COORDINATOR, MEMBER BENEFITS & ELIGIBILITY

Hourly Pay Range: $20.00-$22.34

Shift: Monday-Friday 8:30am-4pm

Ensures all benefits are current for individuals living in our residential sites. Works with residential teams and Accounts Receivable to resolve benefit and financial issues for individuals we serve Also works as a liaison with outside agencies to solve financial issues relating to benefits.

Essential Functions/Responsibilities

• Communicates with Social Security, OTDA, Medicaid, and other agencies that provide a cash entitlement to the person served on financial issues impacting benefits and balances owed to People Inc. on person behalf.
• Reports temporary or permanent movement to the above mentioned entities as required.
• Tracks Status on SNAP Eligibility for the month.
• Notifies residential team and the Benefits Director when Benefits have been suspended with a stoppage of PA. Follows up with applicable entities such as SSA and OTDA as required.
• Responsible for maintaining reporting of income to be in adherence of SSA regulations. Support residential staff with any wage/income questions or issues.
• Responsible for working with residential teams to obtain timely paystubs and other income (unemployment, workers compensation, miscellaneous income) as needed to report to SSA.
• Reviews monthly wage tracking for proper resolution of overpayments.
• Collaborates with Director of Member Benefits and Eligibility and A/R on statements for underpayment or excess income from benefits.
• Responsible for Completion of Annual Representative Payee Reporting for each person with respective government entity who provides the benefit money.
• Consults with and facilitates communication with residential teams and care coordinators on financial/benefit issues.
• Oversees overpayment letter process to determine action needed.
• Attend outstanding revenue monthly meetings to assist in resolving billing denials related to a residential benefit issues.
• Attend Residential Pre-Move meetings to provide and obtain benefit and Rep. Payee information to families.
• Completes certification of Medicaid and SNAP on a timely basis.
• Collaborate with AR, residential on Social Security Audits.
• Maintain CEU credits for certification and knowledge.
• Complies with all agency policies and procedures.
• Responsible for ensuring that all confidential and potentially sensitive information is processed, maintained and utilized according to procedures in a strict confidential manner.
• Other duties as assigned.

Minimum Qualifications

• BA/BS degree and 2 years of experience, or an equivalent combination of education and experience.
• Social Security or Medicaid knowledge preferred.
• Must have excellent computer skills and working knowledge of MS Office for windows.
• Ability to read and interpret documents such as safety rules, operating, and maintenance instructions, and procedure manuals.
• Ability to write routine reports and correspondence.
• Ability to speak effectively before groups of customers or employees of organization.
• Ability to handle multiple tasks simultaneously.
• Ability to interact with all levels of personnel.
• Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
• Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

Supervisory Responsibilities

None