[Hiring] Benefits and Eligibility Specialist @Arizona Department of Administration

Role Description

Benefit & Eligibility Specialists (BESs) are responsible for making financial eligibility determinations for Medicaid programs. BESs provide customer service to diverse populations in a variety of settings that may include in person, phone, and/or call center.

The State of Arizona strives for a work culture that affords employees flexibility, autonomy, and trust. Across our many agencies, boards, and commissions, many State employees participate in the State’s Remote Work Program and are able to work remotely in their homes, in offices, and in hoteling spaces. All work, including remote work, should be performed within Arizona unless an exception is properly authorized in advance.

Major duties and responsibilities include but are not limited to:

• Completing financial eligibility determinations for ALTCS, SSI MAO, Medicare Savings, KidsCare, Specialty Medicaid and the FTW programs following productivity, timeliness, and quality guidelines.
• Scheduling and conducting interviews.
• Communicating with customers after the interview to include requesting information, status updates and final decision.
• Requesting eligibility verification from multiple sources and reviewing documentation in various systems.
• Researching, following, and applying prescribed policies and procedures.
• Documenting throughout the application process as needed, actions taken, relevant case information, and eligibility related material in case records until final case determination is made using HEAplus system.
• Participating in team meetings, AMS Process improvement, and assisting with special projects.

Qualifications

• Knowledge of a call center environment.
• Knowledge of Medicare and Medicaid Programs.
• Knowledge of State and Federal rules and statutes.
• Knowledge of ALTCS, SSI MAO, Medicare Savings, KidsCare, Specialty Medicaid, and the FTW financial eligibility policies and procedures.
• Knowledge of budget calculations used to determine eligibility.
• Knowledge of community resources.
• Knowledge of Arizona Management System (AMS).

Requirements

• Must have a high school diploma or General Equivalency Diploma (G.E.D.) and 6 months customer service related work experience.
• Must successfully pass a test appropriate to area of assignment.
• Chinle office only: Bilingual (fluent) in Navajo.
• Preferred: 1 year customer service related work experience.
• Bilingual (Spanish) a plus but not required.

Benefits

• 10 paid holidays per year.
• Paid Vacation and Sick time off (13 and 12 days per year respectively) - start earning it your 1st day (prorated for part-time employees).
• Paid Parental Leave - Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child (pilot program).
• Other Leaves - Bereavement, civic duty, and military.
• A top-ranked retirement program with lifetime pension benefits.
• A robust and affordable insurance plan, including medical, dental, life, and disability insurance.
• Participation eligibility in the Public Service Loan Forgiveness Program (must meet qualifications).
• RideShare and Public Transit Subsidy.
• A variety of learning and career development opportunities.