Eligibility Verification Specialist - New York City, NY : Job Details

Eligibility Verification Specialist

New York City, NY

Job Location : New York,NY, USA

Posted on : 2024-06-01T05:51:27Z

Job Description :

The Bureau of Case Integrity & Eligibility Verification's mission is to maximize revenue generation for DSS/HRA/DHS and outside Agencies, ensure payments are categorically eligible for their respective funding streams and carry out cost avoidance projects to minimize audit disallowances.

The Office of Revenue Management and Development (ORMD) is recruiting one (1) Principal Administrative Associate II position in its Bureau of Case Integrity and Eligibility Verification (BCIEV)/Eligibility Unit, who will:

* Review and provide documentation for: Safety Net cases with Single Issuance payments to determine eligibility for claim adjustments, and Housing Preservation and Development (HPD) cases, ensuring cases are categorically eligible for their respective funding streams.

* Work on projects to determine which cases qualify for a category eligible for state or federal funding, and the effective date of adjustment for federal and state reimbursements by reviewing case record entries and date of change and occurrence.

* Review Duplicate Client Identification Number (CIN) cases to determine which CIN should be disenrolled.

* Process invalid Social Security Numbers files produced by Family Independence Administration (FIA) to assist in reducing fraud.

* Participate in the Turnaround Document (TAD) Error Correction Project to target centers with the largest number of backlogged cases in error status, identify problems and recommend corrective action.

* Perform quality assurance for Enterprise Data Warehouse (EDW) queries, and Welfare Management System (WMS) lookups.

Minimum Qualifications

1. A baccalaureate degree from an accredited college and three years of satisfactory full-time progressively responsible clerical/administrative experience, one year of which must have been in an administrative capacity or supervising staff performing clerical/administrative work of more than moderate difficulty; or

2. An associate degree or 60 semester credits from an accredited college and four years of satisfactory full-time progressively responsible clerical/administrative experience including one year of the administrative supervisory experience described in 1 above; or

3. A four-year high school diploma or its educational equivalent approved by a State's department of education or a recognized accrediting organization and five years of satisfactory full-time progressively responsible clerical/administrative experience including one year of the administrative supervisory experience as described in 1 above;

4. Education and/or experience equivalent to 1 , 2 , or 3 above. However, all candidates must possess the one year of administrative or supervisory experience as described in 1 above. Education above the high school level may be substituted for the general clerical/administrative experience (but not for the one year of administrative or supervisory experience described in 1 above) at a rate of 30 semester credits from an accredited college for 6 months of experience up to a maximum of 3 years.

Preferred Skills

* Knowledge of Welfare Management System (WMS), Paperless Office System (POS), HRA One Viewer, and Electronic Medicaid of New York (eMedNY).

55a Program

This position is also open to qualified persons with a disability who are eligible for the 55-a Program. Please indicate at the top of your resume and cover letter that you would like to be considered for the position through the 55-a Program.

Public Service Loan Forgiveness

As a prospective employee of the City of New York, you may be eligible for federal loan forgiveness programs and state repayment assistance programs. For more information, please visit the U.S. Department of Education's website at

Residency Requirement

New York City residency is generally required within 90 days of appointment. However, City Employees in certain titles who have worked for the City for 2 continuous years may also be eligible to reside in Nassau, Suffolk, Putnam, Westchester, Rockland, or Orange County. To determine if the residency requirement applies to you, please discuss with the agency representative at the time of interview.

Additional Information

The City of New York is an inclusive equal opportunity employer committed to recruiting and retaining a diverse workforce and providing a work environment that is free from discrimination and harassment based upon any legally protected status or protected characteristic, including but not limited to an individual's sex, race, color, ethnicity, national origin, age, religion, disability, sexual orientation, veteran status, gender identity, or pregnancy.

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