Customer Service Representative (Eligibility Specialist) - Onsite in Fort Wayne, IN

Description & Requirements

The Eligibility Specialist is responsible for gathering information related to applications and changed for various public assistance programs in the State eligibility system ensuring that client service issues are resolved in a timely manner and in accordance with FSSA policies and procedures.

Additionally, the Eligibility Specialist is responsible for handling inbound calls from Medicaid, SNAP, and TANF applicants, recipients, and other members of the community.

Location and Training:


* Location : Onsite - Fort Wayne, IN


* Pay is $18.00


* Work Hours : 8-4:30 M-F local time


* Training length : 9-10 weeks followed by a nesting period, generally 1 month


* Training Attendance : Attendance is mandatory for the full 9 weeks.


* Class Start: 5/30/24

Essential Duties and Responsibilities:

- Execute managed care enrollment tasks using the Welfare Management System (WMS).

- Review enrollment concerns through WMS, and other State Medicaid Data systems.

- Assess managed care issues within the State of Health framework and determine subsequent actions.

- Collaborate with local district, State Department Of Health and Enrollment Broker personnel to address managed care issues.

- Adhere to all standards specified for this role as outlined in the corresponding annual performance criteria and bonus template.

- Perform managed care enrollment activities on the Welfare Management System (WMS).

- Review enrollment issues using WMS, eMedNY and other State Medicaid Data systems.

- Evaluate State of Health managed care issues and make next step determinations.

- Interact with local district, SDOH, eMedNY and Enrollment Broker staff to resolve MC issues.

- Meets all standards established for this position as outlined in the corresponding annual performance criteria and bonus template for this position.

Minimum Requirements

Minimum Requirements:
- High school diploma or GED required and 0-2 years of relevant professional experience required, or equivalent combination of education and experience.

EEO Statement

Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resiliency and dependability that greatly enhances our workforce.

We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a difference for our country.

We're proud of our connections to organizations dedicated to serving veterans and their families.

If you are transitioning from military to civilian life, have prior service, are a retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging and rewarding career opportunities available for you.

A committed and diverse workforce is our most important resource.

Maximus is an Affirmative Action/Equal Opportunity Employer.

Maximus provides equal employment opportu...