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Vermont Healthcare Service Specialist II
Overview
The Department of Vermont Health Access (DVHA)'s Health Access Eligibility & Enrollment Unit (HAEEU) is seeking a qualified individual to join their dynamic team. Work in a supportive work environment with a Monday-Friday schedule, eleven paid state holidays, in addition to a robust benefits package.
JOB DUTIES:
The Vermont Healthcare Support Specialist II (VHSSII) determines applicant eligibility for Vermont's health care programs including Medicaid, Dr. Dynasaur, Healthy Vermonters, VPHARM, and Vermont Health Connect. The VHSSII reviews and enters applications for Vermont's health care programs to determine eligibility and complete enrollment and plan selection and processes changes with extreme attention to detail to ensure accurate processing. The VHSSII regularly processes work in each of the health care programs/subprograms. The majority of VHSSII work is answering incoming customer calls to assist and resolve the customers' needs.
The Vermont Healthcare Support Specialist II (VHSSII) determines applicant eligibility for Vermont's health care programs including Medicaid, Dr. Dynasaur, Healthy Vermonters, VPHARM, and Vermont Health Connect. The VHSSII reviews and enters applications for Vermont's health care programs to determine eligibility and complete enrollment and plan selection and processes changes with extreme attention to detail to ensure accurate processing. The VHSSII regularly processes work in each of the health care programs/subprograms. The majority of VHSSII work is answering incoming customer calls to assist and resolve the customers' needs.
The Healthcare Services Specialist II role has the following responsibilities:
- Handles a high call volume of customers' needs.
- Provides excellent customer service
- Researching and resolving discrepancies in healthcare profiles.
- Reviews and enters applications and life changes with accurate eligibility.
- Can work multiple work buckets.
- Subsidy, Coverage Dates and Eligibility Discrepancies.
- Reconciliation of the different systems to ensure all data aligns with the health exchange and our carrier partners.
Mission:
The Department of Vermont Health Access (DVHA)'s mission is to improve Vermonters' health and well-being by providing access to high-quality, cost-effective health care. We have identified three priorities that support our mission: Advancing value-based payments, modernizing information technology infrastructure, and operational performance improvement. Our department commits to executing our responsibilities and priorities while adhering to three core values: Transparency, Integrity and Service.
The Department of Vermont Health Access (DVHA)'s mission is to improve Vermonters' health and well-being by providing access to high-quality, cost-effective health care. We have identified three priorities that support our mission: Advancing value-based payments, modernizing information technology infrastructure, and operational performance improvement. Our department commits to executing our responsibilities and priorities while adhering to three core values: Transparency, Integrity and Service.
Diversity, Equity, and Inclusion:
As part of our values of transparency, integrity, and service, we are committed to supporting diversity, equity, inclusion, and accessibility as part of our person-centered culture. We actively celebrate our colleagues' and future colleagues' different abilities, racial identity, sexual orientation, ethnicity, age, and gender. Everyone is welcome and supported here.
As part of our values of transparency, integrity, and service, we are committed to supporting diversity, equity, inclusion, and accessibility as part of our person-centered culture. We actively celebrate our colleagues' and future colleagues' different abilities, racial identity, sexual orientation, ethnicity, age, and gender. Everyone is welcome and supported here.
Our State:
Vermont is a "small but mighty" state. We are ranked as one of the top 10 states to raise a family in 2022. We are nationwide leaders for progressive social and educational policies. We are in Northern New England, 1.5 hours from Montreal and 3.5 hours from Boston. We have beautiful Lake Champlain, the Green Mountains, and year-round outdoor activities.
Who May Apply
Environmental Factors
Duties are performed in an office setting. Workload is consistently heavy with constant need for prompt and accurate decision making. Incumbents must be able to function independently, prioritize their own work and multi-task effectively. Private means of transportation should be available for necessary travel to training and/or meetings. Applicants may provide a variety of challenges including but not limited to highly emotional conditions (i.e., irate customers, inability to communicate, attempts at falsification, and total discouragement). Work outside of typical business hours may be expected.
Minimum Qualifications
One (1) year of experience in a customer service environment and using computer programs.
OR
Six (6) months experience as a Vermont Healthcare Service Specialist I (VHSS I).
Preferred Qualifications
One (1) year of experience in a customer service environment or call center environment using computer programs including data entry and the ability to explain policies/procedures or rules/regulations
Experience with research and review of healthcare services or similar field
Special Requirements
Candidates must pass any level of background investigation applicable to the position. In accordance with AHS Policy 4.02, Hiring Standards, Vermont and/or national criminal record checks, as well as DMV and adult and child abuse registry checks, as appropriate to the position under recruitment, will be conducted on candidates, with the exception of those who are current classified state employees seeking transfer, promotion or demotion into an AHS classified position or are persons exercising re-employment (RIF) rights.
Total Compensation
As a State employee you are offered a great career opportunity, but it's more than a paycheck. The State's total compensation package features an outstanding set of employee benefits that are worth about 30% of your total compensation, including:
- 80% State paid medical premium and a dental plan at no cost for employees and their families
- Work/Life balance: 11 paid holidays each year and a generous leave plan
- State Paid Family and Medical Leave Insurance (FMLI)
- Two ways to save for your retirement: A State defined benefit pension plan and a deferred compensation 457(b) plan
- Tuition Reimbursement
- Flexible spending healthcare and childcare reimbursement accounts
- Low cost group life insurance
- Incentive-based Wellness Program
- Qualified Employer for Public Service Student Loan Forgiveness Program
Want the specifics? Explore the Benefits of State Employment on our website.
Equal Opportunity Employer
The State of Vermont celebrates diversity, and is committed to providing an environment of mutual respect and meaningful inclusion that represents a variety of backgrounds, perspectives, and skills. The State does not discriminate in employment on the basis of race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, membership in an employee organization, family medical history or genetic information, or family or parental status. The State’s employment decisions are merit-based. Retaliatory adverse employment actions by the State are forbidden.
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