This is a project-designated position that determines eligibility for medical assistance, including Long Term Care and certain specialty programs. This position works on-site at Aurora Service Center, Human Services Center (Westminster), and remote. This is a project-designated position and funding ends 6/30/2022.

• Examines applications to determine applicants/participants income, resources, household composition and employment status to assess their eligibility for medical assistance.
• Reviews applications for accuracy and completeness and makes requests for information regarding incomplete forms and missing documentation. Verifies required information by appropriate methods: e.g. phone calls to employers; members; computer database inquiries (interfaces); statistical reports from the State and/or change or status reports turned in by clients to determine program eligibility.
• Explains program eligibility requirements to members, including all rules and regulations, his/her rights and responsibilities, available benefit dates, reason for approval or denial and the right to appeal.
• Interface on a daily basis with statewide computer system requiring accurate and complete data entry of information. Interprets and evaluates computer generated data to determine application to individual case processing for approvals, changes, denials and discontinuations.
• Utilizes computer daily for inquiry and data entry for preparation of complex correspondence, spreadsheet development and record maintenance and research. Maintain client records within the Colorado Benefit Management System (CBMS) and electronic case file in the Department's electronic document management system. Document all actions taken on applications and cases within CBMS.
• Completes monthly reports that are instrumental in discovering discrepancies that could affect members' eligibility.
• Participates in the dispute resolution process with members when requested. Prepares evidence, attends and testifies in state level hearings on members' appeals.
• Partners with service providers and other agencies to achieve positive outcomes for clients.
• Performs other related duties and responsibilities as required.

* Knowledge of public assistance programs, as applicable.
* Conduct effective interviews relevant to determining eligibility.
* Knowledge of CBMS.
* Apply basic math and read, interpret, and apply rules and regulations.
* Communicates clearly and concisely, both orally and in writing.
* Differentiate between relevant and non-relevant information when making eligibility decisions.
* Input data accurately and detect errors/make corrections.
* Skills related to customer service.
* Ability to establish, maintain, and foster positive and harmonious working relationships with those contacted in the course of work.

Experience: Two (2) years full time responsible office clerical or extensive public contact experience. Prior experience determining eligibility for Health First Colorado-Medicaid programs preferred but not required.

Education and Training: High School Diploma or GED equivalent. Satisfactory completion of an Associate's or Bachelor's Degree in business, behavioral science, or another appropriately related field may substitute for experience on a year-for-year basis.

License or Certificate: None.

Background Check: Must pass a criminal background check.
Ability to work in a standard office environment. Special preference will be given to Bilingual applicants.
The ability to adhere to the Adams County Norms and Values, which are:

• Values:
  • A Positive Work Environment
  • Servant Leadership
  • Teamwork
  • Transparency
  • Credibility