Eligibility Specialist III Modoc

Eligibility Specialist III

This is not a "remote work" or "teleworking" position. This position is located in Modoc County, CA.

Job location:

Alturas, CA. Attendance:
In-person only (no teleworking or remote work). Interviews:
Conducted in person.

The Eligibility Specialist III is the advanced journey/lead-level classification and subject matter expert in the Eligibility Specialist series. Incumbents perform the most complex work and specialized assignments requiring an advanced level of technical knowledge in public assistance programs, departmental processes and caseload/workload administration. Incumbents are expected to independently perform specialized and/or complex duties beyond the journey-level classification of the series. In addition, incumbents may perform help desk functions, provide training to a unit of workers determining eligibility for public assistance and/or serve as a lead worker for less experienced employees.

Incumbents demonstrate advanced knowledge of eligibility regulations, procedures and eligibility software systems. Other assignments may include performing quality control and/or quality assurance reviews, participating in early fraud prevention programs, representing the County in administrative appeals and fair hearings and/or performing other specialized assignments and related work as required.

Supervision exercised and received:
Incumbents in the Eligibility Specialist III classification receive supervision from an Eligibility Supervisor or other manager. An Eligibility Specialist III has no responsibility for direct supervision of others, but may provide lead direction to other Eligibility Specialists.

Salary information:
New Modoc County employees generally start at the beginning of the salary range. The salary range includes 10 steps (A–J), with employees typically starting at Step A and moving to Step B upon completion of a successful one-year probationary period. Each year thereafter, with successful performance, employees move to the next step through Step

F. Steps G through J occur every five years. Each step represents a 5% increase. Posted salary range reflects Steps A-F.

• Provides lead direction and/or training to a unit of workers determining eligibility of applicants and recipients for public assistance programs
• Provides support to supervisor with unit operations and coverage
• Performs interactive interviews to elicit eligibility information, obtain and/or verify financial, employment, tax and personal demographic information and identify need for public assistance programs and services
• Assists in the development and implementation of procedures for public assistance programs
• Analyzes financial and eligibility information to determine initial or continuing eligibility for multiple aid programs
• May provide services to drop-in clients, perform local help desk functions, provide lead direction and training to unit staff and assist with the more complicated cases, or perform specialized assignments in the areas of investigations, quality assurance and control and fair hearings
• Explains regulations, rules and policies to clients and apprises them of their rights, responsibilities and eligibility for participation
• Ensures accuracy and completion of application and declaration forms
• Resolves discrepancies by securing documentation, medical records and confirmation from other agencies
• Enters and retrieves numerical and narrative data, and issues benefits from an automated computer system
• Determines the level of benefits to which the client is entitled by making complex mathematical computations and/or complex computer entries
• Reviews and interprets information provided on a variety of forms both by the client and third parties to assist with eligibility determination
• Evaluates clients for and answers questions on Advanced Payment Tax Credits (APTC) related to health care reform
• Explains a variety of plan options, costs and individual plan features through Covered California
• Monitors on-going eligibility by obtaining periodic updated information of eligibility factors and takes appropriate actions on changes
• Determines need for additional services and makes referrals as needed for employment and other services to outside agencies to assist clients toward self-sufficiency and directs clients accordingly
• Organizes and prioritizes caseload/workload so that necessary case records and documents are processed and updated within specific time limits established by regulation and local policy
• Completes and maintains case records, including written narratives, forms and computer documents in a clear and readable format
• Troubleshoots task and/or case issues to determine appropriate resolution of problems, involving Help Desk as needed; may participate in system testing and design
• Communicates both orally and in writing with clients and others related to the initial and ongoing eligibility determination while maintaining confidentiality
• Responds to questions and complaints of clients in…