operations staff.
Utilize established checklists, forms and task tracking tools identified in the Data Center Handbook to report work status and maintain required documentation.
Participates in the agency strategic plan & quality improvement processes
Ability to safely & successfully perform essential job functions consistent with the ADA, FMLA, & other federal, state, & local standards, including meeting qualitative & quantitative productivity standards.
Ability to maintain reasonably regular, punctual attendance consistent with ADA, FMLA & other federal, state, & local standards
Ability to comply with all personnel policies & procedures
Provide excellent customer service by being professional and respectful in all interactions each and every day.
Be timely and responsive in communication with others.