Eligibility Specialist

Why join Caregiver?

Fulfilling work

Our mission is to enable people with intellectual and developmental disabilities to lead their unique lives with dignity, independence, and inclusion. We are committed to creating a world-class experience for the individuals we serve.

Benefits:

• NO CREDIT CHECK bank accounts to all employees with cash advance opportunities.
• $10,000 in tuition reimbursement annually for full-time eligible employees.
• $10,000 in life insurance for all employees at no cost.
• Medical, Dental, Vision, Voluntary Life Insurance
• 401K

For more information on our organization, please visit our website The Office Assistant provides essential administrative and clerical support to ensure efficient day-to-day operations of the office. This role requires strong organizational skills, attention to detail, and the ability to multitask in a dynamic environment. The Office Assistant is a key team player who supports various departments, manages office communications, and helps maintain a productive workplace.

The Eligibility Specialist coordinates SSA/SSI payments and maintains active Medicaid benefits for individuals with intellectual and developmental disabilities.

Essential Functions and Responsibilities

• Monitors individual enrollments to assure that the proper agencies, Social Security, HHSC, and VA have been notified and all applications are complete for benefits.
• Monitor and process Tracking Report to ensure all proper moves are reported to SSA and HHSC as needed.
• Assists in monitoring trust fund accounts to assure appropriate balances are within resource guidelines.
• Responds to inquiries from Area office locations regarding current issues for Individual's Medicaid and/or Social Security benefits.
• Provide excellent customer service to Area personnel to always ensure open communication.
• Works with SSA and HHCS to establish and maintain Medicaid and SSI benefits, reports wages to SSA for individuals we serve.
• Completes reports, reviews, etc. received from SSA and HHCS for all individuals to maintain eligibility.
• Monitors denied claims list, follows up with HHSC and SSA on all open cases, and update denied claim notes.
• Scan and electronically save all work submitted and/or received from SSA or HHSC.
• Perform all other duties as assigned by management.

Education and/or Experience

• High School graduate or equivalent required.
• Minimum of two (2) years verifying individual benefits; governmental office experience preferred.
• Knowledge of ICF, MEPD, HCS waivers Medicaid preferred

Knowledge and Skills

• Excellent communication skills
• Ability to work in a professional environment
• Ability to handle multiple tasks efficiently and effectively
• Proficient in office equipment operation including fax, copier.
• Proficient in Microsoft Outlook
• Typing 40 WPM
• Ten-key by touch
• Proficient in Microsoft Word, Excel, Access