State of South Carolina
Eligibility Specialist II (LTCW) / TG61100374
State of South Carolina, Columbia, South Carolina, us, 29228
*This position is a re-post. Previous applicants do not need to re-apply.*
*This is a Temporary Grant position.*
The Agency's mission is to be boldly innovative in improving the health and quality of life for South Carolina residents.
This position is located in Eligibility, Enrollment and Member Service (EEMS) Processing Centers, Richland County.
Eligibility Specialist II
Determines/re-determines Medicaid eligibility according to Medicaid policies and procedures. Collects and evaluates documentation from applicants to determine individual and family eligibility for the program. Completes all assigned eligibility determinations, reviews, and changes in an accurate and timely manner. Responsibilities
Uses various information sources, electronic tools, and systems to collect, assemble, evaluate, and act upon information provided by applicants, beneficiaries and third parties to make timely eligibility determinations, reviews, and changes of circumstance. Demonstrates proficiency in utilizing all processes, policies, procedures, and system updates to ensure that all eligibility determinations, reviews, and changes are completed accurately with satisfactory documentation. Maintains a professional demeanor and communication style, ensuring that communication and interactions with co-workers, supervisors, and beneficiaries is clear, polite, and concise. Attends all mandatory meetings, trainings, and events as directed by supervisory staff and agency leadership. Performs other duties as assigned by supervisory staff and agency leadership. Benefits
Health, Dental, Vision, Long Term Disability, and Life Insurance for Employee, Spouse, and Children. 15 days annual (vacation) leave per year. 15 days sick leave per year. 13 paid holidays. State Retirement Plan and Deferred Compensation Programs. Qualifications
• A high school diploma and experience in customer services, social services, human services, and/or Medicaid processing. • A bachelor's degree may be substituted for the required program experience. Additional Requirements
Occasional overnight travel. Overtime and/or weekend work with Deputy approval. Sitting or standing for long periods of time. Lifting requirements: 20 lbs. Must have a familiarity with computers, standard Microsoft Office software, internet browsers, and the ability to read, write, and speak English in a clear and concise manner. Must be able to perform basic mathematical computations. Must be able to work in a professional office environment with a diverse group of teammates and provide excellent customer service either face to face, telephonically or through written communication. Must be able to learn, retain, and apply information about federal rules and standards for processing Medicaid eligibility determinations. Must maintain productive workspaces and perform tasks in an effective manner to ensure the completeness, accuracy, and timeliness of eligibility determinations. Please complete the State application to include all current and previous work history and education. A resume will not be accepted nor reviewed to determine if an applicant has met the qualifications for the position. Supplemental questions are considered part of your official application for qualification purposes. All applicants must apply online. All correspondence from the Office of Human Resources will be through electronic mail. The South Carolina Department of Health and Human Services is committed to providing equal employment opportunities to all applicants and does not discriminate on the basis of race, color, religion, sex (including pregnancy, childbirth or related medical conditions, including, but not limited, to lactation), national origin, age (40 or older), disability or genetic information.
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Determines/re-determines Medicaid eligibility according to Medicaid policies and procedures. Collects and evaluates documentation from applicants to determine individual and family eligibility for the program. Completes all assigned eligibility determinations, reviews, and changes in an accurate and timely manner. Responsibilities
Uses various information sources, electronic tools, and systems to collect, assemble, evaluate, and act upon information provided by applicants, beneficiaries and third parties to make timely eligibility determinations, reviews, and changes of circumstance. Demonstrates proficiency in utilizing all processes, policies, procedures, and system updates to ensure that all eligibility determinations, reviews, and changes are completed accurately with satisfactory documentation. Maintains a professional demeanor and communication style, ensuring that communication and interactions with co-workers, supervisors, and beneficiaries is clear, polite, and concise. Attends all mandatory meetings, trainings, and events as directed by supervisory staff and agency leadership. Performs other duties as assigned by supervisory staff and agency leadership. Benefits
Health, Dental, Vision, Long Term Disability, and Life Insurance for Employee, Spouse, and Children. 15 days annual (vacation) leave per year. 15 days sick leave per year. 13 paid holidays. State Retirement Plan and Deferred Compensation Programs. Qualifications
• A high school diploma and experience in customer services, social services, human services, and/or Medicaid processing. • A bachelor's degree may be substituted for the required program experience. Additional Requirements
Occasional overnight travel. Overtime and/or weekend work with Deputy approval. Sitting or standing for long periods of time. Lifting requirements: 20 lbs. Must have a familiarity with computers, standard Microsoft Office software, internet browsers, and the ability to read, write, and speak English in a clear and concise manner. Must be able to perform basic mathematical computations. Must be able to work in a professional office environment with a diverse group of teammates and provide excellent customer service either face to face, telephonically or through written communication. Must be able to learn, retain, and apply information about federal rules and standards for processing Medicaid eligibility determinations. Must maintain productive workspaces and perform tasks in an effective manner to ensure the completeness, accuracy, and timeliness of eligibility determinations. Please complete the State application to include all current and previous work history and education. A resume will not be accepted nor reviewed to determine if an applicant has met the qualifications for the position. Supplemental questions are considered part of your official application for qualification purposes. All applicants must apply online. All correspondence from the Office of Human Resources will be through electronic mail. The South Carolina Department of Health and Human Services is committed to providing equal employment opportunities to all applicants and does not discriminate on the basis of race, color, religion, sex (including pregnancy, childbirth or related medical conditions, including, but not limited, to lactation), national origin, age (40 or older), disability or genetic information.
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