Eligibility Specialist

Job Description

This position requires someone who can gather information and likes working with numbers, policies and people to determine eligibility for social service programs.

We look for individuals in our organization who are passionate about our mission and values, and providing excellent customer service.

We value our employees, working closely with them to help them be successful. We value the people we provide services to, ensuring they receive the highest quality of customer service.

• Recruitment #: Eligibility Specialist - Multiple Openings
• Closes: March 5, 2026
• Location: Salem, OR (Salem Service
  1)
• Salary: Starting at $4,426 with excellent benefits.
• Agency Sponsored: Medical/Dental 100% paid for employee and 90‑98% for dependents, generous paid‑time off, Public Employee Retirement (PERS), Employee Assistance Plan, Long Term Disability, great culture.
• Employee Paid: Deferred Compensation, Life Insurance, Short Term Disability, Colonial Life Supplemental Plans, Legal Shield.

Meets Agency Mission, Vision and Values by determining financial eligibility for benefits and enrolling consumers, and ongoing maintaining of consumer enrollment in various medical assistance programs.

• Determine eligibility for participation in financial, medical, and SNAP benefits.
• Conduct annual reviews of financial eligibility for participation in financial, medical and SNAP benefit programs.
• Provide ongoing consumer maintenance.
• Provide additional assistance to consumers as needed.
• Promote person centered services.
• Protect consumers and reduce Agency risk.
• Provide excellent service in a professional manner.
• Interview individuals via phone or in person to gather necessary information.
• Explain benefits and resources available.
• Review application documents for completeness and assist the applicant through the application process.
• Assist applicant in obtaining verifications.
• Collaborate and coordinate with others including Department of Human Services, Oregon Health Authority, Coordinated Care Organizations, attorneys, behavioral health partners, pharmacies, Social Security Administration, Medicare, medical providers, etc.
• Process forms and documents.
• Apply program rules and policy to determine if an individual qualifies for programs.
• Provide notification of eligibility decisions timely and completely as outlined in rules and policy.
• Maintain electronic and paper consumer files.
• Cover incoming calls on eligibility for unit, i.e., Worker of the Day.
• Ensure consumer receives re‑determination information.
• Review returned materials for completeness.
• Contact consumer for additional information or to clarify as necessary.
• Adjust benefits as needed.
• Verify information.
• Process and review forms and data related to MMIS database.
• Provide additional resources and community referrals as appropriate.
• Attend consumer hearings and provide testimony as necessary.
• Process other reports as necessary, such as reporting deceased consumers, monthly reports to manager on closed, denied and withdrawn cases.
• Communicate with individuals whose primary language skills are non‑English.
• Provide services to consumers whose primary language skills are non‑English.
• Serve as an interpreter for the Agency in identified language pair, including oral and written interpretation and explanation of forms, rules and policies.
• Translate written materials.
• Embrace and exhibit the Agency Mission and Core Values.
• Understand the role of consumer choice.
• Interact with the public, consumers, co‑workers and others in a patient, respectful and culturally appropriate manner.
• Educate self and others of resources available for populations served, including researching electronic and written materials and Aging and Disability Resource Connection of Oregon resource database.
• Follow policies, regulations and requirements of the project and Agency; document plan and progress as required.
• Serve as a Mandatory Reporter of suspected abuse of vulnerable populations as required by policy and regulation.
• Maintain and share information according to privacy regulations.
• Meet the needs of consumers, follow through, meet deadlines, and maintain skills and…