Washington State Department of Social and Health Services · 21 hours ago
DSHS HCLA Public Benefits Specialist 4
The Washington State Department of Social and Health Services (DSHS) is seeking a skilled Public Benefits Specialist 4 professional to join their team. This role involves performing complex eligibility determinations for Long-Term Services and Supports, ensuring clients receive essential benefits while maintaining compliance with 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
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
Preferred
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
Company
Washington State Department of Social and Health Services
Washington State Department of Social and Health Services offers long-term care and behavioral health assistance to the community.