Medicaid Eligibility Specialist - New York, United States - NYC Careers

NYC Careers

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New York, United States

2 weeks ago

Posted by:

Mark Lane

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Description

Medicaid Eligibility Specialist:

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Medicaid Eligibility Specialist:

Agency: HRA/DEPT OF SOCIAL SERVICES

Posted on: 04/20/2024

Job type: Fulltime

Location

NYC-ALL BOROS

Title Classification: Exam may be required

Department

HOME CARE SVCS-NM

Salary range: $41, $62, IF YOU ARE HIRED PROVISIONALLY IN THIS TITLE, YOU MUST TAKE AND PASS THE CIVIL SERVICE EXAM WHEN IT BECOMES AVAILABLE TO BE ELIGIBLE FOR CONTINUED EMPLOYMENT.
Under the supervision of the Medicaid Eligibility Team Supervisor, with some latitude for independent judgement and decision, is responsible for the review of applicants' assets and documentation to ascertain initial or continuing eligibility for Medicaid Home Care Services.
Medicaid Administration Program (MAP) is recruiting for fourteen (14) Eligibility Specialist II to function as a Medicaid Eligibility Specialist, who will:
Document for completeness and adequacy to make the appropriate eligibility decision, using the applicable NYC, NYS and Federal guidelines and procedures.
Determine whether additional documentations are required or referrals to an outside Agency is necessary, to make an eligibility decision.
Consult with the Unit's Supervisor, as needed, on overall problems and complicated cases to ensure timely completion of work within strictly enforced timeframes.

Minimum Qualifications1. Completion of 30 semester credits at an accredited college or university; or
A four high school diploma or its educational equivalent and one year of full-time satisfactory experience in one or more of the following areas; performing the work described below:
a. Interviewing, gathering information and/or preparing necessary documentation for the purpose of making recommendations concerning eligibility for public assistance or unemployment, health benefits, social security, insurance, or participation in social services or community programs, and other similar benefits; or
b. Performing bookkeeping, bank teller duties, housing office teller duties, purchasing agent, assistant store manager, sales representative responsible for accounts, or customer service duties or a job in which the duties include helping customers with questions or concerns; or
Special Note

Work experience which provides only incidental opportunities to perform the job duties as described in "2a", "2b" and "2c" above are not acceptable for meeting the minimum qualification requirements.

Preferred SkillsMust be included for NM/M1 position or higher.

- Ability to review and identify case data that is necessary to perform basic mathematical computations to determine Medicaid Eligibility.

- Ability to use critical thinking.

- Organized / Detailed oriented.- 55a ProgramThis position is also open to qualified persons with a disability who are eligible for the 55-a Program.

Please indicate at the top of your resume and cover letter that you would like to be considered for the position through the 55-a Program.- Public Service Loan Forgiveness Residency RequirementNew York City residency is generally required within 90 days of appointment.

However, City Employees in certain titles who have worked for the City for 2 continuous years may also be eligible to reside in Nassau, Suffolk, Putnam, Westchester, Rockland, or Orange County.

To determine if the residency requirement applies to you, please discuss with the agency representative at the time of interview.- Additional InformationThe City of New York is an inclusive equal opportunity employer committed to recruiting and retaining a diverse workforce and providing a work environment that is free from discrimination and harassment based upon any legally protected status or protected characteristic, including but not limited to an individual's sex, race, color, ethnicity, national origin, age, religion, disability, sexual orientation, veteran status, gender identity, or pregnancy.