Program Eligibility Specialist

ResCare Community Living, a part of the Sevita family, provides quality services that empower individuals, enhance independence, and help people live well. Since 1974, we’ve supported individuals with intellectual and developmental disabilities to live more independently at home and in their community. With our dedicated team and experienced staff, we provide person-centered services that help people build skills, overcome challenges, and reach their full potential.

Pay Class:  Full Time

Hours: Monday - Friday

Requirement: Current driver's license with 1 year driving history without restrictions

Site Location: Denton, TX

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 prior to admission, the individual is eligible for services.
    • Oversees completion of all Admission paperwork
    • Completes benefit applications as needed.
    • Responsible for updating 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, as defined by ResCare’s vehicle policy.
• 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: to reach with hands and arms; and to talk and listen. The employee is required to type on a computer keyboard and the employee 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.

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.

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.