Program Administration Eligibility Specialist

Program Administration Eligibility Specialist

D&S Community Services, a part of the Sevita family, provides community-based services for individuals with intellectual and developmental disabilities. Here we believe every person has the right to live well, and everyone deserves to have a fulfilling career. You'll join a mission-driven team and create relationships that motivate us all every day. Join us today, and experience a career well lived.

Location: Austin, TX

Hourly Rate: $22/hr

Schedule: Monday through Friday, 8:00 a.m. 4:30 p.m.

Your Role

• Monitors upcoming financial eligibility renewal dates weekly via state portal, available reporting (internal or external), and/or paper mail, and communicates with program staff regarding individuals whose eligibility is about to expire.
• Enters individual financial eligibility data into systems weekly to support accurate reporting and timely billing of services provided by local staff.
• Maintains files with eligibility information by client.
• Where Sevita is representative payee, assembles, completes, and submits applications, appeals, or other forms related to financial eligibility, partnering with field and functional teams as needed for supporting documentation.
• Researches complex eligibility issues via payer websites or by phone, and communicates directly with state, payer, or other external partners as needed to resolve outstanding issues.
• Communicates with program staff to alert field or functional teams of potential blockers, escalations, or delays preventing timely financial eligibility processing.
• Reviews AR Aging and collaborates with AR team members, functional partners, or local office staff on eligibility-related billing issues; prepares supporting documentation for eligibility-related sales adjustments (e.g., gaps in coverage).
• Where Sevita is not representative payee, supports field teams with escalation questions as a subject matter expert on state expectations and timing.
• Performs other related duties and activities as required.

Qualifications

• Government relations and health and human services experience preferred.
• High school diploma or GED required.

Why Join Us

• Full compensation and benefits package for employees working 32+ hours/week.
• 401(k) with 3% company match.
• Paid time off and holiday pay.
• Opportunity to contribute to meaningful work supporting our organization's mission alongside a dedicated team.
• Nationwide career development and advancement opportunities.

Sevita is a leading provider of home and community-based specialized health care. We believe that everyone deserves to live a full, more independent life. We provide people with quality services and individualized supports that lead to growth and independence, regardless of the physical, intellectual, or behavioral challenges they face. We've made this our mission for more than 50 years. And today, our 40,000 team members continue to innovate and enhance care for the 50,000 individuals we serve all over the U.S.

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.