Consumer Benefits Specialist III - The Center for Health Care Services

PURPOSE 

The Consumer Benefits Specialist III will provide consumers specialized assistance in determining and securing benefits, to include representing consumers at SSI/DI appeals hearings, and complete associated documentation for the consumer and program.

TASKS

1. Provide Mental Health consumers with assistance in determining eligibility for, accessing of, & maintaining benefits & entitlement while strengthening the individual's financial resource base 
2. Perform SSI/DI, CHIP, Medicaid Only, & Medicare supplements financial and medical screenings, complete benefits forms with potentially eligible clients, summarize medical and interview information, submit complete application to Social Security Admin 
3. Monitor eligibility profiles of Mental Health Clients to identify potentially eligible applicants for benefit determination and application or to ensure eligibility for benefits are not lost through oversight 
4. Screen clients denied SSI/DI for eligibility to appeal 
5. Represent clients in denied SSI/DI claims acting as lead representative for Administrative Law Judge (ALJ) and Center staff 
6. Maintain current knowledge of regulations and reference materials related to benefit claims 
7. Other duties as assigned

MINIMUM REQUIREMENTS 

1. Bachelor's degree in Business Administration, Public Health Administration, or a Behavioral Science       OR 
2. High School Diploma or GED with minimum 5 years of experience in a health care environment and 2 years of social security experience including representation of clients at hearing level 
3. Experience with benefit enrollment application completion and processing, Medicaid Administrative Claiming (MAC) practices and procedures, Texas Rehabilitation Commission (TRC) 
4. Screen clients denied SSI/DI for eligibility to appeal 
5. Represent clients in denied SSI/DI claims acting as lead representative for Administrative Law Judge (ALJ) and Center staff 
6. Maintain current knowledge of regulations and reference materials related to benefit claims 
7. Must maintain required credentials and mandatory training requirements to ensure compliance with all State regulations and CHCS policies
8. Must maintain a valid driver’s license and automobile insurance coverage, be able to travel as needed, and be able to meet on a consistent basis the driving record requirements of the Company’s auto insurance carrier if you drive your vehicle during company business 
9. Must be able to meet the physical requirements to complete SAMA and CPR training including lifting up to 12 lbs. and supporting up to 55 lbs.; bending, stooping and getting on and off the floor without assistance.
10. Must have adequate mobility that requires frequent walking, standing, bending, stooping, kneeling, reaching (vertical and horizontal), using fingers, hands, feet, legs and torso in various care. The employee must be able to regularly lift and/or move up to 40 pounds and occasionally must lift and/or move up to 50 pounds. The employee must be able to occasionally transfer a consumer.

PREFERRED 

1.     Bilingual (English/Spanish)

2.     Three plus (3+) years of SSI/DI, CHIP, Medicaid Only, & Medicare supplements financial and medical screenings experience in a mental health services environment       

Physical Requirements/Demands = 2
1 = Primarily Direct Patient Care
2 = Primarily Office Work
3 = Primarily Physical Work

Compensation Package 

Recruiting and retaining talented individuals is important to us. At the Center for Health Care Services, we are committed to providing our employees with a total compensation package that includes competitive pay, affordable health and wellness benefits, generous paid time off, flexible work schedules, professional development opportunities and generous retirement savings options.

We have wide range of career opportunities and hope you will join us in our mission!

Apply online today at: www.chcsbc.org 

The Center for Health Care Services is an Equal Opportunity Employer