Eligibility Coordinator I (Specialty Team Lead) / 60017252RP

Full Job Description

*This position is a re-post. Previous applicants do not need to re-apply.*

Are you the One? We are looking for an Eligibility Coordinator I (Specialty Team Lead) who is the front-line of beneficiary access to the Medicaid program. This position collects and evaluates documentation from applicants to determine individual and family eligibility for the program. Eligibility Coordinators ensure the integrity of the Medicaid program by completing all eligibility determinations, reviews, and eligibility changes in an accurate and timely manner. In addition to meeting minimum standards for timely determinations in accordance with the Department’s EPSM, serves as a subject matter expert and first tier escalation authority for individuals on their team.

Uses various information sources, electronic tools, and systems provided by the Department to collect, assemble, evaluate, and act upon information provided by applicant/beneficiaries and third parties to make timely eligibility determinations, reviews, and changes of circumstance.

Follows policies and procedures for the collection and analysis of applications and documentation and collects additional information for beneficiaries as necessary with the least burden to the applicant/beneficiary as possible.

Performs follow-up activities in an efficient and effective manner, using the communication method most appropriate for obtaining outstanding information.

Documents all notes and steps clearly and completely for review and hand-off to other specialists.

In addition to meeting minimum standards for timely determinations in accordance with the Department’s EPSM, serves as a subject matter expert and first tier escalation authority for individuals on their team.

Provides weekly individualized guidance for up to 4 team members and provides recommendations for the relevant team supervisor for performance evaluations and periodic counseling.

Assists new and underperforming team members with developing work improvement strategies.

Proficient with all processes, policies, procedures, and system updates to ensure that all eligibility determinations, reviews, and changes are completed accurately with satisfactory documentation.

Makes accurate determinations as to individual eligibility based on the rules and standards detailed by the department as defined in written performance standards for the relevant type of determination needed.

Resolves discrepancies in a timely manner. Follows appropriate escalation processes as outlined in eligibility process documentation.

Labels all documentation, records decision and notes clearly and accurately, and in the appropriate systems of record.

Coordinates and participates in the delivery of policy and procedures training to staff in the Specialty Unit, including all newly hired Specialty workers processing cases for Tax Equity and Fiscal Responsibility Act (TEFRA), Breast and Cervical Cancer (BCCP), (PCSC), Department of Corrections (DOC) Program, Department of Juvenile Justice (DJJ), Expedited Foster Care/Adoptions, Tuberculosis, and Refugee Assistance.

Works closely with the Specialty Coach to provide assistance and clarification of Medicaid systems, policy, and procedures.

Ensure Specialty staff has onsite support and a complete understanding of the eligibility procedures once they have completed any training tracks.

Provides technical assistance to Specialty Unit and aids in the resolution of common questions, concerns, and escalations received by the eligibility workers.

Accurately addresses or routes questions and escalations to the appropriate resources including supervisors, training staff, help desk professionals, among others.

Periodically spot-checks worker performance.

Maintains a professional demeanor and communication style, ensuring that communication and interactions with co-workers, supervisors, and beneficiaries is clear, polite, and concise.

Participates in customer service and privacy training and ensures that confidential or private information is maintained in accordance with State and Federal law as articulated through departmental policies and training.

Attends all mandatory meetings, trainings, and events as directed by supervisory staff and agency leadership.

Maintains awareness of and complies with all agency policies, to include privacy, confidentiality, standards of conduct, performance, leave and compensation, vehicle use and travel, and financial controls.

Maintains appropriate certification and training to perform emergency management evacuation and shelter duties as necessary. Performs other duties as assigned by supervisory staff and agency leadership

• 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.

Requirements

A high school diploma and relevant program experience.

A bachelor’s degree may be substituted for the required program experience.

Preferred: Two (2) years of experience with Medicaid Eligibility policy and procedures.

Additional Requirements:

• Overtime and/or weekend work with Deputy approval.
• Sitting or standing for long periods of time.
• Lifting requirements: 20 lbs.
• Occasional overnight travel.

Qualifications

• Eligibility Coordinators 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.
• Eligibility Coordinators 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.
• Eligibility Coordinators must be able to learn, retain, and apply information about federal rules and standards for processing Medicaid eligibility determinations.
• Coordinators must maintain productive workspaces and must perform tasks in an effective manner to ensure the completeness, accuracy, and timeliness of eligibility determinations.
• Demonstrates high performance standards.

Additional Information

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.