Benefits Specialist/Data Entry
Posted on: January 24, 2023
Benefits Specialist/Data Entry Job Details Job Location Fresno -
5014 University - Fresno, CA Position Type Full Time Education
Level High School Salary Range $18.00 - $21.00 Hourly Job Category
Admin - Clerical Description POSITION SUMMARY: Person in this
position will be responsible for management of Outpatient Medi-Cal
and 3rdparty payment program including review of applications and
verification of eligibility. Essential Job Functions include those
listed below. ESSENTIAL JOB FUNCTIONS: Determine financial
eligibility of clients entering the program. Review all
applications for short term assistance under Drug Medi-Cal or other
health coverage. Determine applicable private pay fees through
sliding scale process. Verify monthly Medi-Cal eligibility.
Communicate with referral sources. Make recommendations on
providing financial assistance. Provide direct information and
services to agency clients regarding the availability of public
assistance benefits and services, i.e., federal, state, county, and
private agency assistance. Monitor and verify eligibility of
Medi-Cal benefits for all programs. Documentation of eligibility,
services provided and follow up activities monthly. Scheduling
necessary appointments for clients to review documents, make
determinations and monitor payments. Monitor expenditure of funds
to ensure contract compliance. Must Embrace and embody the mission,
vision, guiding principles, clinical vision, and goals of WestCare
Foundation; and Perform all other duties as assigned.
Qualifications ESSENTIAL QUALIFICATIONS: To perform this job
successfully, an individual must be able to perform the duties and
responsibilities satisfactorily. The requirements listed below are
representative of the knowledge, skill, and/or ability required.
Experience and Competencies: Excellent computer skills. Excellent
organizational skills. Excellent communication skills. Must be
culturally/linguistically sensitive to populations served.
Knowledge of substance abuse and treatment is desired. Excellent
communication skills. Ability to exercise good judgment and
discretion. Ability to work well in a team environment. Adherence
to the highest standard of ethical conduct, especially to standards
governing confidentiality. Professional appearance and demeanor.
Must be culturally/linguistically sensitive to populations served.
Ability to obtain and maintain clearance from California Department
of Corrections and Rehabilitation (CDCR). Ability to obtain and
maintain clearance from LEIE, MSIL, and EPLS. Valid drivers license
and ability to obtain and maintain WestCares vehicle insurance is
required. Must be able to obtain and maintain Fresno County
Credentialing. As mandated by the State of California those
employees who work at Residential, Outpatient, Sober Living,
provide Mental Health Services, Administrative Staff or
Transitional Living Facilities must be fully vaccinated and have
received a booster. Employees that have requested a Medical or
Religious Exemption, which has been approved by Human Resources
will be required to test for the virus weekly. During your tenure
with WestCare there may be new requirements, including, but not
limited to vaccinations that are issued by local, State, Federal,
and/or Funders that WestCare may have to comply with. Should this
occur Human Resources or appropriate personnel will inform you. CPR
Certification, First Aid Certification, and an annual Tuberculosis
test. EDUCATION and/or EXPERIENCE: One (1) years experience dealing
with public assistance benefit programs or benefits i.e., TANF,
food stamps, social security, VA pension, etc. (preferably in a
non-profit organization). Graduation from an accredited four-year
college with a degree in business, accounting, or another related
field preferred. High School Diploma required.
LICENSURE/CERTIFICATION: Not applicable for this position. WORKING
CONDITIONS: Work is primarily performed in an office or in a
residential/outpatient treatment setting. Some outdoor activities
may be required. UA testing of clients is required. Must be able to
de-escalate situations in the program.
Keywords: MSCCN, Fresno , Benefits Specialist/Data Entry, Other , Fresno, California
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