eligibility specialist

Arizona Department of Economic Security

<div><div>YOU MUST APPLY TO THIS LINK TO BE CONSIDERED: https://www.azstatejobs.gov/jobs/benefits-and-eligibility-specialist-eligibility-interviewer-bullhead-city-arizona-united-states-95b757bb-879a-49f6-a846-1ced8def9968<br>
<br>
<b>Job Summary:</b></div><div>
This position assists individuals and families applying for Medical Assistance, Nutrition Assistance, and Cash Assistance programs. The role provides customer support in a call center or field office environment, guiding applicants through the interview and application process while ensuring accurate eligibility determinations.<br>
</div><div>
New employees receive paid classroom and on-the-job training to build the skills needed to perform the work successfully.<br>
</div><div><b>
Key Responsibilities:</b></div><ul><li>
Provide professional and empathetic customer service by phone or in person.</li><li>
Conduct interviews and gather information to determine program eligibility.</li><li>
Enter and review information in multiple computer systems while assisting applicants.</li><li>
Explain eligibility requirements and connect applicants to appropriate resources.</li><li>
Maintain service standards for accuracy, timeliness, and customer support in a high-volume environment.</li></ul><div></div><div><b><br>
Skills That Support Success:</b></div><ul><li>
Clear verbal and written communication.</li><li>
Customer service and active listening skills.</li><li>
Ability to navigate multiple computer systems and screens.</li><li>
Critical thinking and decision-making skills.</li><li>
Attention to detail and basic math skills.</li>
Ability to work independently and collaboratively in a team setting.<br>
<li>
</li></ul><div><b>
Helpful Background:</b></div><ul><li><b>
Experience in customer service, call centers, case processing, or eligibility reviews may be helpful but is not required. A High School Diploma or GED may support success in this role.</b></li></ul><div></div><div><b><br>
Pre-Employment Requirements:</b></div><ul><li>
Background and reference checks are required.</li><li>
Employment eligibility verification through E-Verify.</li><li>
Some positions may require a valid driver&rsquo;s license if driving is required for State business.</li></ul><div></div><div><br>
YOU MUST APPLY TO THIS LINK TO BE CONSIDERED: https://www.azstatejobs.gov/jobs/benefits-and-eligibility-specialist-eligibility-interviewer-bullhead-city-arizona-united-states-95b757bb-879a-49f6-a846-1ced8def9968</div></div>

Benefits & Eligibility Specialist

Mac Care

<p>We are seeking a detail-oriented and analytical <b>Insurance Verification &amp; Eligibility Specialist</b> to join our Revenue Cycle team. The ideal candidate will be responsible for verifying patient insurance coverage, determining eligibility, obtaining prior authorizations, and ensuring accurate documentation to support timely claim submission and payment. This role is critical in reducing claim denials, accelerating reimbursements, and supporting overall financial performance in a U.S. healthcare environment.</p><p><b>Key Responsibilities: Insurance Verification &amp; Eligibility:</b></p><ul><li>Verify patient insurance coverage (commercial, Medicare, Medicaid, and other payers) prior to appointments or services.</li><li>Confirm benefits, deductibles, co-insurance, co-payments, policy limitations, and exclusions.</li><li>Review and interpret payer portals, EHR systems, and clearinghouses for real-time eligibility updates.</li><li>Ensure accurate documentation of verified benefits in the system.</li></ul><p><b>Authorization &amp; Pre-Certification:</b></p><ul><li>Obtain prior authorizations as required by payers for specific procedures, diagnostic tests, or treatments.</li><li>Communicate with insurance companies to resolve authorization discrepancies or incomplete information.</li><li>Track authorization status and follow up to secure approvals before service dates.</li></ul><p><b>Communication &amp; Coordination:</b></p><ul><li>Coordinate with providers, schedulers, and billing teams to ensure all insurance-related requirements are met prior to patient appointments.</li><li>Communicate coverage issues, payer requirements, or eligibility concerns to relevant teams promptly.</li><li>Provide guidance to patients regarding coverage expectations, if required.</li></ul><p><b>Documentation &amp; Data Accuracy:</b></p><ul><li>Maintain complete and accurate patient insurance information in the practice management or billing system.</li><li>Document all interactions, verification results, and authorization details in compliance with organizational policies.</li><li>Identify and correct missing or outdated insurance information.</li></ul><p><b>Denial Prevention &amp; RCM Support:</b></p><ul><li>Identify potential coverage issues that may result in claim denials.</li><li>Work closely with AR and Billing teams to support clean claim submission.</li><li>Review denial trends related to coverage or eligibility and provide feedback to the team.</li></ul><p><b>Qualifications &amp; Requirements:Education:</b></p><ul><li>Bachelor&rsquo;s degree preferred, but not mandatory.</li><li>High school diploma or equivalent required.</li></ul><p><b>Experience:</b></p><ul><li><b>1&ndash;2 years of experience in U.S. Healthcare Revenue Cycle Management</b> (Insurance Verification, Eligibility, Front-End RCM).</li><li>Experience with commercial insurances, Medicare, Medicaid, and managed care plans preferred.</li><li>Familiarity with EMR systems, clearinghouses, and payer portals.</li></ul><p>Job Type: Full-time</p><p>Work Location: In person</p>

Insurance Verification-Eligibility Specialist

<div>Overview:
<p>
THIS POSITION IS LOCATED IN GREENDALE, IN.</p><p>
Knowledge Services has an opportunity for individuals drawn to the social service industry with the FSSA/Division of Family Resources (DFR) as an Eligibility Specialist. This position is responsible for assisting in the processing of applications from Indiana residents who are requesting public assistance. The DFR is responsible for determining eligibility for individuals applying and/or receiving public assistance. Programs include TANF (cash assistance), SNAP, and Medicaid. The Eligibility Specialist staff are responsible for assisting in the processing of new applications and documents for ongoing public assistance.</p><div><b>
Knowledge Services,</b> established in 1994 and headquartered in Indianapolis IN, is a certified woman-owned (WBE) professional services organization with over 1500 employees located in offices throughout North America. Founded by Julie Bielawski, CEO, Guidesoft, Inc. DBA Knowledge Services is an industry leader in Managed Service Programs (MSP), Employer of Record / Payrolling Services, National Recruitment, and Staffing Services. We provide outstanding services to major organizations in various industries, including; IT, Healthcare, Entertainment, Media, Federal and State Governments, Public Utilities, Telecom, Manufacturing and more.</div><br>
<div></div>
Responsibilities:
<ul><li>Eligibility Specialists gather data for all relevant assistance programs either face-to-face or via phone with clients</li><li>
Verify all information is gathered accurately and meets state policies</li><li>
Obtain release forms and medical records as needed</li><li>
Verify income, assets, and other financial / legal documents</li><li>
Review regulations and program requirements with clients</li><li>
Utilize automated program to determine eligibility of state assistance programs</li><li>
Data entry into state database</li><li>
Respond to all inquiries in a timely manner via phone or email</li></ul>
Qualifications:
<ul><li>Highly organized and analytical team player</li><li>
Previous Case Manager experience is a plus</li><li>
Strong written and verbal skills</li><li>
Solid computer skills, Microsoft Office proficiency</li><li>
Basic math skills</li><li>
Case management skills</li><li>
Independent worker who is a self-starter that is reliable and dependable</li><li>
Strong customer service background with a professional demeanor</li><li>
Prefer a Bachelor or Associate degree in Counseling or Social Services, but High School Diploma or GED required</li><li>
2 years&rsquo; experience in a social service environment, state or local government is desired pertaining to employment / training programs</li><li>
Previous experience as a Case Manager, Eligibility Specialist, Eligibility Associate, Office Manager, Call Center Customer Service Specialist, or Client Specialist encouraged to apply</li></ul><p>
The Eligibility Specialist position is an opportunity where you can make an immediate impact on your community, plus the potential for promotion. You will be provided an extensive training program to give you the skills to be successful in this role. The wage is $16.50/hr. This role offers paid time off, benefits, and a 37.5 hour work week of Monday-Friday 8:00AM-4:30PM.</p><p><br>
</p><p>If you are looking for a position that could be the start of your career, apply now for immediate consideration.</p><p></p><div><b><br>
Physical Requirements:</b></div><ul><li><i>
Job frequently requires sitting, handling objects with hands.</i></li><li><i>
Job occasionally requires standing, walking, reaching, talking, hearing, and lifting up to 25 pounds.</i></li><li><i>
Knowledge Services is committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the application or hiring process, please contact </i><i>TalentHR@knowledgeservices.com</i><i>.</i></li></ul><div></div><div><i><br>
Knowledge Services is an equal opportunity employer committed to hiring a diverse workforce and sustaining an inclusive culture. Knowledge Services does not discriminate on the basis of disability, veteran status or any other basis protected under federal, state or local laws. People with </i><i>disabilities, veterans, and military families are encouraged to apply.</i></div><div></div><div><b><br>
#INDDFR</b></div></div><div></div>

Eligibility Specialist - Case Manager

Salina Family Healthcare Center

<div><p><b>Please note that this is an in-person, non-remote position.</b></p><p></p><p><i><br>
Hiring Range - $18.50 - 21.15\hour</i></p><p></p><p><br>
FLSA Status: Non-Exempt</p><p></p><p><br>
Coder/Biller I General Description</p><br>
<p>
The Coder/Biller I provides coding and insurance support to the Billing Department and demonstrates understanding of health insurance, Medicare, Medicaid, FQHC nuances and the SFHC discount program to ensure the integrity of claims &amp; maximize reimbursement. May screen patients and assist the uninsured with enrolling in applicable discount/insurance programs. If applicable would need to meet requirements and competencies to be designated as a &ldquo;Certified Application Counselor or Navigator&rdquo; under CMS/HRSA definition. May be required to meet performance standards of Presumptive Eligibility Specialist to enroll qualified pregnant women and children in Kansas Medicaid.</p><p></p><p><br>
Mission &amp; Value Statements<br>
The mission of Salina Family Healthcare Center is to serve our community at the crossroads of compassionate healthcare and professional education.</p><p></p><p><br>
Salina Family Healthcare Center is guided by the following fundamental values:</p>
<ul>
<li>Excellence;</li>
<li>Innovation;</li>
<li>Access;</li>
<li>Teamwork;</li>
<li>Equal dignity;</li>
<li>Education;</li>
<li>Ethics &amp; integrity;</li>
<li>Patient-centered.</li></ul><br>
<p></p>
<p>
Coder/Biller I Essential Duties</p>
<div>
<ul><li>Efficient timely review of patient charges prior to creating claims for accuracy and completeness; obtain/correct any missing information to reduce claim denial prior to creating claims; including orchard and non-billable holds as a priority.</li></ul>
<ul><li>Accurately review /code encounters for appropriate diagnosis (ICD10), procedures (CPT), HCPCS codes and modifiers prior to billing claims to maximize reimbursement.</li></ul>
<ul><li>Demonstrates and maintains working knowledge of third-party payer regulations and claim policies to include FQHC, Medicare and Medicaid, 340B, Lab NCD &amp; LCD as well as SFHC discount program to accurately submit claims.</li></ul>
<ul><li>Assist with reducing claim denials.</li></ul>
<ul><li>Monitor, identify, research and resolve outstanding unpaid claims.</li></ul>
<ul><li>Ensure the Discount Program integrity by updating claims as well as appropriate practice management systems accurately &amp; timely.</li></ul>
<ul><li>Meet requirements and competencies to be designated as a &ldquo;certified application counselor or Navigator&rdquo; under CMS/HRSA definition, if applicable.</li></ul>
<ul><li>Obtain Presumptive Eligibility Specialist designation and meet performance standards as outlined by KDHE-DHCF in order to enroll our pregnant women and children that are eligible in Kansas Medicaid if applicable.</li></ul>
<ul><li>Attend meetings as required.</li></ul>
<ul><li>Perform other duties as assigned.</li></ul></div><br>
<p></p>
<p>
Coder/Biller I Skills Required<br>
<br>
</p><div><ul><li>Ability to establish and maintain effective working relationships with staff, patients and the public.<br>
</li></ul>
<ul><li>Knowledge of HIPAA privacy rules and regulations.</li></ul>
<ul><li>Excellent interpersonal, mathematical, verbal and written communication skills.</li></ul>
<ul><li>Ability to efficiently complete work is reasonably void of errors, and high in accuracy.</li></ul>
<ul><li>Excellent customer service skills and ability to effectively and respectfully interact with unsatisfied patients and coworkers.</li></ul>
<ul><li>Ability to manage multiple tasks, work under pressure, and prioritize workload, while maintaining efficiency and accuracy.</li></ul>
<ul><li>Effective and efficient time management and organizational skills.<br>
</li></ul>
<ul><li>Ability to follow written policies and procedures.</li></ul>
<ul><li>Ability to work independently and use good judgment.</li></ul></div><br>
<p></p>
<p>
Coder/Biller I Education and Experience</p><br>
<div>
<ul><li>High school diploma required;</li></ul>
<ul><li>Certified Professional Coder (CPC) OR equivalent of two years coding and insurance in a medical related field;</li></ul>
<ul><li>Excellent organization, prioritization, and follow-up skills required;<br>
</li></ul>
<ul><li>Requires knowledge of ICD10, CPT and HCPCS Coding;</li></ul>
<ul><li>Social and cultural sensitivity appropriate to ethnically and economically diverse patient and employee-base.</li></ul></div><br>
<p></p>
<p>
To see the full job description, please email careers@salinahealth.org with your requests.</p></div>

Coder/Biller I (In-Person Only Position)

Macrise Tech Solutions

<p>We are seeking a highly organized and detail-oriented <b>Insurance Verification &amp; Authorization Specialist</b> to join our medical billing team. This role is critical in ensuring accurate verification of patient insurance coverage, obtaining timely prior authorizations, and maintaining complete and compliant documentation to support efficient billing and claims processing.</p><p>The ideal candidate will have excellent communication skills, strong attention to detail, and a solid understanding of payer requirements, with the ability to thrive in a fast-paced healthcare environment.</p><p><b>Key ResponsibilitiesInsurance Verification &amp; Eligibility</b></p><ul><li>Verify patient insurance coverage through payer portals and direct communication with insurance providers.</li><li>Maintain accurate and up-to-date eligibility records within the Electronic Health Record (EHR) system (e.g., eClinicalWorks).</li><li>Complete and upload insurance verification documentation promptly for all newly registered patients.</li><li>Clearly communicate estimated patient financial responsibilities, including copayments, deductibles, and out-of-pocket expenses.</li><li>Escalate unresolved eligibility discrepancies or coverage concerns to the Patient Collections team when necessary.</li><li>Proactively follow up with patients to obtain missing, corrected, or updated insurance information.</li></ul><p><b>Authorizations &amp; Compliance</b></p><ul><li>Obtain prior authorizations for medical and behavioral health services requiring insurance approval.</li><li>Ensure compliance with Medicaid and other payer-specific authorization guidelines and policies.</li><li>Coordinate with the Patient Services team to manage out-of-network insurance cases.</li><li>Secure authorizations for psychological assessments while maintaining accurate documentation and system alerts.</li></ul><p><b>Operational Support &amp; Collaboration</b></p><ul><li>Assist with urgent or same-day appointment scheduling as needed.</li><li>Monitor and communicate updates related to payer policies, billing concerns, and provider network participation.</li><li>Collaborate with the Practice Manager to resolve incomplete or inaccurate patient intake documentation.</li><li>Participate in team meetings to improve workflow efficiency, enhance data accuracy, and support continuous process improvements.</li></ul><p>Job Type: Full-time</p><p>Pay: Rs45,000.00 - Rs70,000.00 per month</p><p>Ability to commute/relocate:</p><ul><li>Wapda Town: Reliably commute or planning to relocate before starting work (Required)</li></ul><p>Application Question(s):</p><ul><li>Willing to work the night shift in Wapda Town, Lahore?</li></ul><p>Experience:</p><ul><li>Medical Billing: 1 year (Preferred)</li></ul><p>Language:</p><ul><li>English (Required)</li></ul><p>Work Location: In person</p>

VOB & Pre-Authorization Specialist

Department of Early Childhood

<div><div><div><h2 class="jobSectionHeader"><b>Department Information</b></h2></div>
<p></p><div><p><b>STATE OF COLORADO RESIDENCY REQUIRED</b></p><p><b>
NOTE: This announcement may be used to fill multiple openings.</b></p><p><i><br>
Colorado Governor Jared Polis is committed to building a Colorado For All, a place where everyone has an opportunity to succeed and live the Colorado way of life. Governor Polis is focused on lowering health care costs for hardworking Coloradans, transitioning the state to renewable energy sources, ensuring every Colorado child gets a quality education, and building an economy that works for everyone.</i></p><p>
The State of Colorado strives to create a Colorado for All by building and maintaining workplaces that value and respect all Coloradans through a commitment to equal opportunity and hiring based on merit and fitness. The State is resolute in non-discriminatory practices in everything we do, including hiring, employment, and advancement opportunities.</p><p>
 We offer a generous benefits package including:</p><ul><li><div><br>
 11 paid holidays per year plus vacation and sick leave</div></li><li><div>
 Medical, dental, and vision plans</div></li><li><div>
 State paid life insurance policy</div></li><li><div>
 Choice of 2 retirement plans (defined benefit or defined contribution)</div></li><li><div>
 Optional 401(k) and 457 plans</div></li><li><div>
 State paid short-term disability coverage</div></li><li><div>
 Additional optional life and disability plans</div></li><li><div>
 Credit Union membership</div></li><li><div>
 Training and professional development</div></li></ul><div>
To learn more about State of Colorado benefits visit: https://www.colorado.gov/dhr/benefits.<br>
<br>
Some positions may qualify for the <b>Public Service Loan Forgiveness Program</b><b>. For more information, go to </b>https://studentaid.ed.gov/sa/repay-loans/forgiveness-cancellation/public-service?<br>
<br>
<br>
</div><p><b>This position will have the opportunity for a hybrid schedule (a combination of in-office and remote workplace). </b>**Please note - equipment provisioning and certain onboarding tasks will take place in person, in our downtown Denver office, on the first day of employment.**</p><br>
The Colorado Department of Early Childhood (CDEC) ensures the delivery of a comprehensive, community-informed, data-driven, high-quality, and equitable early childhood system that supports the care, education, and well-being of all Colorado's young children, their families, and early childhood professionals in all settings. CDEC provides access to collaborative, coordinated, quality early childhood programs and support to children, families, and early care professionals in an effort to best prepare Coloradans for future success. CDEC works with many partners, including parents, schools, child care providers, Early Childhood Councils, counties, Community Centered Boards, early intervention service providers, family resources centers, county human services, county public health, businesses, community organizations, and other stakeholders to provide high-quality early childhood and family support programs.<p><br>
The purpose of the Colorado Child Care Assistance Program (CCCAP) is to provide eligible households with access to high-quality, affordable child care that supports healthy child development and school readiness while promoting household self-sufficiency and informed child care choices. CCCAP provides child care assistance to low-income families who are working, searching for employment, are in training or secondary-education programs, or are participating in the Colorado Works Program, or families that have an open child welfare case. Funding through CCCAP is intended to support low-income families who are working, searching for work, or in school while providing high-quality early learning opportunities for children 0-13 years of age in a variety of early childhood settings such as licensed child care centers, preschools, child care homes, and before and after-school programs.</p><p>
The Colorado Child Care Assistance Program (CCCAP) administers and monitors the Child Care Development Block Grant (CCDBG) subsidy statewide. The purpose of the CCCAP is to provide support for low-income working families by providing child care assistance and promoting quality early learning environments. The CCCAP is a state-supervised, county-administered program supported by the Child Care Automated Tracking System (CHATS). The CCCAP&rsquo;s goal is to build a child care subsidy program that is child-focused, family-friendly, and fair to providers. The priority of the CCCAP team is to provide counties with the guidance, support, training, and tools needed to administer the CCCAP at the county level.</p></div><p></p>
<div><h2 class="jobSectionHeader"><b>Description of Job</b></h2></div>
<p></p><div><p><b>What you&rsquo;ll be doing:</b></p><div>
This position exists to review CCCAP eligibility cases for adherence to federal regulations, the Colorado State Plan, state regulations, and county policies and to fulfill the federal obligations to ensure adequate internal controls are in place to ensure accuracy and mitigate improper payments and potential fraud through case reviews, data reporting, trend analysis, and training/technical assistance based on the Federal Improper Payment Review process. This position provides policy and procedural guidance regarding county eligibility determinations, verification of documentation, and data entry in the Child Care Automated Tracking System (CHATS) through case reviews and reviews of case actions. Responsibilities of this position include ensuring the eligibility and subsidy payments made on behalf of CCCAP meet program requirements. These reviews often include technical issues and complex situations that require the resolution of compliance problems and the reconciliation of divergent viewpoints. This position provides continuous data to the CCCAP Data Analyst on frequency, magnitude, and sources of errors and/ or non-compliance. The data identified through the reviews are utilized by the CCCAP and counties to improve program performance and client services; directly advise on areas of risk, formulate improvement plans for eligibility and payment accuracy to prevent errors, prevent fraud, achieve program compliance, and meet program outcomes.</div><b><br>
Additional position duties include, but are not limited to:</b><br>
<ul><li>
Performs complex eligibility, financial, and compliance reviews of county Human Service agencies administering CCCAP in 64 counties throughout the state of Colorado.</li><li>
Independently reviews agency actions by accessing various databases and agency documents (case records).</li><li>
Evaluates the validity and completeness of the data obtained and independently determines the need for continued investigation or to proceed with the determination of program compliance.</li><li>
Analyzes data to measure payment accuracy, payments issued, child care authorizations, and other measures as defined to assess overall eligibility and payment accuracy for the CCCAP program.</li><li>
Research information from CHATS, data reports, case files, that are incorrect and/or inconsistent, to identify trends for technical assistance, policy clarification, and system enhancements, and provides data findings to inform practice.</li><li>
Documents case file review findings and follows appropriate procedures for responses to counties to ensure they align with federal requirements, state statutes, and CCCAP regulations.</li><li>
Directs county agencies to take action based on findings.</li><li>
Provides recommendations for technical assistance and training in identified areas of risk, as well as additional reporting and tracking to monitor improvement plans.</li><li>
Identifies and categorizes errors based on data collection standards to inform accurate and consistent data reporting and payment accuracy rates and tracks aggregate statewide and county-specific data for reporting.</li><li>
Assists in the development of case file review tools, processes, and procedures. Incorporates new policy and regulatory requirements into daily operations.</li><li>
Undertakes administrative and staffing duties in support of securing case files for review.</li><li><div>
Other duties as assigned</div></li></ul></div><p></p>
<div><h2 class="jobSectionHeader"><b>Minimum Qualifications, Substitutions, Conditions of Employment &amp; Appeal Rights</b></h2></div>
<p></p><div><div><b>Residency Requirement:</b></div>
This posting is only open to residents of the State of Colorado at the time of submitting your application.<div><b><br>
Class Code &amp; Classification Description: (New)</b></div><div><div><b><br>
H1T3XX</b></div><div> Social Services Specialist III</div></div><br>
<br>
<b>
MINIMUM QUALIFICATIONS</b>:<br>
<b>Experience Only:</b> Six (6) years of relevant experience in an occupation related to Human Services, Social Services, Early Childhood programs, and/or Quality Assurance of these programs. Must have at least two (2) years of experience in a public benefit assistance program.<br>
<br>
OR,<br>
<br>
<b>Education and Experience</b><b>: </b>A combination of related education and/or relevant experience in an occupation related to Human Services, Social Services, Early Childhood programs, and/or Quality Assurance of these programs, AND two (2) years of experience in a public benefit assistance program. A total of seven (6) years of experience and educational credits combined.
<br>
<br>
<b>Please note: </b>The required experience must be substantiated within the work experience section of your application and in the supplemental questions. Your resume will not be reviewed to determine if you meet the minimum qualifications; only the work experience section and supplemental questions of your application will be reviewed to determine this. &ldquo;See Resume&rdquo; statements on the application will not be accepted. In addition, <b>part-time work will be prorated.</b><br>
<br>
<b>Substitutions:</b><br>
Additional related experience may substitute for the education on a year-for-year basis.<br>
Additional appropriate education in a related field may substitute for the experience requirement on a year-for-year basis.<br>
<br>
<b>DEFINITION OF PROFESSIONAL EXPERIENCE</b><b>:</b><br>
Work that involves exercising discretion, analytical skill, judgment, and personal accountability, and responsibility for creating, developing, integrating, applying, and sharing an organized body of knowledge that characteristically is uniquely acquired through an intense education or training regimen at a recognized college or university; equivalent to the curriculum requirements for a bachelor's or higher degree with major study in or pertinent to the specialized field; and continuously studied to explore, extend, and use additional discoveries, interpretations, and application and to improve data, materials, equipment, applications and methods.<br>
<br>
 <b>Preferred Qualifications:</b><ul><li>
State of Colorado experience related to the duties of this position</li><li>
Demonstrated knowledge of CCCAP rules, regulations, policies, and practices</li><li>
Recent experience determining eligibility for the Colorado Child Care Assistance Program (CCCAP)</li><li>
Demonstrated experience researching, analyzing, and interpreting regulations (State and Federal), statutes, rules, and applicable policies to conduct reviews of county actions.</li><li>
Demonstrated ability to manage high volumes of complex work within state and federally defined timelines.</li><li>
The ability to maintain project transparency and team alignment in a self-directed work environment.</li></ul><div></div><b><br>
Highly Desired</b><ul><li>
Recent experience conducting Case File reviews for CCCAP or other benefit assistance programs</li><li>
Experience conducting consultative audits and providing coaching</li><li>
The ability to navigate internal and external disagreements by citing precedent, risk-tolerance levels, and Departmental goals.</li><li>
Proficiency in using digital collaboration tools such as Google Apps</li></ul><div></div><b><br>
Conditions of Employment:</b><ul><li>
Applicants must pass a thorough background check prior to employment.</li><li>
Employees who have been disciplined, terminated, resigned in lieu of disciplinary termination, or negotiated their termination from the State of Colorado must disclose this information on the application.</li></ul><div><b><br>
APPEAL RIGHTS:</b></div><div>
If you receive notice that you have been eliminated from consideration for this position, you may file an appeal with the State Personnel Board or request a review by the State Personnel Director.</div><div><br>
An appeal or review must be submitted on the official appeal form, signed by you or your representative. This form must be delivered to the State Personnel Board by email (dpa_state.personnelboard@state.co.us), postmarked in US Mail or hand delivered (1525 Sherman Street, 4th Floor, Denver CO 80203), or faxed (303.866.5038) within ten (10) calendar days from your receipt of notice or acknowledgement of the department&rsquo;s action.</div><div><br>
For more information about the appeals process, the official appeal form, and how to deliver it to the State Personnel Board; go to spb.colorado.gov; contact the State Personnel Board for assistance at (303) 866-3300; or refer to 4 Colorado Code of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov under Rules.</div></div><p></p>
<div><h2 class="jobSectionHeader"><b>Supplemental Information</b></h2></div>
<p></p><div><p><b>How to Apply</b><b>(PLEASE READ CAREFULLY)</b></p><div>
Please note that ONLY your State of Colorado job application will be reviewed during the initial screening; if you submit a resume and cover letter, they will be reviewed in later stages of the selection process. Therefore, it is paramount that you clearly describe all your relevant experience on the application itself. Applications left blank or marked &quot;SEE RESUME&quot; will not be considered.</div><br>
Complete Applications must include the following documents:<br>
<ul><li>
A complete CDEC Application for Announced Vacancy (please submit online using the green 'APPLY' button at the top of this announcement)</li><li>
A complete Supplemental Questionnaire (The questionnaire is part of the online application. You will be prompted to answer them as you are completing your online application.)</li><li>
A cover letter that describes your interest in this position, how your experience aligns with the minimum and preferred qualifications of this position. Cover letters must be uploaded as an attachment to your online application. Cover letters will not be accepted after the closing date and time of the announcement.</li><li>
If you are a veteran, a copy of your DD214. Please submit this as an attachment to your online application.</li></ul>
Your application will be reviewed against the minimum qualifications for the position. If your application demonstrates that you meet the minimum qualifications, you will be invited to the comparative analysis process, which is described below.<br>
<br>
<b>Comparative Analysis Process</b><p>
The comparative analysis process will consist primarily of a review of applications against the minimum and preferred qualifications of this position. Applications will be reviewed in comparison to all others in the applicant pool in order to identify a top group of candidates who may be invited for a final interview. Depending on the size of the applicant pool, additional selection processes may be utilized to identify a top group of candidates. Applicants will be notified of their status via email.</p><p>
Failure to submit properly completed documents by the closing date will result in your application being rejected.</p><p><br>
The State of Colorado believes that equity, diversity, and inclusion drive our success, and we encourage candidates from all identities, backgrounds, and abilities to apply. The State of Colorado is an equal opportunity employer committed to building inclusive, innovative work environments with employees who reflect our communities and enthusiastically serve them. Therefore, in all aspects of the employment process, we provide employment opportunities to all qualified applicants without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity or expression, pregnancy, medical condition related to pregnancy, creed, ancestry, national origin, marital status, genetic information, or military status (with preference given to military veterans), or any other protected status in accordance with applicable law.</p><div><b><br>
Transfer, Non-Disciplinary Demotion or Reinstatement</b><br>
If you believe that you are eligible to be considered as a transfer, non-disciplinary demotion, or reinstatement to this vacancy, you must submit a completed application following the directions in this job announcement and you will be included in the selection process along with other qualified applicants. If you are the finalist for this position after the selection process, Human Resources will confirm your eligibility to be appointed as a transfer, non-disciplinary demotion, or reinstatement applicant.</div><div>
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ADAAA Accommodations:</b><br>
CDEC is committed to the full inclusion of all qualified individuals. As part of this commitment, our agency will assist individuals who have a disability with any reasonable accommodation requests related to employment, including completing the application process, interviewing, completing any pre-employment testing, participating in the employee selection process, and/or to perform essential job functions where the requested accommodation does not impose an undue hardship. If you have a disability and require reasonable accommodation to ensure you have a positive experience applying or interviewing for this position, please direct your inquiries to the HR Business Partner, Jenny Nguyen @ Jenny.n.nguyen@state.co.us.</div><br>
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The Department </b><b>does not offer sponsored visas for employment purposes.</b><div></div><div><b><br>
Technical Assistance:</b></div><div></div><div><br>
If you experience difficulty in uploading or attaching documents to your online application, or for any other technical difficulties, call NEOGOV technical support at 855-524-5627 anytime between 6:00 a.m.-6:00 p.m. (Pacific Time).</div><div></div><div><b><br>
HOW TO APPLY:</b> Please submit an online application for this position at https://www.governmentjobs.com/careers/colorado. Reach out to the Department Contact to apply using a paper application, including any supplemental questions. Failure to submit a complete and timely application may result in the rejection of your application. Applicants are responsible for ensuring that application materials are received by the appropriate Human Resources office before the closing date and time listed.</div><div></div><div><b><br>
IF NOT APPLYING ON-LINE, SUBMIT APPLICATION TO:</b><br>
Online applications are strongly preferred. If you are unable to submit an online application, please reach out to the contact listed. Please note, all applications must be received by the closing date listed on the job posting.</div><div><br>
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DEPARTMENT CONTACT INFORMATION:</b><br>
Jenny.n.nguyen@state.co.us<br>
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METHODS OF APPOINTMENT: Appointment to the vacancy or vacancies represented by this announcement is expected to be from the eligible list created. However, at the discretion of the appointing authority, the position(s) may be filled by another method of appointment for a valid articulated business reason.</div></div></div></div><p></p>

CCCAP Quality Assurance Specialist

Commonwealth of Pennsylvania

<div><div><div><h2 class="jobSectionHeader"><b>THE POSITION</b></h2></div>
<div><div>If you are looking for a great opportunity to utilize your experience in social services and make a difference in someone's life when they need a helping hand, we have the position for you. The employee in the Income Maintenance Caseworker position is responsible and accountable for determining eligibility for financial assistance, Medicaid, SNAP, LIHEAP, nursing home care, and waivers, as well as any additional programs the Department of Human Services administers for applicants and recipients in accordance with state regulations.<br>
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Watch this video to see how you can make a difference!<br>
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</div></div><div></div><div><h2 class="jobSectionHeader"><b>DESCRIPTION OF WORK</b></h2></div>
<div><p>After attending an 8-week Income Maintenance Standard Training Program (IMSTP), you will be completing your job duties in an office-setting environment. Major duties include determining eligibility for financial assistance, Medicaid, SNAP, LIHEAP, nursing home care, and waivers as well as any additional programs the department administers for applicants and recipients in accordance with state regulations. In order to accomplish these duties, you will interview customers either over the phone or in person; review, interpret, and correctly apply policy; data enter information into an automated eligibility determination system as well as perform manual calculations; type clear and thorough case comments about client circumstances and changes. All work must be completed within deadlines in accordance with federal and state policy. Complying with regimented policies and procedures as well as staying current with major changes impacting on knowledge and skill is essential. Job duties are carried out under the general supervision of an Income Maintenance Casework Supervisor.</p><div></div><div><br>
Interested in learning more? Additional details regarding this position can be found in the position description.</div><div><b><br>
Work Schedule and Additional Information:</b></div><ul><li>
Full-time employment, 37.5 hours per week</li><li>
Work hours are 8:30 AM to 5:00 PM, Monday - Friday, with a 60-minute lunch. Your schedule may change based on operational needs.</li><li>
Travel and overtime: As needed</li><li><b>
Telework: </b>This position may be eligible to telework part time. Specific details of the telework schedule will be discussed during the interview process. In order to telework, you must have a securely configured high-speed internet connection and work from an approved location inside Pennsylvania. If you are unable to telework, you will have the option to report to the headquarters office in Sunbury, Pennsylvania. The ability to telework is subject to change at any time.</li><li><b>
Salary:</b><b><i> </i></b>Selected candidates who are new to employment with the Commonwealth of Pennsylvania will begin employment at the starting annual salary of $51,971.00 (before taxes).</li><li>
You will receive further communication regarding this position via email. Check your email, including spam/junk folders, for these notices.</li></ul></div><p></p>
<div><h2 class="jobSectionHeader"><b>REQUIRED EXPERIENCE, TRAINING &amp; ELIGIBILITY</b></h2></div>
<p></p><div><div><b>QUALIFICATIONS</b></div><div><b>
Minimum Experience and Training Requirements:</b></div><ul><li>
Four years of experience in interviewing or work requiring the analysis and interpretation of data; <b>or</b></li><li>
A bachelor's degree; <b>or</b></li><li>
Any equivalent combination of experience and training.</li><li>
Applicants will be considered to have met the educational requirements once they are within 3 months of graduating with a qualifying degree.</li></ul><div></div><div><b><br>
Other Requirements:</b></div><ul><li>
You must meet the PA residency requirement. For more information on ways to meet PA residency requirements, follow the link and click on Residency Guidelines.</li><li>
Hiring preference for this vacancy may be given to candidates who live within Northumberland County. If no eligible candidates who live within Northumberland County apply for this position, candidates who reside in other counties may be considered.</li><li>
You must be able to perform essential job functions.</li></ul><div></div><div><b><br>
Legal Requirements:</b></div><ul><li>
A conditional offer of employment will require submission of criminal history reports. See hiring agency contact information.</li><li>
You must pass a background investigation.</li><li>
This position will have access to Federal Tax Information (FTI) and is subject to the provisions of IRS Publication 1075 (Pub 1075) which requires you to pass an enhanced background check prior to beginning employment. Under Pub 1075, acceptance of a conditional offer of employment will require submission to and approval of satisfactory criminal history reports, including but not limited to: a fingerprint-based federal records check; a PA State Police clearance; a check of local law enforcement agencies where you have lived, worked, and/or attended school within the last five (5) years; and a citizenship/residency verification.</li></ul><div><b><br>
How to Apply:</b></div><ul><li>
Resumes, cover letters, and similar documents will <b>not</b> be reviewed, and the information contained therein will not be considered for the purposes of determining your eligibility for the position. Information to support your eligibility for the position must be provided on the application (i.e., relevant, detailed experience/education).</li><li>
If you are claiming education in your answers to the supplemental application questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are acceptable.</li><li>
Your application must be submitted by the posting closing date<i>. </i>Late applications and other required materials will not be accepted.</li><li><b>
Failure to comply with the above application requirements may eliminate you from consideration for this position.</b></li><li>
All application materials and interview responses must reflect the applicant&rsquo;s own experience, qualifications, and work. Applicants may use generative AI tools for preparation purposes only. Use of AI to misrepresent or falsify information, or to assist during interviews, is not permitted. Review the Guidance for Generative AI Tools &amp; Job Seekers for additional information.</li></ul><div></div><div><b><br>
Veterans:</b></div><div><ul><li>
Pennsylvania law (51 Pa. C.S. &sect;7103) provides employment preference for qualified veterans for appointment to many state and local government jobs. To learn more about employment preferences for veterans, go to www.pa.gov/agencies/employment/how-to-apply.html and click on Veterans.</li></ul></div><div></div><div><b><br>
Telecommunications Relay Service (TRS):</b></div><ul><li>
711 (hearing and speech disabilities or other individuals).</li></ul><div><br>
If you are contacted for an interview and need accommodations due to a disability, please discuss your request for accommodations with the interviewer in advance of your interview date.</div><div></div><div><br>
The Commonwealth is an equal employment opportunity employer and is committed to a diverse workforce. The Commonwealth values inclusion as we seek to recruit, develop, and retain the most qualified people to serve the citizens of Pennsylvania. The Commonwealth does not discriminate on the basis of race, color, religious creed, ancestry, union membership, age, gender, sexual orientation, gender identity or expression, national origin, AIDS or HIV status, disability, or any other categories protected by applicable federal or state law. All diverse candidates are encouraged to apply.</div></div><br>
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<div><h2 class="jobSectionHeader"><b>EXAMINATION INFORMATION</b></h2></div>
<p></p><div><ul><li>Completing the application, including all supplemental questions, serves as your exam for this position. No additional exam is required at a test center (also referred to as a written exam).</li><li>
Your score is based on the detailed information you provide on your application and in response to the supplemental questions.</li><li>
Your score is valid for this specific posting only.</li><li>
You must provide complete and accurate information or:<ul><li>
your score may be lower than deserved.</li><li>
you may be disqualified.</li></ul></li><li>
You may only apply/test <b>once</b> for this posting.</li><li>
Your results will be provided via email.</li></ul></div></div></div><p></p>
<br><p></p><div><div><div><p>Learn more about our Total Rewards by watching this short video!</p><p><br>
See the total value of your benefits package by exploring our benefits calculator.<br>
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<b>Health &amp; Wellness</b></p><p>We offer multiple health plans so our employees can choose what works best for themselves and their families. Our comprehensive benefits package includes health coverage, vision, dental, and wellness programs.*</p><br>
<b>Compensation &amp; Financial Planning</b><br>
We invest in our employees by providing competitive wages and encouraging financial wellness by offering multiple ways to save money and ensure peace of mind including multiple retirement and investment plan options. <br>
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<b>Work/Life Balance</b><br>
We know there&rsquo;s more to life than just work! Our generous paid leave benefits include paid vacation, paid sick leave, eight weeks of paid parental leave, military leave, and paid time off for most major U.S. holidays, as well as flexible work schedules and work-from-home opportunities.* <br>
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<b>Values and Culture</b><br>
We believe in the work we do and provide continual opportunities for our employees to grow and contribute to the greater good. As one of the largest employers in the state, we provide opportunities for internal mobility, professional development, and the opportunity to give back by participating in workplace charitable giving.<br>
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<b>Employee Perks</b><br>
Sometimes, it is the little &ldquo;extras&rdquo; that make a big difference. Our employees receive special employee-only discounts and rates on a variety of services and memberships.<br>
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For more information on all of these Total Rewards benefits, please visit www.employment.pa.gov and click on the benefits box.<br>
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<ul><li>Eligibility rules apply.</li></ul></div></div></div><p></p>

Income Maintenance Caseworker Northumberland County Assistance Office

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