Eligibility Specialist I
Core
Evaluate information and apply program standards to accurately determine MaineCare eligibility and benefits for lower-income adults, children, older adults, and people with disabilities.
Role type
Eligibility Specialist I
Builds
MaineCare eligibility determinations and benefit allocations
Domain
Public health / Social services
Deliverable
dashboards & analysis
Required skills
Policy interpretation, Data entry and verification, Client communication, Program navigation, Documentation review, Compliance monitoring
Responsibilities
Evaluate information and apply program standards to accurately determine MaineCare eligibility and benefits; Use multiple technology systems to enter, review, and verify eligibility-related data and documentation; Clearly explain MaineCare rules, requirements, and decisions to applicants and members; Review and process information received electronically or by mail to ensure completeness and compliance; Connect individuals with additional programs and services that may support their health and well-being.