State of New York

Medicaid Eligibility Examiner

State of New York

Albany, NY, USA
Full-TimeDepends on ExperienceMid-LevelBachelors
Job Description

Welcome to the State of New York's Department of Health, where we are dedicated to improving the health and well-being of all New Yorkers. As a Medicaid Eligibility Examiner, you will play a vital role in ensuring that eligible individuals and families have access to important healthcare benefits. We are seeking highly motivated individuals with a strong attention to detail and a passion for helping others. If you are looking for a rewarding career in a fast-paced and dynamic environment, then we want to hear from you. Join our team and make a difference in the lives of thousands of New Yorkers every day.

  1. Verify Medicaid eligibility: As a Medicaid Eligibility Examiner, it will be your responsibility to verify the eligibility of individuals and families applying for Medicaid benefits. This will involve reviewing application materials, conducting interviews, and gathering necessary documentation.
  2. Determine eligibility: You will be responsible for accurately determining the eligibility of applicants by following state and federal guidelines. This includes evaluating income, assets, and other eligibility criteria.
  3. Communicate with applicants: You will be the main point of contact for applicants throughout the eligibility determination process. This will involve providing clear and accurate information about eligibility requirements, documentation needed, and next steps in the process.
  4. Maintain confidentiality: It is imperative that all information regarding applicants and their eligibility status is kept confidential at all times. As a Medicaid Eligibility Examiner, you will be responsible for adhering to all privacy laws and regulations.
  5. Stay up-to-date on policies and procedures: The Medicaid program is constantly evolving, and it will be your responsibility to stay informed about any changes in policies and procedures. This will ensure that all eligibility determinations are accurate and compliant.
  6. Collaborate with team members: You will be working closely with other eligibility examiners, as well as other departments within the Department of Health. It is important to collaborate and communicate effectively to ensure a smooth and efficient eligibility determination process.
  7. Provide exceptional customer service: As a representative of the Department of Health, it is important to provide excellent customer service to all applicants. This includes being patient, empathetic, and helpful throughout the process.
  8. Maintain accurate records: Accurate and detailed record-keeping is crucial in this role. You will be responsible for maintaining all necessary documentation and updating records as needed.
  9. Meet deadlines: Eligibility determinations must be completed within specific timeframes. It will be your responsibility to manage your workload effectively and meet all deadlines.
  10. Continuously improve processes: As a member of the Department of Health, you will be expected to identify areas for
Where is this job?
This job is located at Albany, NY, USA
Job Qualifications
  • Bachelor's Degree In A Relevant Field Such As Social Work, Public Health, Or Healthcare Management.

  • At Least 2 Years Of Experience In Determining Eligibility For Government Assistance Programs, Preferably In A Medicaid Or Social Services Setting.

  • Knowledge Of Federal And State Regulations Pertaining To Medicaid Eligibility And Program Requirements.

  • Strong Analytical And Problem-Solving Skills, With The Ability To Interpret Complex Information And Make Accurate Eligibility Determinations.

  • Excellent Communication And Interpersonal Abilities, With The Ability To Effectively Interact With Clients, Colleagues, And Other Stakeholders.

Required Skills
  • Communication Skills

  • Data Entry

  • Time Management

  • Attention to detail

  • customer service

  • Case management

  • Problem-Solving

  • Federal Regulations

  • Eligibility Determination

  • Application Processing

  • Program Knowledge

Soft Skills
  • Communication

  • Leadership

  • Time management

  • creativity

  • flexibility

  • Teamwork

  • collaboration

  • Adaptability

  • Problem-Solving

  • Empathy

Compensation

According to JobzMall, the average salary range for a Medicaid Eligibility Examiner in Albany, NY, USA is $38,000 - $45,000 per year. This may vary depending on the specific job duties, experience, and qualifications of the individual.

Additional Information
State of New York is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedMay 15th, 2024
Apply BeforeApril 11th, 2026
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About State of New York

New York is a state in the northeastern U.S., known for New York City and towering Niagara Falls. NYC’s island of Manhattan is home to the Empire State Building, Times Square and Central Park. The Brooklyn Bridge connects Manhattan with the borough of Brooklyn. The iconic Statue of Liberty stands in New York Harbor. To the east, Long Island has beaches, the Montauk Lighthouse, the ritzy Hamptons and Fire Island.

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