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Benefit Eligibility Associate & Specialist

El Paso County, Colorado, USA
Colorado, CO Full Time
POSTED ON 8/3/2024 CLOSED ON 8/12/2024

What are the responsibilities and job description for the Benefit Eligibility Associate & Specialist position at El Paso County, Colorado, USA?

Need more information on completing a job application? See the EPC Application process here .

Job Summary

Are you self- motivated, detail oriented, passionate about helping others and possess the drive to help improve the lives of families by being a part of a dedicated team while working with community partners to make a difference? Do you enjoy learning new information and educating others about the resources that are available to them? If so, the Adult Service Ongoing unit has the perfect opportunity for you! As a Benefit Eligibility Associate & Specialist you will work closely with internal staff, clients and community partners to help establish additional healthcare options for our Elderly & Disabled population. In this position, you will be responsible for determining eligibility for Health First Colorado Medicaid/ Long Term Care Medicaid, SNAP and Adult Financial programs. You will have the opportunity to work closely with clients to assist them with applying for and maintaining their benefits and services. You will also have the opportunity to work with community partners and case management agencies to help educate the community on available healthcare options, assistance programs and other community resources available.

Associate Benefits & Eligibility Specialist

Salary Range: $39,750.00 - $57,780.00 Annually

Hiring Range: $40,500.00 - $45,000.00 Annually

Benefits & Eligibility Specialist

Salary Range: $44,020.00 - $63,850.00 Annually

Hiring Range: $44,500.00 - $49,000.00 Annually

(Salary To Be Commensurate With Qualifications)

This position has an anticipated work schedule of Monday – Friday, 8:00am – 5:00pm, subject to change. Under FLSA guidelines, this position is non-exempt.

Please be advised this position may close on or after 08/05/2024 without advance notice, should we receive a sufficient number of qualified applications.

Determines initial and/or ongoing eligibility for a variety of benefit programs including but not limited to Health First Colorado [formerly Medicaid], Colorado Child Care Assistance, Supplemental Nutritional Assistance Program [formerly Food Stamps], Colorado Works, Adult Financial and Long Term Care. This position is part of the Human Services Benefits & Eligibility Specialist career progression series, which includes Associate Benefit Eligibility Specialist and Benefit Eligibility Specialist. An employee is eligible to advance to the next position within the series when the employee has met the criteria for advancement as notated within the job description and has received a recommendation from the Hiring Authority.

Essential Duties/Responsibilities

  • Interviews applicants/clients and assists them in understanding and completing all required eligibility paperwork.
  • Verifies program and services eligibility factors by retrieving or confirming information from a variety of sources.
  • Performs eligibility computations based upon client-provided and collateral information; determines applicability of work registration requirements.
  • Conducts client customer service reviews.
  • Reviews cases for accuracy and completeness.
  • Investigates and computes possible issuance errors; creates reports concerning circumstances, establishes claims and restores lost benefits.
  • Responds to client requests for appeals or administrative hearings, composes rebuttal letters and attends hearings.
  • Provides clients with information and referrals to community support services, child care assistance and other available resources to help facilitate a comprehensive solution to the client's circumstances.
  • Answers the Customer Service Line (CSL) and/or consumer inquiries to assist with changes and questions about our services as needed.
  • Participates in internal committees, training, workshops and seminars.
  • Assists with unassigned caseloads as needed.
  • Performs other duties as required.


Supervision Exercised: This classification does not have supervisory authority; however, may be required to provide expertise or limited guidance or direction to employees, such as overseeing work quality, training, and guidance. Typically serves as a subject matter expert on the scope of functional area.

Supervision Received: Receives general supervision. This classification typically performs job duties by following established standard operating procedures and/or policies. Regular direction, guidance, and coaching from supervisor may be expected. There is a choice of the appropriate procedure or policy to apply to duties. Performance reviewed periodically.

Qualifications

Knowledge, Skills, and Abilities

  • Basic knowledge of public assistance rules, regulations, and procedures.
  • Must be detail oriented and ensure accuracy in work. Ability to enter data in applicable databases timely and accurately.
  • Ability to communicate and work effectively with co-workers, other DHS personnel, clients, other agencies and the public. Ability to provide excellent customer service.
  • Ability to effectively plan, schedule, organize and assess situations to make prudent and appropriate decisions.
  • Ability to provide conflict resolution and problem solving skills.
  • Ability to use standard office equipment including computer, fax machine, copier and telephone.
  • Maintain regular and punctual attendance.


Required Education And Experience

  • High school diploma or equivalent education.
  • Two years of customer service or administrative experience.
    • Associate's or degree or higher in a related field may substitute for the required experience.

Benefits & Eligibility Specialist:

  • High school diploma or equivalent education.
  • Three years of customer service or administrative experience.
    • Associate’s degree in a related field may substitute for one year of the required experience.
    • Bachelor’s degree in a related field may substitute for two years of the required experience.
    • One year of experience determining eligibility for public assistance in a human services agency.


    Pre-Employment Requirements

    • Must pass conditional post offer background investigation and drug screen.


    Work Conditions

    Duties are primarily performed in a high volume office and remote work environment dependent on business needs. May be required to work evening and weekend hours. May be exposed to clients in stressful situations.

    The classification specification above is intended to represent only the key areas of responsibilities and minimum qualifications; specific job assignments, duties, education, experience, licenses/certifications, and environmental conditions will vary depending on the needs of the department/office and the particular assignment. Changes to this document may only be made by a member of the Human Resources Department.

    VISION

    El Paso County will be a trusted regional leader known for excellence in county service delivery.

    PURPOSE

    We provide essential public services to the Pikes Peak Region in support of our residents, businesses, and communities, enhancing the freedom for all to thrive.

    El Paso County is an E-Verify and Equal Opportunity Employer.

    El Paso County adheres to Federal drug screening guidelines and requires a pre-employment drug screen.

    Salary : $39,750 - $63,850

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