Regional Change Center (RCC) Eligibility Specialist

The Eligibility Specialist is responsible for processing applications and completing case maintenance activities such as changes to cases in the State eligibility system and ensuring that client service issues are resolved in a timely manner and in accordance with FSSA policies and procedures. Additionally, the Eligibility Specialist is responsible for handling inbound calls from Medicaid, SNAP, and TANF applicants, recipients, and other members of the community.
-Applies eligibility rules and regulations when evaluating information submitted by customers in support of initial or continuing eligibility determination.
-Checks various system interfaces and exchanges to verify Customer information.
-Assist in answering all in-coming phone calls from customers.
-Attend meetings and trainings as requested and maintains up-to-date knowledge of all programs and systems.
-Contacts customers to clarify eligibility information if necessary.
-Displays excellent communication skills, and an understanding of human behavior to establish an atmosphere in which all contacts are positive.
-May educate customers on basic program services and eligibility requirements.
-Meet Quality Assurance (QA) and other key performance metrics.
-Maintains updated knowledge of project and corporate policies and procedures.
-Verifying data, reviewing case information, and preparing it for case disposition by the State Eligibility Consultant.
-Reprocesses applications, including case repair, and missing information responses in an accurate and timely manner.
-Ability to identify risk by escalating to management and routing technical issues to the appropriate staff.
-Meets all performance requirements associated with eligibility processes.
-Performs other duties as may be assigned by management.