Senior Eligibility Technician (Medicaid)

Salary : $35,232.00 – $52,848.00 Annually

Location : Monroe, NC

Job Type: Full-Time Regular

Job Number: 531070

Department: Social Services

Opening Date: 06/06/2023

Closing Date: 6/30/2023 11:00 PM Eastern

General Statement

The Senior Eligibility Technician, under general supervision. The employee could work in one of the following program areas. Food and Nutrition Services, Medicaid, Subsidized Child Care, Child Welfare Services, Low Income Assistance Program, or Crisis Intervention Program. Coordinates with Services Social Workers in the determination of IV-E or HSF eligibility for Foster Care Placement Reimbursement and Medicaid Assistance for those children in the custody of the Department of Social Services works in computer systems (NC FAST and Compass) to provide limited eligibility work in Food and Nutrition Services, Medicaid and/or Childcare. This worker will provide limited caseload management duties in FNS, Childcare, and Medicaid, provides back up to the appointment desk and help with reporting.

As part of the recruitment process for this position, an online skills assessment is required to test the abilities needed to fulfill the essential functions of this job. After completing the application, please copy and paste the following link to complete the assessment:

Please note: Any candidates (internal or external) not taking the required tests as part of the application process will not be considered.
Essential Functions

Serves as a support for the Child Welfare Services Staff and/or Economic Services staff and supervisors.

Determines client/applicant eligibility for income maintenance programs of limited variety and complexity such as the Low Income Energy Assistance Program (LIEAP), Commodities Distribution Program, FNS, Medicaid, and the Crises Intervention Program (CIP) for the Division of Social Services.

Interviews clients to obtain required information, explains the programs, completes the application and verifies a limited amount of qualifying data.

Refers clients to other agency staff.

Conducts interviews (face-to-face and via telephone) with customers utilizing established interviewing techniques to determine eligibility (also uses ex parte’ information to determine eligibility) for economic services assistance; and follows up with customers within established guidelines.

Processes requests for birth certificates for the Economic Staff in the agency.

Assesses customers’ needs, makes appropriate referrals and coordinates services available from other programs in a timely manner; provides guidance and direction in crisis situations; and appropriately defuses emotions and fosters customer readiness to use available services and pursue self-sufficiency.

Evaluates and verifies information and assesses the validity of customer documentation; applies federal, state, and county policies and procedures within prescribed time frames with a minimal number of errors, overdue applications, and case re-determinations.

Documents case findings within established timeframes accurately to reflect customer’s situation and to substantiate verification of all eligibility factors; and initiates and updates data in multiple computer systems accurately (Compass and NC FAST).
Keys a Child Support referral on all absent parents.

Responsible for ensuring current Medicaid certification periods are entered into the system.

Completes Corrective Action Adjustment Forms for action errors affecting reimbursement from the State.

Completes auto newborns when the hospital sends them over or client reports to workers or front desk.

Oversees the maintenance of Foster Care Medicaid files.

Assists with Medicaid evaluation and spin-offs for terminated Foster Care children and Adoption Assistance children who turn 18 years of age.

Maintains and updates case records and management reports using computer skills and documentation.
Serves as liaison to the local child support for In-Home Services and Foster Care Social Workers.
Provides assistance in determining the funding source for foster care payments.

Maintains the foster care and adoption assistance Medicaid caseload for Union County including new applications, monthly re-certifications, and terminations.

Provides updates for changes relating to placements and custody of children as those changes affect child support enforcement and provide information regarding payments and orders.

Performs other related duties as assigned.

Additional essential functions based on unit assignment:

Subsidized Child Care

Utilizes agency procedural guidelines to accomplish work.

Utilizes correspondence and memoranda from State regulatory agencies to interpret policy directives.

Sees walk-in clients and low-level changes for all caseworkers.

Backs up the Eligibility Technicians on intakes as needed.

Completes over and underpayments in computer systems (NC FAST) and tracks them.

Assists providers in roster submissions and correction.

Logs Help Desk tickets into the computer system (NC FAST) and track progress.

Minimum Qualifications

Education and Experience:
Requires a High School Diploma or an acceptable equivalency diploma (GED), and one (1) year of paraprofessional, clerical, or other public contact experience.

Special Requirements:
Basic Excel knowledge.

Preferred Qualifications

Education and Experience:
High School Diploma or an acceptable equivalency diploma (GED) and two (2) years of paraprofessional, clerical, or other public contact experience.

Special Requirements:
Basic Excel knowledge; NC FAST or other eligibility determination system experience.

Fluent in Spanish and English.

INSURANCE PROGRAMS

HEALTH INSURANCE

All full-time employees and their eligible dependents can participate on the first day of the first full month of employment. You must sign up for coverage within your first 30 days of employment or wait until the annual enrollment period. Health Reimbursement Account Preventative Care Coverage Prescription Coverage Vision Coverage

DENTAL INSURANCE

All full-time employees and their eligible dependents can participate on the first day of the first full month of employment. You must sign up for coverage within your first 30 days of employment or wait until the annual enrollment period.

LIFE INSURANCE

Basic Term life Insurance in the amount of one times the annual salary is provided for all full-time and benefitted part-time employees. Additional coverage is available for purchase through payroll deduction for the employee and eligible dependents.

FINANCIAL PROGRAMS

RETIREMENT

Membership in the North Carolina Local Government Employees Retirement System is a requirement for all full-time and benefitted part-time employees. Employees contribute six percent (6%) of their annual compensation before it is taxed. If you leave County service before retirement, you may withdraw your retirement contributions or elect to freeze your contributions in anticipation of future local government employment. If you have five (5) years of service, you are 100% vested in the NCLGERS.

NC401(k)

The NC401(k) supplemental retirement program is available to full-time and benefitted part-time employees. The County establishes this 401(k) account for each eligible employee and makes a five percent (5%) contribution based on biweekly earnings. Employees may elect to make voluntary contributions through payroll deduction.

457 DEFERRED COMPENSATION

The 457 Deferred Compensation program is available to all employees through payroll deduction. Deferred compensation is a voluntary investment plan to supplement retirement income and to defer taxable income.

FLEXIBLE SPENDING ACCOUNTS

Options are available to regular full-time and benefitted part-time employees who wish to use pre-tax dollars for eligible medical, pharmacy, dental, vision, and daycare expenses. The Flex Debit Card program gives you instant access to your account funds.

Health Care Spending Account — Section 125 of the IRS Code allows yearly voluntary enrollment to set aside pre-tax dollars for eligible health care expenses.

Dependent Care Spending Account — Section 125 of the IRS Code allows yearly voluntary enrollment to set aside pre-tax dollars for eligible dependent care expenses.

DIRECT DEPOSIT

Deposit of your paycheck will be made to checking or savings accounts in a bank of your choice.

CREDIT UNION

Local Government Federal Credit Union membership is available to all employees. Once you join, you can remain a member for as long as you choose. Immediate family members such as: spouse, children, stepchildren, brothers, sisters and parents can all become members.

TRUIST
No Overdraft Fees
$100 Negative Balance Buffer
Online and Mobile Banking with Bill Pay

LEAVE PROGRAMS

VACATION LEAVE

Vacation leave is accrued based on creditable years of service in the Local Government Employees Retirement System.

SICK LEAVE

For full-time County employees, sick leave accrues at eight (8.0) hours per month. Benefitted part-time employees accrue prorated sick leave based on a percentage of the full-time rate. Your unused sick leave balance can be applied as creditable service toward a service retirement under the guidelines of the NCLGERS.

SICK LEAVE TRANSFER FROM OTHER AGENCIES

Unused sick leave earned from another North Carolina Governmental Agency and/or entity, will be accepted and transferred to the County as follows: twelve (12) sick leave days will be transferred and added to the employees active sick leave balance after completion of six (6) months of employment. The remaining balance of sick leave documented for transfer at the time of employment will be recorded in the employees permanent personnel file. On the fifth anniversary of employment with the County, the remaining balance of transferred sick leave will be added to the employees active sick leave balance.

HOLIDAYS

There are 11 County recognized holidays per year with 1 floating holiday available.

MILITARY LEAVE

Annual Training – 10 paid workdays granted.

Active Duty – 20 paid workdays granted.

CIVIL LEAVE

Paid leave is provided to full-time or regular part-time County employees called for jury duty or as a witness of the court for the federal or state government, or a subdivision thereof.

FAMILY & MEDICAL LEAVE ACT

Federal law provides job protection and continuation of existing paid health insurance during 12 weeks of leave, paid or unpaid, to an eligible employee for qualifying events. These events can include birth or adoption, and serious illness of an immediate family member, or of the employee.

PAID PARENTAL LEAVE

Parental Leave provides the employee paid leave for the first eight weeks of approved FML for the birth of a son or daughter, or placement with the employee of a son or daughter for adoption or foster care.

ADMINISTRATIVE LEAVE

Educational Leave is available to regular full-time and benefitted part-time employees when participating in a job-related, short course, such as an update, not to exceed ten (10) consecutive working days.

VOLUNTEER TIME OFF

Volunteer Time Off will provide employes with 16 hours of paid time per calender year to volunteer at approved Union County community partner agencies.

OTHER PROGRAMS

EMPLOYEE ASSISTANCE PROGRAM

The Employee Assistance Program is open to all employees and their dependents. It is a confidential service provided at no cost to the employees of the County. EAP provides certified counselors who administer assessment and brief therapy to employees who want help with a variety of personal and work-related issues such as stress, parenting concerns, grief, alcohol/drug use, family problems, financial concerns, and work-related problems.

AQUATIC AND FITNESS CENTER

We believe that staying healthy is more than just exercising regularly and eating well. Individual and family discount membership and monthly dues are available to full-time and benefitted part-time employees through payroll deduction.

NATIONAL COLLEGE SAVINGS PROGRAM

The National College Savings Program is open to all employees. The Program is designed to provide certain tax advantages, encourage and facilitate saving to pay the costs of attending eligible institutions.

01

Rate these aspects of a unit in order of importance from 1 to 4 with 1 being the most important: A. Teamwork B. Timeliness C. Quantity D. Quality

02

The person who is hired into this position will have the responsibility of multitasking at all times and must complete all aspects of the job fully and timely. What would your strategy be for doing this?

03

Are you proficient in NC FAST?

  • Yes
  • No

04

Have you completed the skills assessment? The link was provided in the job description. The link is also below for quick reference. If the assessment is not complete, then the application will not be considered for review. You will not receive the link at a later date. Please copy and paste, in order to complete after the application is submitted.https://www.ondemandassessment.com/link/index/JB-9ML2XBW0X?u=86102

  • Yes, I understand the testing will need to be completed. If not completed, then my application will not be considered for the position. I plan to complete the testing.
  • I do not plan to complete the assessment.

05

The key to any Income Maintenance job is both organizational skills and time management. How did you apply these to the way you worked in the past and how will you plan to apply them to this particular job?

06

If you have employment experience as a Caseworker or Eligibility Specialist in any other Income Maintenance program, describe your experience including the number of years, in which program, and where you were employed.

Required Question

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