MEDICAL CARE PROGRAM ASSOCIATE II (REPOST) - #26-004395-0002

Main Purpose of Job

- Communicate with customers, authorized representatives, and various agencies and organizations via telephone, fax, and e-mail to conduct interviews to verify financial and technical information in order to process Medicaid applications and redeterminations. - Determine eligibility timely in accordance with policies and procedures. Complete appropriate forms and ensure appropriate notices are mailed. - Determine eligibility accurately, in accordance with policies and procedures as measured by SRS reviews, customer complaints and appeals. - Ensure that interim changes are completed timely and accurately, in accordance with policies and procedures. - Ensure databases and tracking systems have current and accurate information for tracking and reporting purposes. - Submit daily productivity reports for compilation of unit production and accountability purposes.

Minimum Qualifications

Education:  Graduation from an accredited high school or possession of a high school equivalency certificate. Experience: Two years of clerical experience applying policies in a medical care, health insurance or federal or State entitlement program. Notes: 1. Candidates may substitute additional general clerical experience on a year-for-year basis for the required education. 2. Candidates may substitute thirty credit hours from an accredited college or university for one year of the required experience.