Eligibility Worker

Responsibilities

• Under the direction of the Eligibility Supervisor, the Eligibility Worker is responsible for determining initial and on-going the eligibility of clients for a wide variety of county, state and federal public assistance programs (i.e. medical assistance, cash assistance, supplemental nutrition assistance, energy assistance, child care, etc.) through interviews, applicant communications and partnering with other agencies/organizations to assure compliance with the various rules and policies applicable to each program.
• Conducts interviews with clients to obtain the necessary and relevant information needed to process applications, assess client needs, status and financial situation, to address questions or concerns.
• Expedites food support benefits if applicant meets established criteria.
• Determines initial eligibility and performs ongoing case management activities for such programs as Medicaid, General Assistance, MN Supplemental Aid, Supplemental Nutritional Assistance, MN Family Investment, Work Benefit, Diversionary Work, Emergency General Assistance, Group Residential Housing, Refugee Cash Assistance, MNSURE, Long-Term Care, Child Care and Foster Care Assistance programs.
• Identifies potential or suspected cases of fraud and initiates referrals for fraud investigations.
• Provides the investigator with all relevant information and documentation.
• Collaborates with County Attorney staff and testifies at fraud hearings.
• Takes corrective action against participants or providers if fraud is confirmed.
• Established overpayments in accordance with policies.
• Verify if third party insurance is available.
• Request documentation from client and/or employer regarding coverage options and individual cost per pay period.
• Calculates the cost effectiveness of premium covering medical assistance recipients.
• Sends documentation to client, the cost effective reimbursement worker and fiscal department.
• Re-determine reimbursement