Mecklenburg County
Eligibility Specialist I - FAMILY & CHILDREN'S MEDICAID
Mecklenburg County, Raleigh, North Carolina, United States
Eligibility Specialist I - FAMILY & CHILDREN'S MEDICAID
Hiring Range: $20.00 - $23.07 per hour. Pay rates are based on education, skill, experience level and internal equity.
Position Summary:
Under direct supervision, this position performs customer service activities and determines initial and ongoing eligibility for the Family and Children’s Medicaid (FCM) program. The FCM program administered by the Department of Community Resources provides access to essential health care services for low‑income families, children, pregnant women, and caretakers.
State Information site: https://medicaid.ncdhhs.gov/
State FCM Policy Manual: https://policies.ncdhhs.gov/divisional-a-m/health-benefits-nc-medicaid/family-and-childrens-medicaid/
County Resource site: https://dcr.mecknc.gov/Medicaid
Assessment Applicants must be able to pass the required Eligibility Specialist Assessment with a score of 80% or higher. If you earn a score of 80% or more, you are notified if you are selected for a panel interview. Applicants scoring below 80% will need to reapply and retake the assessment.
Training Standards Notice This position requires a structured training program. Phase One: open book, open note exam requiring a passing score of at least 84% (one re‑test allowed). Phase Two: continuously meet minimum quality and training mentoring expectations measured bi‑weekly. Failure to pass either phase may result in dismissal.
Work Location and Schedule The Catherine M. Wilson Center, 301 Billingsley Rd, Charlotte NC 28211. Primary schedule: Monday – Friday, 8:00 am to 5:00 pm (in‑office; telework not available).
Essential Functions
Assist call‑center or walk‑in contacts, interview customers, gather information, and input data into appropriate systems.
Verify customer’s information through paper documentation, online search and phone calls and determines program eligibility.
Process applications for single-program basic benefits.
Respond to client and public inquiries regarding services available, documentation requirements, other community resource options, and ongoing program and benefit status and customer record changes.
Perform data entry and maintain system files and databases on clients, providers, and program services.
Maintain basic knowledge of multiple social services programs or in-depth knowledge in one program.
Perform work in a high‑volume, fast‑paced environment with continual customer interaction.
Some positions may be required to directly work on enrollment and eligibility activities within the NC FAST system.
May be required to staff shelters in the event of a disaster.
Minimum Qualifications Minimum of two years of experience in customer service with direct interaction with members of the public or successful completion of the CPCC Caseworker Training Program (or another participating program).
Education High School Diploma or equivalent. Combination of relevant education and relevant experience accepted.
Licenses And Certifications May require a valid North Carolina or South Carolina Driver’s License.
Preferred Qualifications
Associate or Bachelor’s degree preferred.
Experience processing insurance claims, mortgage/loan processing, working with specialized computer programs and working in a call center preferred.
Bilingual (Spanish and English) proficiency oral and written.
Knowledge, Skills, and Abilities
Knowledge of principles and processes for providing customer and personal services, including customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
See More Occupations Related To This Knowledge
Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
Modern office practices, procedures, and equipment.
Familiar with social service programs.
Skills
Active Listening: Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate.
Service Orientation: Actively looking for ways to help people.
Being aware of others' reactions and understanding why they react as they do.
Talking to others to convey information effectively.
Communicating effectively in writing as appropriate for the needs of the audience.
Abilities
Communication: Clearly conveying information and ideas through a variety of media to individuals or groups in a manner that engages the audience and helps them understand and retain the information provided.
Continuous Learning / Applied Learning: Actively identifying new areas for learning; regularly creating and taking advantage of learning opportunities; using newly gained knowledge and skill on the job and learning through their application.
Contributing to Team Success / Collaboration: Actively participating as a member of a team to move the team toward the completion of goals; working effectively and cooperatively with others; establishing and maintaining good working relationships.
Customer Focus: Ensuring that the customer perspective is a driving force behind business decisions and activities; crafting and implementing service practices that meet customers’ and own organization’s needs.
Energy / Inspiring Others: Using interpersonal styles and methods to inspire and guide individuals toward higher levels of performance.
Ethical Decision Making: Identifying and understanding issues, problems, and opportunities comparing data from different sources to draw conclusions, using effective approaches for choosing a course of action or developing appropriate solutions; taking action that is consistent with available facts, constraints, and probable consequences.
Managing Work: Effectively managing one’s time and resources to ensure that work is completed efficiently.
Motivation Fit: The extent to which activities and responsibilities available in the job and the organization’s mode of operation and values provide personal satisfaction.
Computer Skills Proficient in various computer applications including Microsoft Office Suite.
Work Environment Works in an office setting with moderate noise.
Reasonable Accommodations Statement To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodations may be made to help enable qualified individuals with disabilities to perform the essential functions.
Disclaimer Statement This is not intended to be an all‑inclusive list of job-related responsibilities, duties, skills, requirements, or working conditions. Other duties may be assigned based on business need and the supervisor’s request. Mecklenburg County reserves the right to revise the job description at any time. Designated positions may be required to assist in emergency and/or disaster situations.
Seniority Level Entry level
Employment Type Full-time
Job Function Other
Industries Government Administration
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Position Summary:
Under direct supervision, this position performs customer service activities and determines initial and ongoing eligibility for the Family and Children’s Medicaid (FCM) program. The FCM program administered by the Department of Community Resources provides access to essential health care services for low‑income families, children, pregnant women, and caretakers.
State Information site: https://medicaid.ncdhhs.gov/
State FCM Policy Manual: https://policies.ncdhhs.gov/divisional-a-m/health-benefits-nc-medicaid/family-and-childrens-medicaid/
County Resource site: https://dcr.mecknc.gov/Medicaid
Assessment Applicants must be able to pass the required Eligibility Specialist Assessment with a score of 80% or higher. If you earn a score of 80% or more, you are notified if you are selected for a panel interview. Applicants scoring below 80% will need to reapply and retake the assessment.
Training Standards Notice This position requires a structured training program. Phase One: open book, open note exam requiring a passing score of at least 84% (one re‑test allowed). Phase Two: continuously meet minimum quality and training mentoring expectations measured bi‑weekly. Failure to pass either phase may result in dismissal.
Work Location and Schedule The Catherine M. Wilson Center, 301 Billingsley Rd, Charlotte NC 28211. Primary schedule: Monday – Friday, 8:00 am to 5:00 pm (in‑office; telework not available).
Essential Functions
Assist call‑center or walk‑in contacts, interview customers, gather information, and input data into appropriate systems.
Verify customer’s information through paper documentation, online search and phone calls and determines program eligibility.
Process applications for single-program basic benefits.
Respond to client and public inquiries regarding services available, documentation requirements, other community resource options, and ongoing program and benefit status and customer record changes.
Perform data entry and maintain system files and databases on clients, providers, and program services.
Maintain basic knowledge of multiple social services programs or in-depth knowledge in one program.
Perform work in a high‑volume, fast‑paced environment with continual customer interaction.
Some positions may be required to directly work on enrollment and eligibility activities within the NC FAST system.
May be required to staff shelters in the event of a disaster.
Minimum Qualifications Minimum of two years of experience in customer service with direct interaction with members of the public or successful completion of the CPCC Caseworker Training Program (or another participating program).
Education High School Diploma or equivalent. Combination of relevant education and relevant experience accepted.
Licenses And Certifications May require a valid North Carolina or South Carolina Driver’s License.
Preferred Qualifications
Associate or Bachelor’s degree preferred.
Experience processing insurance claims, mortgage/loan processing, working with specialized computer programs and working in a call center preferred.
Bilingual (Spanish and English) proficiency oral and written.
Knowledge, Skills, and Abilities
Knowledge of principles and processes for providing customer and personal services, including customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
See More Occupations Related To This Knowledge
Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
Modern office practices, procedures, and equipment.
Familiar with social service programs.
Skills
Active Listening: Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate.
Service Orientation: Actively looking for ways to help people.
Being aware of others' reactions and understanding why they react as they do.
Talking to others to convey information effectively.
Communicating effectively in writing as appropriate for the needs of the audience.
Abilities
Communication: Clearly conveying information and ideas through a variety of media to individuals or groups in a manner that engages the audience and helps them understand and retain the information provided.
Continuous Learning / Applied Learning: Actively identifying new areas for learning; regularly creating and taking advantage of learning opportunities; using newly gained knowledge and skill on the job and learning through their application.
Contributing to Team Success / Collaboration: Actively participating as a member of a team to move the team toward the completion of goals; working effectively and cooperatively with others; establishing and maintaining good working relationships.
Customer Focus: Ensuring that the customer perspective is a driving force behind business decisions and activities; crafting and implementing service practices that meet customers’ and own organization’s needs.
Energy / Inspiring Others: Using interpersonal styles and methods to inspire and guide individuals toward higher levels of performance.
Ethical Decision Making: Identifying and understanding issues, problems, and opportunities comparing data from different sources to draw conclusions, using effective approaches for choosing a course of action or developing appropriate solutions; taking action that is consistent with available facts, constraints, and probable consequences.
Managing Work: Effectively managing one’s time and resources to ensure that work is completed efficiently.
Motivation Fit: The extent to which activities and responsibilities available in the job and the organization’s mode of operation and values provide personal satisfaction.
Computer Skills Proficient in various computer applications including Microsoft Office Suite.
Work Environment Works in an office setting with moderate noise.
Reasonable Accommodations Statement To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodations may be made to help enable qualified individuals with disabilities to perform the essential functions.
Disclaimer Statement This is not intended to be an all‑inclusive list of job-related responsibilities, duties, skills, requirements, or working conditions. Other duties may be assigned based on business need and the supervisor’s request. Mecklenburg County reserves the right to revise the job description at any time. Designated positions may be required to assist in emergency and/or disaster situations.
Seniority Level Entry level
Employment Type Full-time
Job Function Other
Industries Government Administration
Referrals increase your chances of interviewing at Mecklenburg County by 2x.
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