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SO
State of Vermont
Vermont Healthcare Service Specialist III
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.
$58,845 / year median in Vermont
+19% projected growth
Job Description
at State of Vermont in Waterbury, Vermont, United States Job Description Overview The Department of Vermont Health Access (DVHA)'s Health Access Eligibility and Enrollment Unit (HAEEU) is seeking a qualified individual to join their dynamic call center team. Have the work/life balance you need with a Monday-Friday schedule and a supportive hybrid work environment. 12 paid state holidays, in addition to a robust benefits package. The Vermont Healthcare Services Specialist III (VHSS III) has the following responsibilities:
- Extensive interaction with customers addressing inquiries on complex issues via phone to assist with Healthcare eligibility, enrollment, and premium issues.
- Work closely with Health Care Services Specialists, Support Services Specialists, and other contractors as needed to assess and fix errors on customer's cases.
- Conduct, investigate, and research health care cases and communicate via phone with professional partners including Vermont Legal Aid and Care Providers.
- Complete all work within strict time frames ensuring accuracy.
- Analyze and interpret legal rules and policies as they apply to the entire case.
- Assist in resolving system communication errors with Vermont Health Connect Partner's systems based on the information discovered in the research.
- Manages a diverse caseload that varies in complexity and volume throughout the year.
- Take note of error trends that may contribute to