[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. Communicate 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.
• Participate in team meetings, AMS Process improvement, and assisting with special projects.

Qualifications

• 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.
• 1 year customer service related work experience preferred.
• Bilingual (Spanish) a plus but not required.

Requirements

• Successfully pass fingerprint background check, prior employment verifications and reference checks; employment is contingent upon completion of the above-mentioned process and the agency’s ability to reasonably accommodate any restrictions.
• If this position requires driving or the use of a vehicle as an essential function of the job to conduct State business, then the following requirements apply: Driver’s License Requirements.
• All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).

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