Economic Support Specialist Part-Time

Part Time/ Non
- Exempt Position
Starting Pay: $26.68- $29.65

The Economic Support Specialist assists individuals and families in accessing public benefit programs and determines eligibility for Healthcare/Medical Assistance, Food Share, Child Care, and related economic support services. The position performs professional income maintenance eligibility determinations and re-determinations; provides assistance to long-term care applicants; explains program requirements and benefit calculations; maintains accurate case records; and connects customers with appropriate county, state, and community resources.

Work is performed within the Moraine Lakes Consortium serving Ozaukee, Washington, Waukesha, Walworth, and Fond du Lac Counties and requires consistent application of local, state, and federal policy.

The following duties are primarily performed and are essential for this position. Employees are expected to be able to perform each of these job duties satisfactorily and successfully with or without reasonable accommodations to be qualified for the position. Other duties may be required and assigned.

• Receives and responds to calls through the five-county Moraine Lakes Consortium related to applications, renewals, interviews, case changes, verifications, benefit questions, and other eligibility matters.
• Conducts customer interviews by telephone, in person, or through approved virtual methods; gathers and verifies information necessary to determine eligibility and ongoing program participation.
• Conducts interactive interviews while simultaneously reviewing case information, evaluating verification, navigating multiple eligibility systems, documenting customer contact, and determining required case action.
• Explains program rules, benefit calculations, verification requirements, notices, rights and responsibilities, and appeal/fair hearing processes.
• Responds to customer questions and concerns, engages in conflict resolution and de-escalation when appropriate, and provides referrals based on customer needs and county of residence.
• Processes documents and queries, updates, and monitors state and federal databases and data exchanges; assists customers in navigating ACCESS and other benefit systems.

• Processes applications, renewals, six-month reports, changes, and other case actions within required timelines; monitors dashboards, due dates, alerts, and workload benchmarks.
• Identifies and processes emergency or priority benefit situations in accordance with applicable program requirements and required time frames.
• Determines initial and ongoing eligibility for public assistance programs including Medical Assistance/Medicaid, Badger Care Plus, Elderly, Blind and Disabled Medicaid, Long-Term Care Medicaid, Food Share, Caretaker Supplement, Wisconsin Shares Child Care, and other assigned federal and state benefit programs in accordance with applicable policy.
• Provides eligibility assistance for long-term care applicants, including review and analysis of income, assets, real and personal property, trusts, annuities, and other financial instruments as applicable.
• Obtains and evaluates verification from customers and collateral contacts; uses state wage match, child support, and other authorized databases and data exchanges.
• Completes accurate benefit and financial calculations, documents eligibility decisions and case activity, issues required notices, and clarifies outstanding verification or case requirements.
• Reviews and validates system-generated eligibility determinations and benefit calculations for accuracy; identifies discrepancies, researches potential errors, and completes necessary corrections consistent with program policy.
• Identifies, researches, and resolves discrepancies between customer-reported information and information obtained through state, federal, financial, and other authorized data exchanges; takes appropriate action when information may affect eligibility or indicate potential program integrity concerns.
• Performs program integrity and quality-control activities, including review of system alerts and discrepancies, error prevention and remediation, and fraud, waste, and abuse prevention.
• Appears at Fair Hearings as required and researches policy, case records, and supporting documentation in response to customer appeals.
• Coordinates as appropriate with Adult Protective Services, the Aging and Disability Resource…