Eligibility Specialist II (Non-MAGI) / 61096906TGRP

About the role

This is a Temporary Grant Position located in Eligibility, Enrollment and Member Service (EEMS) Processing Centers, Richland County. It is an in-office role (not telecommute/remote). The Agency's mission is to be boldly innovative in improving the health and quality of life for South Carolinians. The position is for an Eligibility Specialist II (Non-MAGI) who determines/re-determines Medicaid eligibility according to Medicaid policies and procedures.

Responsibilities

• Collects and evaluates documentation from applicants to determine individual and family Medicaid eligibility.
• Completes all assigned eligibility determinations, reviews, and changes accurately and timely.
• Uses various information sources, electronic tools, and systems to collect, assemble, evaluate, and act on information from applicants/beneficiaries and third parties.
• Follows policies and procedures for collection and analysis of applications and documentation, gathering additional information as needed with minimal burden.
• Performs follow‑up activities efficiently using the most appropriate communication method to obtain outstanding information timely.
• 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 accurate determinations with satisfactory documentation.
• Makes accurate eligibility determinations based on Department rules, standards, and written performance standards.