19 Benefits Specialist II Jobs in Jacksonville, FL
Northeast Florida Area Agency is Hiring a Benefits Specialist II Near Jacksonville, FL
SUMMARY
This position will work remotely most of the time. The professional staff is 100% Medicaid related and shall perform some or all of the following ADRC intake, screening and triage activities that inform eligible or potentially eligible individuals, their families, and/or the community about Medicaid covered services and how to obtain them.
I. Essential Duties and Responsibilities:
- Provide efficient, timely and consumer friendly services to facilitate the eligibility application and review process.
- Verify an individual?s current Medicaid eligibility status for purposes of the Medicaid eligibility process.
- Explain Medicaid eligibility rules and the Medicaid eligibility process to prospective applicants.
- Post information in the enrollment and termination screens of CIRTS to update the APCL as needed.
- Provide necessary forms and package all forms in preparation for Medicaid eligibility determination.
- Assist individuals with acquiring forms and compiling required documentation, provide technical assistance, coordinate with eligibility determination professionals, and perform all other duties related to completing and submitting a formal Medicaid application.
- Gather information related to the application and eligibility determination for an individual, including resource information and third party liability information, as a prelude to submitting a formal Medicaid application.
- Refer the individual to the local (or ADRC collocated) Department of Children and Families/Automated Community Connection to Economic Self-Sufficiency (DCF/ACCESS) staff to make application for Medicaid benefits.
- Coordinate with these staff regarding eligibility matters for Medicaid eligible or potentially eligible individuals.
- Assist in obtaining the Physician Referral Form (3008) for Medicaid Waiver probable individuals and coordinate with CARES (Comprehensive Assessment and Review for Long Term Care Services) staff for determination of functional eligibility.
- Package all forms in preparation for Medicaid eligibility determination.
- Collect, review and maintain accurate data on individuals who are going through the Medicaid eligibility process to ensure completeness, accuracy and timeliness.
- Track Medicaid applications through the eligibility process.
- Assist Statewide Medicaid Managed Care Long-Term Care enrollees with grievances and complaints they may have with their managed care plan, their services, their providers, or the program in general.
- Contact individuals on the Assessed Priority Consumer List (APCL) as required to update information and screen for Medicaid eligibility.
- Participate in meetings with DCF, CARES and other entities as appropriate to facilitate and enhance the Medicaid eligibility determination process.
- Act as a consumer advocate by coordinating with CARES and DCF/ACCESS staff to resolve in a timely manner any eligibility issues that arise during the Medicaid eligibility determination process
- Accept referrals from the Elder ADRC Helpline as well as other resources for intake and screening utilizing a standardized screening instrument.
- Determine the individual?s needs and screen for potential eligibility for Medicaid-related services in an efficient, timely and consumer friendly manner.
- .Input client assessments into CIRTS (Client Information and Registration Tracking System).
- Conduct comprehensive screening on Medicaid probable individuals on the Assess Priority Consumer List (APCL) who are not active in a case managed program
- Standardize and make consistent outreach efforts to ensure public awareness of Medicaid programs and services and how to access them.
- Develop, compile and distribute materials to inform individuals about the Medicaid programs as well as how and where to obtain those benefits. Note: This activity does not include compiling information already available through the Medicaid agency or Department of Elder Affairs.
- Build relationships with and educate providers, professionals and professional entities and other professionals, such as hospital discharge planners and nursing home social workers, to facilitate referrals and increase awareness of Medicaid resources which serve target populations.
- Regularly meet with and train ADRC access points to increase awareness of Medicaid resources to individuals and target populations.
- Perform other Medicaid-related duties as assigned, which may include counseling disaster victims about Medicaid programs, options and the eligibility process.
II. Qualifications
To perform this job successfully, this position must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Medicaid staff must have the following knowledge and skill set in order to perform Medicaid functions:
- Knowledge of computer applications to perform the functions of the position, including word processing, database, and spreadsheet applications;
- The ability to work independently and with minimal supervision;
- Knowledge of available ADRC administered programs and available Medicaid programs;
- The ability to work with disabled adults, elders, caregivers, stakeholders, and community partners in a knowledgeable, engaged, and compassionate manner; and
- The ability to set and track personal performance goals to efficiently manage workload.
III. Certificates, Licenses, Registrations
- Must be certified by completing the Aging and Disability Resource Centers Long-Term Care Program Education Certification Survey.
- Must be certified by the Department as documented by the completion of the Department approved DOEA forms 701S and 701B training modules.
- Signed acknowledgement that the employee has received, read, and understands the ?Prohibited Activities?.
IV. Education and/or Experience
1. Have a Bachelor?s Degree from an accredited college or university; or
2. Have an Associate Degree from an accredited college or university and a minimum of one (1) year of experience as a caseworker, case manager, intake specialist, or experience in performing human services related work; or
3. Have a high school diploma or GED and two (2) years of experience as a caseworker, case manager, intake specialist, or experience in performing human services related work.
Pre-employment background check and drug screen will be conducted on top candidate. It is mandatory that a candidate be able to pass a Level II criminal background check through the Department of Elder Affairs prior to starting work.
Salary: $37,564.80 / year
Equal Opportunity Employer ? ElderSource values all people - including but not limited to all nationalities, socio-economic backgrounds, abilities, races, genders, religious perspectives, sexual orientations and gender identities ? in everything we do. We welcome the unique insights and perspectives of all persons in our quest to fulfill our mission. To that end, ElderSource expects employees to embrace and participate in all of the agency?s diversity, equity and inclusion (DEI) training, presentations and activities.
Job Summary
Full Time
$90k-115k (estimate)
05/13/2024
07/11/2024
The following is the career advancement route for Benefits Specialist II positions, which can be used as a reference in future career path planning. As a Benefits Specialist II, it can be promoted into senior positions as a Benefits Senior Manager that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Benefits Specialist II. You can explore the career advancement for a Benefits Specialist II below and select your interested title to get hiring information.
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