Washington State Department of Social and Health Services · 14 hours ago
DSHS ESA Public Benefits Specialist 4
The Washington State Department of Social and Health Services is seeking a Public Benefits Specialist 4 to join their Economic Services Administration team. This lead role involves guiding and supporting a team of specialists in processing cash, medical, and food benefits while ensuring high standards in service delivery and performing complex tasks related to financial eligibility and procedural development.
GovernmentHealth CareSocial Assistance
Responsibilities
Assign work to Public Benefits Specialist staff who process cash, medical, and/or food benefits
Perform more complex duties in relation to establishing financial eligibility, rule interpretation, planning, and procedural development
Verify and establish overpayments and complete referrals to the Office of Financial Recovery
Audit and review the work of Public Benefits Specialist staff. Establish reports and recommendations to supervisor surrounding staff progress
Detect error trends through audits to identify training needs
Serve as a job coach for staff
Maintain and review procedures for efficient workflow
Review cases and independently analyze case actions for accuracy. Contacts staff, agencies and the community as necessary for clarifying information
Use basic understanding of the administrative hearing process to review cases and to help decide if a hearing request can be settled prior to submission
Assist customers with the process of applying for Apple Healthcare by entering information into the Health Plan Finder (HPF} system on behalf of the clients
Investigate and resolves customer complaints
Qualification
Required
Possess extensive knowledge of the Washington Administrative Code (WAC) and procedural manuals needed to determine eligibility for all programs administered by CSD
Proficiently utilize all computer programs in use by the Community Service Division
Frequently review data found in the State's computer systems to make accurate decisions
Interact with all DSHS staff and serve the public with respect, concern, courtesy and responsiveness
Independently plan and manage multiple financial cases or projects to be completed within specified timelines
Stay calm under pressure, and effectively manage the stress of the job
Work effectively in a fast-paced environment, and be able to demonstrate flexibility in completing multiple assignments while meeting performance standards
Professionals with 12 months of experience as a Public Benefits Specialist 3
A Bachelor's degree or higher AND twelve months of experience as a Public Benefits Specialist 2 determining eligibility for public assistance or long-term care services
5 years of combined higher education and/or equivalent experience may substitute for degree and PBS work experience requirements. Total must include at least one year's equivalent work experience. Examples of equivalent experience include but are not limited to: Providing eligibility for services or direct customer service serving historically marginalized communities, Experience examining/processing loan applications, Medical insurance or rehabilitation claims, Unemployment insurance claims, Providing staff support in financial eligibility determination, or in a job analyzing, verifying, and evaluating financial data and information
Satisfactory completion of the agency's Public Benefits Specialist Training Program
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.