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Brown County
Lead Economic Support Specialist- Brown County
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.
$50,278 / year median in Wisconsin
+17% projected growth
Job Description
Under the direct supervision of the Economic Support Supervisor, this position provides training and technical and programmatic assistance for the Economic Support Unit. Work involves determining eligibility and level of supportive services needed in a timely and accurate manner in accordance with the policy and procedures established for the following public assistance programs: Medicaid, BadgerCare Plus, Food Share, Caretaker Supplement, and Child Care. This advanced level position will have the responsibilities of providing policy and technical guidance to Economic Support staff, maintaining a partial caseload, and reviewing casework and phone calls for accuracy. Additionally, this position will assist in running reports and analyzing trends and data that will ensure the Economic Support Unit is in compliance withState performance levels. Performs all duties of an Economic Support Specialist as described in the Economic Support Specialist position description. Advises staff in making decisions regarding applications, reviews and changes; directs the staff in an effort to solve problems of consumers and offers suggestions to rectify problems. Researches complex policy and provides technical assistance to staff through use of handbooks, manuals, computer systems or state call center for correct case processing and eligibility determination. Receives and responds to technical questions from staff, consumers and general public about programs and services. Maintains an advanced level of all program knowledge and ensures Economic Support policies are interpreted and presented correctly to staff. Assists in the training of new Economic Support Specialists by observing and coaching them during interviews, providing feedback and direction, reviewing case work prior to confirmation of benefits to ensure accuracy and timeliness. Mentors new workers throughout new worker training and ongoing caseload management. Responsible for CARES and CARES Worker Web technical assistance and troubleshooting cases with eligibility staff. Utilizes multiple complex computer programs and databases to record, research, investigate and verify information; to assist in computing benefit levels; and to record and monitor case activity. Examples include CARES, CWW, KIDS, Forward Health Portal, and SAVE. Functions in a leadership role consulting with Economic Support Supervisors and Manager on policy, procedures, training and quality improvement in order to meet State Performance Standards. Maintains a partial Economic Support caseload. Performs/processes determinations and re-determinations of eligibility and other tasks determined to be necessary for effective and efficient program administration. Evaluates and refers all appropriate cases for front end verification and/or fraud investigation.