Program Administration Eligibility Specialist

About the role

D&S Community Services, a part of the Sevita family, provides community-based services for individuals with intellectual and developmental disabilities. Here we believe every person has the right to live well, and everyone deserves to have a fulfilling career. You’ll join a mission-driven team and create relationships that motivate us all every day. Join us today, and experience a career well lived.

Sevita is a leading provider of home and community-based specialized health care. We believe that everyone deserves to live a full, more independent life. We provide people with quality services and individualized supports that lead to growth and independence, regardless of the physical, intellectual, or behavioral challenges they face. We’ve made this our mission for more than 50 years. And today, our 40,000 team members continue to innovate and enhance care for the 50,000 individuals we serve all over the U.S.

Location: Austin, TX. Office-based role located at 8911 N. Capital of Texas Hwy. with potential for remote work following the initial period.

Pay

$22/hr

Schedule

Monday through Friday, 8:00 a.m.– 4:30 p.m.

Responsibilities

• Monitors upcoming financial eligibility renewal dates weekly via state portal, available reporting (internal or external), and/or paper mail, and communicates with program staff regarding individuals whose eligibility is about to expire.
• Enters individual financial eligibility data into systems weekly to support accurate reporting and timely billing of services provided by local staff.
• Maintains files with eligibility information by client.
• Where Sevita is representative payee, assembles, completes, and submits applications, appeals, or other forms related to financial eligibility, partnering with field and functional teams as needed for supporting documentation.
• Researches complex eligibility issues via payer websites or by phone, and communicates directly with state, payer, or other external partners as needed to resolve outstanding issues.
• Communicates with program staff to alert field or functional teams of potential blockers, escalations, or delays preventing timely financial