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West Texas Centers for MHMR Consumer Benefits Specialist - Sweetwater in Sweetwater, Texas

Consumer Benefits Specialist

[Performs complex work screening and reviewing applicants for possible TANF, Medicaid, Supplemental Security and Social Security eligibility potential. Work involves interviewing clients, verifying financial information and other case data. Will interpret Medicaid policies for staff, assist in Medicaid training for staff and may review records to determine continuing Medicaid eligibility. Will assist and accompany clients through other agency eligibility determination processes. Will assist clients in hearings and appeal processes. Work requires use of personal initiative, extensive relationship building with other agency personnel and the ability to build trust and confidence with agency consumers.

[Salary: $13.78

[ESSENTIAL TASKS AND PURPOSES:]{helvetica",sans-serif"=""}]{helvetica",sans-serif"=""}]{helvetica",sans-serif"=""}

[Obtain applications, screen and assist consumers in the Medicaid eligibility process.]{helvetica",sans-serif"=""}

  • Schedule and conduct eligibility screening interviews with consumers
  • Obtain and verify consumer Medicaid eligibility information, assist consumer in agency interviews
  • Accompany consumer, if necessary to Medicaid eligibility interviews.

[Follow through on all Medicaid application to final determination, including the hearing process.]{helvetica",sans-serif"=""}

  • Track, monitor and assist consumers throughout the Medicaid application process with other agencies
  • Assist in preparation and in some cases, accompany the consumer to hearings and/or appeals

[Create Medicaid eligibility reporting system. Maintain complete record of activity.]{helvetica",sans-serif"=""}

  • Enter data in a reporting system which identifies new, current and pending Medicaid applications.
  • Track, record and report daily activities.
  • Reports are submitted within established timeframes.

[Coordinate Medicaid eligibility information with appropriate program staff as well as reimbursement staff.]{helvetica",sans-serif"=""}

  • Work closely with program staff to ensure efficient and effective flow of screening and interviewing. Keep program staff informed of eligibility activity.
  • Maintain close contact with reimbursement staff regarding new Medicaid eligibility, ongoing eligibility, denials and appeals.

[Maintain excellent working relationships with all Medicaid related agencies.]{helvetica",sans-serif"=""}

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