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MEXICAN AMERICAN OPPORTUNITY FOUNDATION

Provider Specialist

Career Insights for Eligibility Specialist

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What they do

An Eligibility Specialist provides assistance and information for people who apply for a government benefits program or health care program. Answers questions, assists with an application process, and reviews applications and relevant background information to determine eligibility. May assist eligible applicants with enrolling in a program.

$54,990 / year median in California

+4% projected growth

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Job Description

Provider Specialist
MEXICAN AMERICAN OPPORTUNITY FOUNDATION - 3.9
Commerce, CA Job Details Full-time $25.75 - $26.52 an hour 1 hour ago Benefits Paid jury duty Paid holidays Health insurance Dental insurance Paid time off Employee assistance program Vision insurance 403(b) Loan forgiveness Credit union membership Bereavement leave Life insurance Childcare Referral program Paid sick time Pet insurance Qualifications Customer communication Passenger vehicle Driver's License Instructor-led training (training delivery method)
Full Job Description TITLE:
Provider Specialist PROGRAM:
MAOF CalWORKs Stage 2, 3, and AP Program (Los Angeles County)
SALARY:
$25.75 - $26.52 per hour
FLSA STATUS
Non-Exempt, Full-Time
CLOSING DATE
Open until filled
GENERAL SUMMARY
Under general supervision and in collaboration with the Program Director(s) specifically, for programs noted in this job description, the Provider Specialist is responsible for ensuring that provider files are compliant with all applicable county and state guidelines. This role involves maintaining the accuracy of provider files and updating information as needed to support the efficiency and compliance of the childcare subsidy programs.
RESPONSIBILITIES
Utilizing strong organizational and communication skills with minimal supervision, the Provider Specialist will: Receive licensed provider packets from Resource & Referral (R&R) and process documentation to determine provider eligibility in the subsidy childcare programs. Update provider profiles across multiple databases to ensure data consistency and generate accurate monthly and ad hoc reports. Review provider documentation for completeness and accuracy; approve or reject documentation within the required timeframe and provide feedback to R&R. Process TrustLine applications and correspondence in compliance with county and state requirements. Maintain and update provider information; operational details including hours, absence policies, non-operational days, case notes, and status changes. Enroll providers in payment methods (Pay card and Direct Deposit) and ensure appropriate documentation is submitted and processed. Research provider concerns and follow customer service protocols, escalating complex issues to the supervisor when necessary. Analyze and interpret provider documentation to ensure it satisfies agreement and policy requirements; effectively communicate with providers to clarify expectations or resolve issues. Respond to inquiries from providers, parents, and internal staff regarding provider agreements. Address and resolve verification requests, end-of-year 1099 forms, and historical data requests from providers and other stakeholders. Collaborate with the Accounting and Payments Departments to address inquiries and discrepancies related to direct deposit accounts, Pay cards, and ACH returns. Participate in workgroups, committees, ad hoc meetings, and relevant conferences, as needed. Perform other duties as assigned.
QUALIFICATIONS/REQUIREMENTS
Associate's degree preferred; High School Diploma required with a minimum of two years of relevant work experience may be substituted. Ability to effectively train individuals in both small and large group settings. Strong organizational skills with the ability to multitask and manage daily workload efficiently. Capable of working independently with minimal supervision. Excellent customer service and problem-resolution skills. Excellent written and verbal communication skills. Bilingual in English/Spanish preferred. Self-motivated, proactive, and a strong problem solver. Sincere commitment to providing quality service to the public. Represent MAOF professionally and skillfully. Proficient in Microsoft Office applications, including Word, Excel, PowerPoint, and Outlook. Required to drive and travel. Must possess a valid California driver's license, have an acceptable driving record, current automobile insurance, and personal vehicle at all times. Physically capable of operating a vehicle safely. Demonstrated ability to maintain cooperative and diplomatic working relationships with coworkers, supervisors, and the public. Ability to work collaboratively as part of a team, manage competing priorities, and meet deadlines in a dynamic environment. Must be fingerprinted and cleared through the Department of Justice. LiveScan clearance required. Regular attendance required Monday through Friday, 8:00 AM - 5:00 PM; availability to work evenings and weekends as needed. Excellent attendance and punctuality required.
MAOF Sponsored Benefits:
At MAOF, we are committed to supporting the overall well-being of our employees. We are proud to offer a comprehensive package of benefits and perks for full-time employees, with select benefits also available to part-time employees. Personal Time Off (PTO) for vacation, personal days, or sick leave. 48 hours of paid sick time. 12 paid holidays each calendar year. 5 days of paid bereavement leave. 5 days of paid jury duty. 100% employer-paid medical, dental, and vision insurance. 403(b) retirement plan with a 5% employer match and 100% vesting. Basic life and accidental insurance, along with supplemental life insurance options. Pet insurance and supplemental plans for cancer, disability, and accidents. Opportunities for professional development. Employee Assistance Program (EAP) offering counseling and various support services for employees and dependents. A $500 employee referral bonus for hiring new employees who complete 90 days. Discounts on various services and products including AT&T wireless, movies, and amusement parks. Public Service Loan Forgiveness program and credit union membership.