The Texas Health and Human Services Commission (HHSC) seeks highly qualified candidates to fill the Texas Works Advisor I/Medicaid Eligibility Specialist I position within the Office of Medical and Social Services (MSS), Access and Eligibility Services (AES) Eligibility Operations Field Division. The MSS is driven by its mission to people, services, and supports by helping individuals and families in need of food, medical care, cash assistance and other social services. The ideal candidate will thrive in an environment that emphasizes: innovation through new ideas, striving for excellence by taking pride in your work, embracing our differences as a source of strength, accomplishing more through partnership, leading by example, and learning for continuous improvement. Texas Works Advisor/Medicaid Eligibility Specialist I (Career Track) accurately determines eligibility for TANF, SNAP (food stamps), Medicaid and/or Medicaid for the Elderly and People with Disabilities (MEPD) programs. Work involves interviewing clients in person or via outbound phone call, documenting information gathered, determining eligibility for benefits, verifying case data, explaining program benefits and requirements. Work involves making outbound calls to verify client information. Reviews eligibility of clients for ongoing services. Job requires detailed oriented individuals with ability to apply complex policies and procedures. Travel requirements: during the training period, this position may require travel of up to 75% of the time and 20% after the training period is complete.
Essential Job Functions:
Maintains a regular and predictable work schedule, especially during critical, peak work days (Mondays/Tuesdays). Interviews clients or authorized representatives via phone or in person to gather information to determine eligibility for benefits. Processes changes to client status, overpayments, and adjusts or restores benefits. Obtains, verifies, and calculates income and resources to determine client financial eligibility. Conducts collateral cold calls via conference line to obtain verification of client information. Documents case records using automated systems to form a record for each client. Communicates effectively with others (internally or externally) to provide, exchange, or verify information, answer inquiries, address issues, or resolve problems or complaints. Perform other duties as assigned. Must be able to work occasional overtime, as required by management, outside of normal hours of operation, which may include weekends when called upon. Must be able to work in a highly stressful and fast paced environment, under constant pressure to meet required deadlines, interview service times, standards, and thresholds.
Knowledge Skills Abilities:
Registration or Licensure Requirements:
- Knowledge of interviewing techniques to obtain highly personal information, make inquiries, and resolve conflicting client statements • Ability to perform basic arithmetic functions, including using decimals and computing percentages • Ability to maintain effective working relationships with others • Ability to actively listen to clients, elicit, relate and evaluate information, and interpret terms • Ability to complete work within specified deadlines • Ability to read, understand, and apply a variety of interrelated instructions, such as those found in guidelines, regulations, and policies • Ability to establish priorities according to relative importance and deadlines, set goals, and manage time efficiently • Ability to identify conflicting information provided by the clients or their authorized representatives • Ability to operate computer equipment • Ability to operate call center phone equipment • Skill in establishing and maintaining effective working relationships, including the ability to work with people under pressure, negotiate among multiple parties, and resolve conflicts • Skill in organizing, prioritizing, writing, proofreading, editing, filing, record keeping, and interpersonal communication • Skill in communicating effectively both verbally and in writing. • Ability to work in a dynamic fast paced and constant changing environment • Ability and skill to perform data entry • Knowledge of computer functionality and use of Internet, Microsoft Word, Excel and Outlook
Initial Selection Criteria:
High School Diploma or GED equivalent required. Sixty (60) semester hours from an accredited college or university is preferred. Two years’ relevant customer service experience with public contact required which can include retail, call center, clerical, hospitality, banking, receptionist, or similar customer service experience. Experience to indicate a general understanding of the knowledge, skills, and abilities needed to perform duties required. Prefer experience in social service environment which may include but not limited to interviewing clients, gathering personal information, or making eligibility determinations. Current TIERS and Eligibility Workload Management System (EWMS) knowledge preferred. Application must indicate willingness to travel. Application must indicate willingness to work hours other than 8 - 5. Bilingual (English/Spanish) skills preferred, not required.
Please note applicants who are not current or former Health and Human Services Commission employees will be offered a salary of $2,460.08. Former and current Health and Human Services Commission employees will be offered a salary above $2,460.08 monthly. This position is included in a career track series. This position will be filled at the entry level Texas Works Advisor I / Salary Group B12. Persons hired into this position from outside the Health and Human Services Commission (including other HHSC agencies) are on initial probationary status for one year from hire date. This position career tracks to the Texas Works Advisor II / Salary Group B13 when tenure (one year from hire date) and performance requirements are met. Based on training requirements and previous program eligibility experience, former Access and Eligibility (AES) employees may be considered for rehire at the Texas Works Advisor II/Medicaid Eligibility Specialist II / Salary Group B13. Incumbents are automatically upgraded when tenure and performance requirements are met. Current Texas Works Advisor II/Medicaid Eligibility Specialist II / B13 applicants, if selected, will maintain current job classification and salary group. Current employees promoting into this position will be offered a salary that meets Human Resources salary guidelines for promoting employees. Former employees may be offered a salary above $2,460.08 if they have recent Texas Works or MEPD eligibility experience. Recent experience includes any experience within one year prior to the application closing date. Applicants may not have a history of substantiated fraudulent activity against HHSC or any programs it administers. Applicants who have a non-fraud overpayment with an outstanding balance must agree to repay the overpayment balance as a condition of employment.
There may be no military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position. All active duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information see the Texas State Auditor’s Military Crosswalk at http://www.hr.sao.state.tx.us/Compensation/JobDescriptions.aspx.
HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work.
I-9 Form - Click here to download the I-9 form.
In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.