Eligibility Specialist II (MAGI) / 60018013RP

We need to output HTML fragment with sections: h3 headings for sections present: About the role? Not present. Responsibilities: we have many paragraphs describing responsibilities. We'll put under

Responsibilities

then

• each duty? Could be multiple bullet points. We need to preserve all substantive info. Could break into bullet list items summarizing each sentence? But we must not invent or summarize away detail. We can keep each sentence as a bullet point. That preserves detail. Use
  • for any list of duties/requirements/benefits. So we can convert responsibilities into bullet list. Requirements: there is "Minimum And Additional Requirements" and "Preferred Qualifications". We'll combine into Requirements section? Could have separate sections: Requirements and Preferred Qualifications. The instruction: use headings for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we can have Requirements and Qualifications separate. We'll put minimum and additional requirements under Requirements heading. Preferred Qualifications under Qualifications heading. Benefits: there is a Benefits section with details. We'll put under

    Benefits

    then bullet list. Pay: there is a supplemental question about salary $36,491 but not a stated pay. The posting does not explicitly state pay/salary as a benefit; it's a question. We should not create Pay section unless posting actually states them. It does not state salary; it's a question. So omit Pay. Schedule: not stated explicitly; mention in-office role, not telecommute. No schedule details. So omit Schedule. We need to remove boilerplate: EEO, etc. Also remove supplemental questions etc. Also remove application instructions. Also remove duplicated lines like "Benefits" repeated. We'll keep only substantive content. We need to preserve all substantive information: responsibilities, requirements, qualifications, benefits. Let's extract responsibilities sentences: - The Agency's mission is to be boldly innovative in improving the health and quality of life for South Carolinians. (maybe part of about role but we can include in responsibilities? It's about agency mission; could be part of responsibilities? Might be better as part of responsibilities? It's not a duty. Could be omitted? It's substantive but not a duty. Might be considered about the role. Since we don't have About the role heading, we could include it under Responsibilities as a paragraph? But rule: Use

    for prose. So we could have a

    for mission statement then

    for duties. However instruction: Use
    • for any list of duties/requirements/benefits, and

      for prose. So we can have prose paragraphs for non-list content. Thus we can have:

      Responsibilities

      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 Specialty Unit B, Richland 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 will determine/re-determine Medicaid eligibility according to Medicaid policies and procedures. This position collects and evaluates documentation from applicants to determine individual and family eligibility for Medicaid programs. Eligibility Specialists complete all assigned eligibility determinations, reviews, and changes in an accurate and timely manner. Demonstrates positive, cooperative and professional relationships and customer service with staff, co-workers, customers, providers, administrators, the general public, and all stakeholders. Must exhibit dependability/reliability/time management by reporting to work on time, by meeting work schedules & deadlines and completing job tasks effectively and efficiently. 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. This includes but not limited to communication with DSS for Foster Care applications, World Relief and/or Lutheran Services for Refugee applications, and DJJ for applications placed by their agency. Performs follow-up activities in an efficient and effective manner, using the most appropriate communication method for obtaining outstanding information in a timely manner. Documents all notes and steps clearly and completely for review and hand-off to other specialists.In addition to meeting minimum standards for timely determinations in accordance with the Department's EPSM and serving as a liaison to other government agencies specialist is responsible for maintaining time limited specialized cases expedited to the unit.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 in 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.Provides technical assistance and/or training to staff, management, public and outside agencies, such as DSS, DJJ and Family Services and Family Connections.Maintains a professional demeanor and communication style, ensuring that communication and interactions with coworkers, 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. There should be no more than 2 valid customer service monthly.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.

      That's a huge paragraph; maybe better to split into bullet list for duties. But we can keep as prose; it's allowed. However instruction: Use
      • for any list of duties/requirements/benefits. If we have a paragraph that contains many duties, it's not a list. Might be okay but could be considered not a list. Safer to break into bullet list items each duty. But we must preserve all detail; we can convert each sentence into a bullet. That would be a list. Let's do that. We'll create
        • each duty sentence. But we also have some introductory sentences about mission, location, in-office role, "Are you the One?" etc. Those are not duties but could be in a

          preceding list. Thus:

          Responsibilities

          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 Specialty Unit B, Richland 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 will determine/re-determine Medicaid eligibility according to Medicaid policies and procedures.

          • This position collects and evaluates documentation from applicants to determine individual and family eligibility for Medicaid programs.
          • Eligibility Specialists complete all assigned eligibility determinations, reviews, and changes in an accurate and timely manner.
          • Demonstrates positive, cooperative and professional relationships and customer service with staff, co-workers, customers, providers, administrators, the general public, and all stakeholders.
          • Must exhibit dependability/reliability/time management by reporting to work on time, by meeting work schedules & deadlines and completing job tasks effectively and efficiently.
          • 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.
          • This includes but not limited to communication with DSS for Foster Care applications, World Relief and/or Lutheran Services for Refugee applications, and DJJ for applications placed by their agency.
          • Performs follow-up activities in an efficient and effective manner, using the most appropriate communication method for obtaining outstanding information in a timely manner.
          • Documents all notes and steps clearly and completely for review and hand-off to other specialists.
          • In addition to meeting minimum standards for timely determinations in accordance with the Department's EPSM and serving as a liaison to other government agencies specialist is responsible for maintaining time limited specialized cases expedited to the unit.
          • 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 in 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.
          • Provides technical assistance and/or training to staff, management, public and outside agencies, such as DSS, DJJ and Family Services and Family Connections.
          • Maintains a professional demeanor and communication style, ensuring that communication and interactions with coworkers, 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.
          • There should be no more than 2 valid customer service complaints monthly.
          • 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.
          Now Requirements section: Minimum And Additional Requirements. Extract: Minimum And Additional Requirements A high school diploma and relevant program 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. Occasional overnight travel Sitting or standing for long periods of time. Lifting requirements: 20 lbs. In-office Role We'll put under

          Requirements

          then maybe a

          for the first sentence, then

          for additional requirements. But we need to preserve all substantive info. Let's do:

          Requirements

          A high school diploma and relevant program 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.
          • Occasional overnight travel
          • Sitting or standing for long periods of time.
          • Lifting requirements: 20 lbs.
          • In-office Role
          Now Qualifications: Preferred Qualifications section. Extract: 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