Program Eligibility Specialist

Pay Rate: $20 per hour Summary Verifies and maintains Medicaid/Social Security Benefits. Works closely with Medicaid and the Social Security Administration (SSA) to ensure continuation of benefits. Ensures eligibility for services through Health and Human Services (HHSC). Essential Job Responsibilities Verifies that, prior to admission, the individual is eligible for services. Oversees completion of all admission paperwork. Completes benefit applications as needed. Updates critical information to SSA and HHSC. Monitors and updates authorizations and renewals. Monitors and applies for benefit renewals and maintains eligibility. Monitors and updates room and board agreements. Works closely with the business office, SSA, HHSC, families, individuals, and programming to meet all conditions of payment for all lines of business. Other duties as assigned. Qualifications/Education Education: High school diploma or GED equivalent. Degree or equivalent work experience preferred. Qualifications Experience in providing services and supports to individuals with developmental disabilities, or related disorders preferred. Minimum age requirement is 18 years. Valid driver’s license, with a satisfactory driving record. Capable of working responsibly with highly confidential information. Experience with Medicaid and Social Security preferred. Must be detail oriented. Must meet all agency requirements for pre-employment as required by ResCare and/or State regulations. Must have the ability to use a computer utilizing company documentation systems. Ability to communicate (verbally and written) with all levels of personnel, internal and external to the company. Must be able to work independently as well as part of a team. Must maintain state regulatory certifications, as required by state/program requirements. Travel Requirements Minimal travel. Work Environment and Physical Demands Physical demands: The physical demands here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is required to sit, stand, and walk; reach with hands and arms; talk and listen; type on a computer keyboard; and may be asked to occasionally lift and/or move heavy objects up to 75 pounds. Specific vision capabilities required by this job include close vision, distance vision, and peripheral vision. Work environment: The work environment described here is representative of what an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee works in home‑like and office settings with varying temperature degrees. The noise level can vary from moderate to loud. As an equal opportunity employer, we do not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, citizenship, or any other characteristic protected by law. #J-18808-Ljbffr Sevita