Eligibility Advisor III - Temporary
Texas Health and Human Services · Brownwood, TX · 3 days ago
OTHR$3k–$5k/moFull-time
About the role
This is a temporary position that is expected to end on 08/31/2027. Temporary employees may be eligible to transfer to a regular status vacant position, contingent upon regular status position availability, tenure, and job performance.
Responsibilities
- Reviews case records to determine compliance with policies and procedures to identify trends and for corrective action.
- Affords assistance in interpreting policy, training new workers, completing unit reports, and resolving and responding to customer complaints.
- Affords assistance in support unit activities including case reading, troubleshooting, second level reviews, and On the Job Training assignments.
- Affords assistance in developing standards or procedures for assigned area.
- Interviews applicants and recipients in person or by inbound or outbound telephone calls to obtain pertinent financial and personal information to determine eligibility for public assistance programs.
- Evaluates data from various electronic and other sources to enter information into a computer-based eligibility system.
- Meets agency performance standards for case processing and benefit authorization.
- Processes work in accordance with state and federal regulations and established procedures, guidelines and timeframes.
- Attends work on a regular and predictable schedule in accordance with agency leave policy.
- Performs other duties as assigned, including acting in the supervisor’s absence.
- Must be able to work overtime, as required by management, outside of normal hours of operation, which may include weekends when called upon.
- Must be able to work in a highly stressful and fast-paced environment under constant pressure to meet required deadlines.
Requirements
- High School diploma or GED equivalent is required.
- Sixty (60) semester hours from an accredited college or university is required.
- Twelve (12) months experience as an Eligibility Advisor is required.
- (can include Texas Works Advisor, Medical Eligibility Specialist or Hospital Based Worker)
- Experience using manual and/or automated systems to determine eligibility for SNAP, TANF, and Texas Works Medicaid programs is preferred.
- Texas Integrated Eligibility Redesign System (TIERS) and Eligibility Workload Management System (EWMS) experience is preferred.
- Experience in evaluating case records in relation to agency standards for quality and timeliness, preferred.
Qualifications
- Eligibility programs, requirements, and policies.
- Health Insurance Portability Accountability Act (HIPPA) and Tax Sensitive information regulations.
- Interviewing techniques to obtain personal information, make inquiries, and resolve conflicting statements.
- Handling and resolving complex case issues.
- Use of automated data systems.
- Providing good customer service.
- Effective verbal and written communication.
- Ability To Screen applications, verify eligibility criteria, and determine case dispositions.
- Interpret and apply agency, state, and federal rules, regulations, policy, and procedures.
- Develop and establish effective working relationships.
- Evaluate performance issues.
- Identify problems and evaluate alternatives.
Skills
- Knowledge Of Knowledge, Skills and Abilities (KSAs): Eligibility programs, requirements, and policies.
- Knowledge Of Knowledge, Skills and Abilities (KSAs): Health Insurance Portability Accountability Act (HIPPA) and Tax Sensitive information regulations.
- Knowledge Of Knowledge, Skills and Abilities (KSAs): Interviewing techniques to obtain personal information, make inquiries, and resolve conflicting statements.
- Knowledge Of Knowledge, Skills and Abilities (KSAs): Handling and resolving complex case issues.
- Knowledge Of Knowledge, Skills and Abilities (KSAs): Use of automated data systems.
- Knowledge Of Knowledge, Skills and Abilities (KSAs): Providing good customer service.
- Knowledge Of Knowledge, Skills and Abilities (KSAs): Effective verbal and written communication.
- Knowledge Of Knowledge, Skills and Abilities (KSAs): Ability To Screen applications, verify eligibility criteria, and determine case dispositions.
- Knowledge Of Knowledge, Skills and Abilities (KSAs): Interpret and apply agency, state, and federal rules, regulations, policy, and procedures.
- Knowledge Of Knowledge, Skills and Abilities (KSAs): Develop and establish effective working relationships.
- Knowledge Of Knowledge, Skills and Abilities (KSAs): Evaluate performance issues.
- Knowledge Of Knowledge, Skills and Abilities (KSAs): Identify problems and evaluate alternatives.
Benefits
Comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more.
Pay
$3,248.00 - $4,837.08 per month
Schedule
Day Shift