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LP
La Plata County
Eligibility Tech I
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.
$50,722 / year median in the U.S.
+21% projected growth
Job Description
Serve our community by connecting people to stabilization services- food, medical, cash, childcare benefits. Need self-motivated person to do interviews, process applications, direct people to additional support services. Extensive data entry. Excellent computer, verbal and written skills required. Testing, background check and valid Driver's License required. Potential for remote work if Colorado or New Mexico resident. Entry level position that assesses needs and verifies eligibility of clients for various human services programs such as food assistance, Medicaid, child care, cash benefits, and others; requires frequent use of professional judgment in interpreting conflicting rules and policy; requires knowledge of eligibility rules & regulations for the many assistance programs; extensive data entry and use of a data management system; interviews applicants and advises them of resources available; accurately documents and completes referrals both internally and to community agencies; documents all client interactions and casework clearly and concisely. Receives close oversight from the training and supervisory team. Essential functions may include any of the following tasks, knowledge, skills and other characteristics. The list that follows is not intended as a comprehensive list; it is intended to provide a representative summary of the major duties and responsibilities. Incumbent(s) may not be required to perform all duties listed, and may be required to perform additional, position-specific tasks. Reasonable accommodations, as defined under the American with Disabilities Act, will be made when possible. Successfully completes initial required training as assigned by the hiring manager. Attends all ongoing training assigned by state partners and county administrators. Independently navigates county and state computer and data systems including but not limited to Microsoft Outlook, Laserfiche, & the Colorado Benefit Management System (CBMS). Interprets and accurately applies regulations in determining eligibility for assigned program(s); informs clients of changes in the law or regulations which affect their continuing eligibility and/or the amount of their benefit. Demonstrates development of appropriate written and verbal communication skills needed to communicate with applicants and community or state partners. Reviews and accurately interprets data provided by various data interfaces including but not limited to CDLS, The Work Number, IEVS, SVES, NDNH, PARIS, DRS/FA, EBT Edge. Using one data management system for data entry, creates an accurate case history in order to determine eligibility for many different eligibility programs. Enters, retrieves and analyzes data as gathered from computer generated interfaces as well as data collected by client report. Processes new applications and ongoing casework; meets minimum processing standards; conducts in-depth, interactive and motivational interviews with clients; assesses needs and determines eligibility for assigned program(s); reviews relevant information supplied by client; using analytical thinking and deductive reasoning, clarifies and/or verifies information provided as needed. Meets acceptable accuracy benchmarks. Demonstrates proficiency in processing accurate and timely determinations. Demonstrates familiarity in client appeal rights, client rights and responsibilities, as well as the requirement to cooperate with Quality Assurance reviews. Performs other related duties as assigned. Regular and predictable attendance is required.