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Eligibility Specialist

Company: State of Wyoming
Location: Cheyenne
Posted on: January 8, 2021

Job Description:

Description and FunctionsOpen Until FilledGENERAL DESCRIPTION:The Wyoming Department of Health is seeking qualified individuals for the position of Eligibility Specialist. The individual in this position assesses and analyzes current life and financial circumstances to determine eligibility and provide long term care (LTC) medical assistance to individuals and families in need. LTC determinations require extensive knowledge of asset/resource verification as well as knowledge of very complex and costly programs.Human Resource Contact: 307/777-6057 judy.fedell@wyo.govESSENTIAL FUNCTIONS: The listed functions are illustrative only and are not intended to describe every function which may be performed in the job level.

  • Eligibility determination and case management.
  • Responsible and accountable for timely and accurate LTC determinations.
  • Interactions with clients and other State agencies/divisions to determine initial eligibility for programs involving Federal and State funds.
  • Responsible for determining which program(s) best meet the needs of the client.
  • Policy review and training.
  • Interaction with Community, State, and Federal Partners.
  • Preparation for and participation in the hearing.
  • Computer literacy and ability to use word processing and tables/mathematical software.QualificationsKNOWLEDGE:
    • Knowledge of and ability to communicate and interact with individuals with cognitive, emotional, and/or physical disabilities.
    • Mathematical knowledge and ability to make basic and/or algebraic calculations without error.
    • Knowledge of and skill in clear, concise, and grammatically correct verbal and written communication.
    • Ability to analyze and apply correct policy and procedure to diverse case and client circumstances so that cases are completed without error.MINIMUM QUALIFICATIONS:Education:Bachelor's DegreeExperience:0-1 year of progressive work experience (typically in Benefits and Eligibility) with acquired knowledge at the level of a Benefits and Eligibility Specialist IOREducation & Experience Substitution:3-4 years of progressive work experience (typically in Benefits and Eligibility) with acquired knowledge at the level of a Benefits and Eligibility Specialist ICertificates, Licenses, Registrations:NoneNecessary Special RequirementsPHYSICAL WORKING CONDITIONS:
      • Work is performed in an average office environment.NOTES:
        • FLSA: Non-exempt.Supplemental Information048-Department of Health-Division of Healthcare Financing-Eligibility & OperationsClick here to view the State of Wyoming Classification and Pay Structure.URL: http://agency.governmentjobs.com/wyoming/default.cfmThe State of Wyoming is an Equal Opportunity Employer and actively supports the ADA and reasonably accommodates qualified applicants with disabilities.Class Specifications are subject to change, please refer to the A & I HRD Website to ensure that you have the most recent version.

Keywords: State of Wyoming, Cheyenne , Eligibility Specialist, Other , Cheyenne, Wyoming

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