Eligibility Consultant (211885)

Job Description:

The Eligibility Consultant (K0240131) Analyze the initial applications and reviews (for Elderly and Disabled programs) and supporting documentation provided by applicants to determine eligibility for federal and state medical assistance.  Investigate the applicant circumstances thorough the use of available computer systems (Databases, registries, and informational deposits) researching records provided by the applicant and their contacts to provide the information about the household income, resources, and expenses upon which the eligibility determination is made. Cases assigned to the consultant generally cross over two or more program areas or specialties and are the more complex processing scenarios.

Job Responsibilities may include but are not limited to the following:

Entering household information and authorizing eligibility within the Kansas Economic and Enforcement System (KEES).  Consultant completes determination using State and Federal regulations to determine eligibility for medical benefits based on financial and non-financial criteria. Document the eligibility decision in the electronic case journal and send appropriate system-based and manual correspondence to customers and representatives explaining the results of the eligibility determination and information regarding appeal rights.  Cases assigned to the consultant generally cross over two or more program areas or specialties and are the more complex processing scenarios.

Minimum Qualifications:

• At least 1 year experience determining Long-Term Care, Elderly and Disabled, or Family Medical eligibility and have been an Eligibility Professional for at least 6 months.

Education:

• High School, GED

Licensing & Certification:

• Valid Driver’s License – Incumbent is required to have and maintain a valid driver’s license when operating a state vehicle, a private vehicle, or a rental vehicle for the benefit of the State.

Preferred Qualifications:

Any additional skills, experiences, or qualifications that would be beneficial, but aren’t strictly necessary.

• Bachelor’s Degree
• Some Post-High School education
• Word, Excel, PowerPoint, Access
• Proofreading, editing, attention to detail
• Ability to manage competing priorities.
• Demonstrated ability to perform complicated, unrelated tasks efficiently and accurately.
• Analytical skills – ability to break information into smaller categories to draw conclusions.
• Ability to interpret and apply policy.
• Experience in customer service
• Organizational skills
• Demonstrated ability to achieve and maintain at least minimum.
• Independent judgment and initiative
• Effective verbal and written communication
• Two years of experience interacting with clients, customers or the public in a social service, customer service or problem resolution setting.

About the Position:

• Who can apply: Anyone (External)
• Classified/Unclassified Service: Unclassified
• Full-Time/Part-Time: Full-Time
• Regular/Temporary: Regular
• Work Schedule: Monday-Friday, 8am-5pm (Flexible schedules available)
• Eligible to Receive Benefits: Yes
• Veterans’ Preference Eligible: Yes

Employment Benefits:

• Comprehensive medical, mental, dental, vision, and additional coverage
• Sick & Vacation leave
• Work-Life Balance programs: parental leave, military leave, jury leave, funeral leave
• Paid State Holidays (designated by the Governor annually)
• Fitness Centers in select locations
• Employee discounts with the STAR Program
• Retirement and deferred compensation programs

How to Apply:

Specific instructions for applying, which might include submitting a resume, cover letter, list of references, or completing an online application.

• Please include the Job ID number when emailing.

Job Application Process:  Only applications submitted within our State of Kansas Careers Portal will be considered.

• First Sign in or register as a New User at https://admin.ks.gov/offices/personnel-services/jobs
• Complete or update your contact information on the State of Kansas Careers Portal > My Contact Information page. *This information is included on all your job applications.
• Upload required documents listed for each specific job posting.
• Start your draft job application, upload other required documents, and submit when it is complete.

–  Manage your draft and submitted applications on the Careers> My Job Applications page.

• Check your email and My Job Notifications for written communications from the Recruiter.

–  Email – sent to the Preferred email on the My Contact Information page.

–  Notifications – view the Careers> My Job Notifications page.

Helpful Resources at jobs.ks.gov: “How to Apply for a Job – Instructions” and “How to Search for a Job – Instructions.”

Contact Information:

[email protected]

Salary Range

$ $20.63