Consumer Benefits Specialist

Consumer Access Manager at Community Connections, Inc.

Position Summary
:
The Consumer Access Manager is responsible for screening consumers for eligibility, maintaining consumer benefits data, coordinating with external agencies, and ensuring compliance with regulatory requirements in a Medicaid and behavioral health setting.

Salary Range
: $49,000 - $59,000

• Screen consumers for eligibility by completing appropriate applications and/or financial assessments for Medicaid, Medicare, QMB, SSI, and Social Security.
• Contribute to the development of financial assessment and eligibility screening tools.
• Maintain necessary information and documentation for initial screening processes.
• Collect information and supporting documentation required for eligibility screening of scheduled consumers.
• Communicate with external agencies (e.g., Social Security Administration, DC Medicaid, DHS) to track applications and resolve eligibility issues.
• Accurately enter and maintain consumer benefits data in the agency’s electronic record system; generate reports as needed.
• Coordinate with clinic and case coordination staff to facilitate completion of the screenings initiated.
• Generate and maintain reports related to benefits status, application outcomes, and pending verifications.
• Ensure all benefits-related documentation and communications comply with HIPAA, Medicaid, and organizational privacy standards.
• Serve as a resource and subject matter expert for staff and consumers regarding benefits eligibility, application processes, and policy changes.
• Participate in program planning, policy development, and interagency coordination of Medicaid and related eligibility programs as assigned.
• Perform other duties as assigned on an as-needed basis.

• Education:
  
  Required Associate’s Degree (AA), Preferred Bachelor’s Degree (BA).
• Experience:
  
  Required 2 years, preferred 4 years in behavioral health, supportive housing, or homelessness fields, financial intake, and Medicaid enrollment.
• Computer skills:
  Working knowledge of Windows-based environments.
• Background:
  Must have and maintain a background and criminal history free from disqualifying offenses.
• Training:
  Successful completion of all position-specific training within 30 days of employment required.
• Other:
  Knowledge of the needs and community environments of persons with disabilities; ability to negotiate services and to communicate effectively; maintain regular in-person attendance.

• Seniority Level: Entry level
• Employment Type:
  
  Full-time
• Job Function:
  Information Technology
• Industry: Mental Health Care