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Benefits and Entitlement Specialist
Career Insights for Compensation / Benefits Specialist
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Scorecard
Based on New York data
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What they do
A Compensation or Benefits Specialist evaluates and works to maintain the pay structure and benefits program at an organization. Analyzes wage and salary data and trends, monitors market conditions; works with benefits vendors, processes benefit claims for employees; monitors government employment regulations. May focus specifically on job classifications and compensation or on benefits programs such as pensions.
$69,340 / year median in New York
-1% projected decline
Job Description
Full Job Description Job Summary:
The Benefits and Entitlement Specialist is responsible for ensuring the accurate maintenance, renewal, and compliance of client public benefits, including Medicaid, Social Security, SNAP, and HEAP. Reporting to the Senior Accountant, this role plays a critical part in protecting agency revenue, supporting client stability, and ensuring timely and compliant benefit determinations for individuals in congregate care.Duties and Responsibilities:
- Manage the full lifecycle of client public benefits, including initial intake, ongoing maintenance, and recertification for Medicaid, Social Security, SNAP, and HEAP.
- Track, submit, and follow up on all time-sensitive documentation to ensure uninterrupted client benefits.
- Monitor benefit eligibility status and proactively address issues that could impact coverage or funding.
- Maintain accurate and auditable records related to benefits, renewals, and correspondence with State and local agencies.
- Coordinate with Revenue Support Offices, Medicaid, Social Security Administration, OTDA, DSS, and other external entities to resolve benefit-related issues.
- Ensure proper notification and documentation related to congregate care placement and changes in client status.
- Support fiscal integrity by ensuring benefits are maximized appropriately and aligned with regulatory requirements.
- Maintain compliance with all applicable federal, state, and local regulations governing public benefits and entitlements.
- Escalate complex or high-risk benefit issues to the Senior Accountant in a timely manner. Education & Experience
- Bachelor's Degree preferred; Associate's Degree with relevant experience required.
- Minimum of two (2) years of experience working with public benefits or entitlements in a social services, healthcare, or human services setting preferred. Knowledge, Skills & Abilities
- Ability to interact with and complete assignments in a manner sensitive to the cultural and socioeconomic characteristics of the service population.
- Working knowledge of Medicaid, Social Security, SNAP, and public benefit eligibility processes.
- Strong organizational skills with the ability to manage multiple deadlines and prioritize effectively.
- Detail-oriented with the ability to maintain accurate records and documentation.