Eligibility Consultant

About The Position

Who can apply: KDHE Agency Only
Classified/Unclassified Service: Unclassified
Full-Time/Part-Time: Full-Time
Regular/Temporary: Regular
Work Schedule: Monday-Friday, 8am-5pm (Flexible schedules available)
Eligible to Receive Benefits: Yes
Veterans' Preference Eligible: Yes
Sponsorship: KDHE does not provide sponsorship for this position.

Responsibilities

• Utilize the agency’s workload management tool, presently current, to claim and place outcomes on case tasks while also entering household information and authorizing eligibility within the Kansas Economic and Enforcement System (KEES).
• Consultant completes determination using State and Federal regulations to determine eligibility for medical benefits based on financial and non-financial criteria.
• Document the eligibility decision in the electronic case journal and send appropriate system-based and manual correspondence to customers and representatives explaining the results of the eligibility determination and information regarding appeal rights.

Qualifications

• Education: High School, GED
• Licensing & Certification: Valid Driver's License - Incumbent is required to have and maintain a valid driver's license when operating a state vehicle, a private vehicle, or a rental vehicle for the benefit of the State.
• Minimum Qualifications: At least 1 year experience determining Long-Term Care, Elderly and Disabled, or Family Medical eligibility and have been an Eligibility Professional for at least 6 months. Education may be substituted for experience as determined relevant by the agency.
• Preferred Qualifications: Word, Excel, PowerPoint, Access, Proofreading, editing, attention to detail, Experience utilizing computer, imaging and eligibility determination system, Knowledge of Medicaid programs, Ability to manage competing priorities, Demonstrated ability to perform complicated, unrelated tasks efficiently and accurately, Demonstrated analytical skills, Ability to interpret and apply policy, Effective verbal and written communication, Experience in customer service, Independent judgement and initiative, Organizational skills

Verification of Identity and Employment Eligibility

Verification of identity and employment eligibility to work in the United States is required by federal law. For a list of acceptable documents that establish these criteria, please refer to the federal Form I-9.

Compensation

Hourly Pay: $21.34
Salary can vary depending upon education, experience, or qualifications.

Employment Benefits

• Comprehensive medical, mental, dental, vision, and additional coverage
• Sick & Vacation leave
• Work-Life Balance programs: parental leave, military leave, jury leave, funeral leave
• Paid State Holidays (designated by the Governor annually)
• Fitness Centers in select locations
• Employee discounts with the STAR Program
• Retail And Deferred Compensation Programs

Position Summary

The Eligibility Consultant position (K0240425) is responsible for analyzing the initial applications and reviews (for Medicaid programs) and supporting documentation provided by applicants to determine eligibility for federal and state medical assistance. Investigate the applicant circumstances through the use of available computer systems (Databases, registries, and informational deposits) researching information provided by the applicant and their contacts. Apply policies and operational processes to evaluate information provided to make eligibility determinations and provide great customer service. Cases assigned to the consultant generally cross over two or more program areas or specialties and are the more complex processing scenarios.