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Entitlements Coordinator
Job Description
ESSENTIAL DUTIES AND RESPONSIBILITIES
The duties and responsibilities of the Entitlements Coordinator will include, but are not limited to the following: Coordinate the application, verification, renewal, recertification, and ongoing maintenance of public benefits, including SSI, SSDI, Medicaid, MSP, SSP, SNAP, and other applicable Federal, State, and local benefit programs. Verify benefit eligibility for new admissions and support continuity of benefits throughout service delivery. Prepare, review, and submit required documentation to Federal, State, and local agencies in accordance with established deadlines. Monitor pending applications and follow up with government agencies to facilitate timely benefit determinations. Track renewals, recertifications, and required documentation to help prevent interruptions in benefits and services. Coordinate routine Medicaid renewals, eligibility updates, and supporting documentation. Assist with Medicaid conversions, NHED documentation, and other eligibility processes under the guidance of the Senior Entitlements Coordinator. Obtain and maintain client bank account information for new residential admissions in accordance with agency policy. Monitor financial information that may affect ongoing public benefit eligibility and notify the Senior Entitlements Coordinator of significant changes. Communicate with the Social Security Administration, OPWDD, HRA, LDSS, Managed Care Organizations, and other government agencies regarding entitlement matters. Respond to requests for information and obtain documentation necessary to support benefit eligibility. Monitor and respond to notices, correspondence, and requests received from government agencies. Escalate complex eligibility determinations, appeals, overpayments, trust-related issues, and regulatory concerns to the Senior Entitlements Coordinator. Utilize agency and government systems, including ePACES, OPWDD
CHOICES, Medicaid Client System (MCS), ACCESS HRA, Social Security Business Services Online (BSO), and other systems used in entitlement administration. Maintain complete, accurate, and confidential entitlement records in accordance with agency policies and regulatory requirements. Document case activity, correspondence, applications, renewals, and contacts with government agencies. Prepare reports, summaries, and supporting documentation as requested. Ensure timely filing and retention of required entitlement documentation. Collaborate with Residential Directors, Program Directors, Finance, Admissions, Care Management, and interdisciplinary teams regarding benefit-related matters. Provide courteous, professional, and responsive customer service to people supported, families, guardians, advocates, and internal stakeholders. Participate in interdisciplinary meetings, departmental meetings, audits, and committees as requested. Assist with departmental projects, quality assurance activities, and process improvement initiatives. Maintain knowledge of applicable Federal, State, and local regulations governing public benefit programs. Participate in departmental training and continuing education activities. Adhere to agency policies regarding confidentiality, HIPAA, financial information, and documentation standards. Perform additional duties and special projects as assigned by the Senior Entitlements Coordinator and/or Entitlements Director. Maintain professionalism, accountability, and confidentiality in all aspects of work.QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Bachelor's degree in Social Work, Human Services, Public Administration, Healthcare Administration, or a related field required. Minimum one year of experience administering or coordinating public benefits or entitlement programs. Working knowledge of Social Security, Medicaid, SNAP, and related entitlement and public benefit programs. Experience working with OPWDD-funded services and people supported with developmental disabilities strongly preferred. Strong organizational skills with the ability to manage multiple priorities and deadlines. Excellent verbal and written communication skills. Ability to maintain confidentiality and exercise sound judgment. Strong interpersonal and customer service skills. Proficiency with Microsoft Office and database systems. Ability to work independently and collaboratively across departments. Ability to travel between agency locations and government offices as needed. Commitment to ADAPT Community Network's mission and the nonprofit disability services sector.COMPENSATION
$59,000 - $68,000 Annually + Industry-Leading Benefits At ADAPT, we value diversity, equity, inclusion, accessibility, and belonging. We strive to ensure that our employees are comfortable bringing their whole, authentic self to work and that the people we support can also be their authentic selves. We value diverse backgrounds, opinions, ideas, and ways of thinking. We aim to build an inclusive and diverse workforce that is empowered and supported by leaders who create diverse and inclusive teams. We continuously seek opportunities for the organization to foster a more positive, respected, united, and collaborative culture. ADAPT Community Network is proud to be an equal opportunity employer and is committed to creating an inclusive environment for all employees. Qualified candidates of diverse ethnic and racial backgrounds and status are encouraged to apply for vacant positions at all levels.Benefits
- Professional Development
- Health Insurance
- Dental Insurance
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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