Hospital Based Worker I

Texas Health & Human Services Commission Texarkana, TX
* This position may require travel of up to 75% during the training period*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 & Eligibility Services Field Division (AES). The MSS is driven by its mission to connect Texans to services 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.Job Description:Hospital Based Worker I THESE POSITIONS ARE HOUSED IN A HOSPITAL OR CLINIC. CLIENT INTERVIEWS MAY BE CONDUCTED IN PATIENT'S ROOMS WHEN NECESSARY. Hospital Based Worker I performs moderately complex customer service functions in an out-stationed office. Accurately determines eligibility for Temporary Assistance for Needy Families (TANF), SNAP (Food Stamps), and Medicaid Programs. Work includes interviewing clients/responsible parties; documenting information gathered; determining benefits; verifying case data; explaining program benefits and requirements; providing information and referral services to clients, providers, agency staff, and the general public; and reviewing client eligibility for continuing services. Job requires detailed oriented individuals with ability to apply complex policies and procedures.Essential Job Functions:

Maintains a regular and predictable work schedule. Interviews clients or authorized representatives to gather information to determine eligibility for benefits. Conducts reviews to determine or verify eligibility or continued eligibility and benefit level. Processes changes to client status, overpayments, and adjusts or restores benefits. Obtains, verifies, and calculates income and resources to determine client financial eligibility. Documents case records using automated equipment to form a record for each client. Communicates on an intermediate level 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 pace environment, under constant pressure to meet required deadlines.Knowledge Skills Abilities:

* Knowledge of interviewing techniques to obtain highly personal information makes inquiries, and resolve conflicting statements. • Ability to perform basic arithmetic functions, including using decimals and computing percentages. • Ability to maintain effective working relationships with others. • Ability to listen to clients, elicit, relate and evaluate information; and interpret terms. • Ability to complete work within specified deadlines. • Ability to read, understands, and applies 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. • 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 pace and changing environment. • Ability to work in a Call Center Environment. • Ability and Skill to perform Data Entry. • Knowledge of computers and use of Internet, Microsoft Word, Excel and Outlook.Registration or Licensure Requirements:

N/AInitial Selection Criteria:

High School Diploma or GED equivalent required. Sixty (60) hours credit from an accredited college or university preferred. Two (2) years relevant work experience may be substituted for college credit. Bilingual (English/Spanish) skills preferred, not required. Current TIERS Knowledge preferred. Experience to indicate a general understanding of the knowledge, skills, and abilities needed to perform duties. Ability to work in a professional customer service environment required. Prefer experience in social service work: interviewing, counseling, public relations, loan processing, investigations; in the gathering of information; in programs which require applying complex policies to determine entitlements based on income; or in instructing, demonstrating, and interpreting policies to the public, clients, or others. Experience working as a Clerk in eligibility programs, for example SNAP (Food Stamps) or TANF (cash assistance), medical eligibility, or similar entitlement programs; and education that demonstrates possession of the knowledge, skills, and abilities necessary for job performance will be considered. Applicants' application indicates the travel requirement listed on the job requisition. Applicants' application indicates willingness to work outside the hours of 8 to 5 and weekends if requested.Additional Information:

THESE POSITIONS ARE HOUSED IN A HOSPITAL OR CLINIC. CLIENT INTERVIEWS MAY BE CONDUCTED IN PATIENT'S ROOMS WHEN NECESSARY. This position is located at: Genesis Prime Center, 1400 College Dr., Suite 204, Texarkana, Texas.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 Office of Eligibility Services (OES) 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. Please note that while the posted salary range for this position is $2,320.00 to $3,649.83 only former and current Health and Human Services Commission employees will be offered a salary above $2,460.08 monthly. 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 who are not current or former Health and Human Services Commission employees will be offered a salary of $2,460.08. Access & Eligibility Services Field Offices normal hours of operation are from Monday-Friday 8:00 am - 5:00 pm. Employees may be required to work occasional overtime, as required by management, outside of normal hours of operation, which may include weekends. Successful applicants must be willing to work in a highly stressful and fast pace environment, under constant pressure to meet required deadlines.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.Note: 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. MOS Code:

No direct military equivalent.

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.