Jobs · OTHR · South Carolina

Eligibility Specialist II (MAGI) / 60014335RP, 60014336RP

State of South Carolina · Anderson, SC · 1 mo ago
OTHR$37k/yrFull-time
We need to output HTML fragment with sections: About the role? Not present. Responsibilities: we have many paragraphs describing duties. Use

Responsibilities

then
  • for each duty? The instruction: Use
    • for any list of duties/requirements/benefits, and

      for prose. So we need to decide: The responsibilities are a list of duties; we can turn each sentence into

    • . However we must preserve all substantive information. Could also keep prose paragraphs but instruction says use
      • for any list of duties/requirements/benefits. So we should convert duties to list items. Similarly Requirements: we have Minimum And Additional Requirements and Preferred Qualifications. Those are lists. Benefits: we have Benefits section with bullet list: Health, Dental, Vision, Long Term Disability, and Life Insurance for Employee, Spouse, and Children. 15 days annual (vacation) leave per year. 15 days sick leave per year. 13 paid holidays. State Retirement Plan and Deferred Compensation Programs. Also later there is "Benefits For State Employees" with more details. We need to include only when posting has real, specific content. There is benefits content. We should combine? Probably include Benefits section with list items. Pay: Not present (salary question is supplemental but not actual posting). So no Pay section. Schedule: Not present (in-office role mentioned but not schedule details). So no Schedule. We need to remove boilerplate: EEO, etc. Also remove duplicated lines, application instructions, supplemental questions, etc. Also remove "Job Responsibilities This position is a re-post..." etc. We need to keep substantive info. Let's extract sections: Responsibilities: list items from the paragraph after "Job Responsibilities This position is a re-post..." Actually the responsibilities start after that line? The text: "Job Responsibilities This position is a re-post. Previous applicants do not need to re-apply.* The Agency's mission is to be boldly innovative in improving the health and quality of life for South Carolinians. This position is located in Localized Eligibility Processing (LEP), Anderson County. This is an in-office role and not a telecommute or remote position. Are you the One? We are looking for an Eligibility Specialist II (MAGI) who determines/re-determines Medicaid eligibility according to Medicaid policies and procedures. This position collects and evaluates documentation from applicants to determine individual and family eligibility for the program. Eligibility Specialists complete all assigned eligibility determinations, reviews, and changes in an accurate and timely manner. Uses various information sources, electronic tools, and systems provided by the Department to collect, assemble, evaluate, and act upon information provided by applicant/beneficiaries and third parties to make timely eligibility determinations, reviews, and changes of circumstance. Follows policies and procedures for the collection and analysis of applications and documentation and collects additional information for beneficiaries as necessary with the least burden to the applicant/beneficiary as possible. Performs follow-up activities in an efficient and effective manner, using the communication method most appropriate for obtaining outstanding information in a timely manner. Documents all notes and steps clearly and completely for review and hand-off to other specialists.Demonstrates proficiency in utilizing all processes, policies, procedures, and system updates to ensure that all eligibility determinations, reviews, and changes are completed accurately with satisfactory documentation. Makes accurate determinations of eligibility based on the rules and standards detailed by the Department and defined in written performance standards. Resolves discrepancies in case determinations or documentation a timely manner. Follows appropriate escalation processes as outlined in eligibility process documentation. Labels all documentation, records decision and notes clearly and accurately in the appropriate systems of record.Maintains a professional demeanor and communication style, ensuring that communication and interactions with co-workers, supervisors, and beneficiaries is clear, polite, and concise. Participates in customer service and privacy training and ensures that confidential or private information is maintained in accordance with State and Federal law as articulated through departmental policies and training.Attends all mandatory meetings, trainings, and events as directed by supervisory staff and agency leadership. Maintains awareness of and complies with all agency policies, to include privacy, confidentiality, standards of conduct, performance, leave and compensation, vehicle use and travel, and financial controls. Maintains appropriate certification and training to perform emergency management evacuation and shelter duties as necessary. Performs other duties as assigned by supervisory staff and agency leadership." We need to turn each sentence into
      • . However some sentences are long and contain multiple clauses; but we can split at periods. Let's list sentences: 1. This position is a re-post. (But that's meta; maybe we should exclude? It's about posting, not duty. Might be considered boilerplate? It's not a duty. Probably we should exclude meta lines like "This position is a re-post. Previous applicants do not need to re-apply.*". Also "The Agency's mission is to be boldly innovative in improving the health and quality of life for South Carolinians." That's not a duty but maybe part of About the role? Not requested. Could be omitted? The instruction: Preserve ALL substantive information; do NOT invent or summarize away detail. The mission statement is substantive? Might be considered about the role. But we have no About the role section unless we create. The instruction: include a section ONLY when the posting has real, specific content for it. The mission statement could be considered About the role. But we don't have a heading for About the role unless we create. The instruction says use

        for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we could create About the role section with mission statement and location etc. However we need to see if there is specific content for About the role: The posting includes mission, location, in-office role, etc. That seems suitable for About the role. So we should create About the role section with those details. Thus we need to parse: About the role content: - The Agency's mission is to be boldly innovative in improving the health and quality of life for South Carolinians. - This position is located in Localized Eligibility Processing (LEP), Anderson County. - This is an in-office role and not a telecommute or remote position. - Are you the One? We are looking for an Eligibility Specialist II (MAGI) who determines/re-determines Medicaid eligibility according to Medicaid policies and procedures. - This position collects and evaluates documentation from applicants to determine individual and family eligibility for the program. But some of those are duties. Actually the last two are duties. Might be better to keep them under Responsibilities. The mission, location, in-office role are about the role. Thus About the role: mission, location, in-office. Responsibilities: start from "Eligibility Specialists complete all assigned eligibility determinations, reviews, and changes in an accurate and timely manner." etc. Let's extract responsibilities sentences after that point. From text: "Eligibility Specialists complete all assigned eligibility determinations, reviews, and changes in an accurate and timely manner. Uses various information sources, electronic tools, and systems provided by the Department to collect, assemble, evaluate, and act upon information provided by applicant/beneficiaries and third parties to make timely eligibility determinations, reviews, and changes of circumstance. Follows policies and procedures for the collection and analysis of applications and documentation and collects additional information for beneficiaries as necessary with the least burden to the applicant/beneficiary as possible. Performs follow-up activities in an efficient and effective manner, using the communication method most appropriate for obtaining outstanding information in a timely manner. Documents all notes and steps clearly and completely for review and hand-off to other specialists. Demonstrates proficiency in utilizing all processes, policies, procedures, and system updates to ensure that all eligibility determinations, reviews, and changes are completed accurately with satisfactory documentation. Makes accurate determinations of eligibility based on the rules and standards detailed by the Department and defined in written performance standards. Resolves discrepancies in case determinations or documentation a timely manner. Follows appropriate escalation processes as outlined in eligibility process documentation. Labels all documentation, records decision and notes clearly and accurately in the appropriate systems of record. Maintains a professional demeanor and communication style, ensuring that communication and interactions with co-workers, supervisors, and beneficiaries is clear, polite, and concise. Participates in customer service and privacy training and ensures that confidential or private information is maintained in accordance with State and Federal law as articulated through departmental policies and training. Attends all mandatory meetings, trainings, and events as directed by supervisory staff and agency leadership. Maintains awareness of and complies with all agency policies, to include privacy, confidentiality, standards of conduct, performance, leave and compensation, vehicle use and travel, and financial controls. Maintains appropriate certification and training to perform emergency management evacuation and shelter duties as necessary. Performs other duties as assigned by supervisory staff and agency leadership." We need to ensure each ends with a period; some missing period like "Resolves discrepancies in case determinations or documentation a timely manner." missing "in". We'll keep as is. Now Requirements: Minimum And Additional Requirements section: "Minimum And Additional Requirements A high school diploma and experience in customer services, social services, human services, and/or Medicaid processing. A bachelor's degree may be substituted for the required program experience. Additional Requirements Overtime and/or weekend work with Deputy approval. Sitting or standing for long periods of time. Lifting requirements: 20 lbs. Occasional overnight travel. In-office role." Also Preferred Qualifications: "Preferred Qualifications Eligibility Specialists must have a familiarity with computers, standard Microsoft Office software, internet browsers, and the ability to read, write, and speak English in a clear and concise manner. Must be able to perform basic mathematical computations. Eligibility Specialists must be able to work in a professional office environment with a diverse group of teammates and provide excellent customer service either face to face, telephonically or through written communication. Eligibility Specialists must be able to learn, retain, and apply information about federal rules and standards for processing Medicaid eligibility determinations. Specialists must maintain productive workspaces and must perform tasks in an effective manner to ensure the completeness, accuracy, and timeliness of eligibility determinations." We could combine Requirements and Preferred Qualifications under Requirements section? The instruction: Use

        for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we could have Requirements and Qualifications separate. But we have both Minimum And Additional Requirements and Preferred Qualifications. Could treat Minimum And Additional Requirements as Requirements, and Preferred Qualifications as Qualifications. Or we could merge into Requirements. Safer to follow headings: Requirements for minimum, Qualifications for preferred. Thus:

        Requirements

        • A high school diploma and experience in customer services, social services, human services, and/or Medicaid processing.
        • A bachelor's degree may be substituted for the required program experience.
        • Overtime and/or weekend work with Deputy approval.
        • Sitting or standing for long periods of time.
        • Lifting requirements: 20 lbs.
        • Occasional overnight travel.
        • In-office role.

        Qualifications

        • Eligibility Specialists must have a familiarity with computers, standard Microsoft Office software, internet browsers, and the ability to read, write, and speak English in a clear and concise manner.
        • Must be able to perform basic mathematical computations.
        • Eligibility Specialists must be able to work in a professional office environment with a diverse group of teammates and provide excellent customer service either face to face, telephonically or through written communication.
        • Eligibility Specialists must be able to learn, retain, and apply information about federal rules and standards for processing Medicaid eligibility determinations.
        • Specialists must maintain productive workspaces and must perform tasks in an effective manner to ensure the completeness, accuracy, and timeliness of eligibility determinations.
        Benefits: we have two benefits sections: first after "Benefits" bullet

Similar jobs