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Washington State Department of Social and Health Services · 21 hours ago

DSHS HCLA Public Benefits Specialist 4

Olympia, WA

Contract

Hybrid

Entry, Mid Level

1+ years exp

The Washington State Department of Social and Health Services (DSHS) is seeking dedicated Public Benefits Specialist 4 professionals to join their statewide team. In this role, you will perform complex eligibility determinations for Long-Term Services and Supports, ensuring clients receive the benefits and support they need while maintaining compliance with state and federal regulations.

GovernmentHealth CareSocial Assistance

Responsibilities

Determine eligibility for long-term care and support services, including in-home care, assisted living, and nursing facilities

Work directly with clients, their families, and representatives to gather financial and personal information to assess benefit eligibility

Use state systems to enter and review data, calculate income and resources, and ensure accurate and timely benefit processing

Coordinate with social workers, case managers, and community agencies to support client care and service planning

Review and analyze legal and financial documents like trusts, annuities, and court orders to determine how they affect eligibility

Help clients understand available programs and services, answer questions, and make referrals to other agencies as needed

Report suspected abuse or fraud and support investigations when necessary

Qualification

Long-term care programsPublic assistance policiesData analysisCustomer serviceTechnology proficiencyEffective communicationProblem-solvingAdaptabilityTime management

Required

Strong knowledge of long-term care programs and public assistance policies, including Medicaid, food assistance, and state-funded services

Ability to interpret, analyze, and apply complex rules and data to determine program eligibility and resolve issues

Effective communication skills, both verbal and written, to explain program requirements and collaborate with clients, coworkers, and community partners

Exceptional customer service and problem-solving abilities, including working with diverse populations and navigating sensitive situations with professionalism and empathy

Proficiency with technology and data systems, including ACES, Barcode, and Microsoft Office; ability to learn new systems quickly

Ability to work independently and manage time effectively in a fast-paced environment with shifting priorities

Adaptability and a willingness to learn, especially as it relates to changing policies, procedures, and program requirements

One year of experience as a Public Benefits Specialist 3

A bachelor's degree or higher AND one year of experience as a Public Benefits Specialist 2 determining eligibility for public assistance or long-term care services

Five years of combined higher education and/or equivalent experience may substitute for degree and PBS work experience requirements

The five years of combined higher education and/or experience must include at least one year of equivalent work experience

Determining eligibility for services or providing direct customer service to historically marginalized communities

Reviewing and processing loan applications

Processing medical insurance or rehabilitation claims

Evaluating unemployment insurance claims

Supporting staff in determining financial eligibility

Analyzing, verifying, and evaluating financial data or information in a professional setting