MEPD Advisor II

$35,439 - $52,388/Yr

Texas Health and Human Services - Wichita Falls, TX

Part-time,Full-time - Entry Level

Remote - Wichita Falls, TX

Social Assistance

About the position

The MEPD Advisor II position at the Texas Health and Human Services Commission (HHSC) is focused on processing appeal requests and determining eligibility for Medicaid for the Elderly and People with Disabilities (MEPD) programs. The role involves interviewing clients, documenting information, and verifying case data to ensure accurate eligibility determinations. The ideal candidate will thrive in a fast-paced environment and contribute to the agency's mission of connecting individuals and families with essential services.

Responsibilities

• Processes Fair Hearing requests and testifies during Fair Hearings as a technical authority on eligibility issues.
• Reviews case records to determine validity and accuracy of eligibility determinations made by local office Advisors.
• Conducts case reviews and obtains information by observing and recording findings.
• Provides guidance to regional staff concerning potential errors made on a case.
• Resolves complaints and escalated issues.
• Counsels clients on social services programs and other state and federal regulations.
• Researches policies and collaborates with regional attorneys.
• Confers with Legal and Policy staff to obtain additional information bearing on hearings.
• Coordinates hearing activities, notifying key stakeholders of upcoming hearings.
• Interviews clients or authorized representatives via phone or in person to gather information to determine eligibility for benefits.
• Processes changes to client status, overpayments, and adjusts or restores benefits.
• Obtains, verifies, and calculates income and resources to determine client financial eligibility.
• Conducts collateral cold calls via conference line to obtain verification of client information.
• Documents case records using automated systems to form a record for each client.
• Communicates effectively with others to provide, exchange, or verify information, answer inquiries, address issues, or resolve problems or complaints.
• Performs shadowing activities with incoming staff.
• Must be able to work occasional overtime, as required by management.

Requirements

• High School Diploma or GED equivalent required.
• Two years of customer service experience with public contact.
• Experience in Medicaid policy and procedures within the last year.
• Experience using manual and/or automated systems to determine eligibility for MEPD Medicaid programs within the last year.
• Twelve months experience as an MEPD Advisor II within the last year preferred.

Nice-to-haves

• Sixty semester hours from an accredited college or university preferred.
• Experience in a social service environment, including interviewing clients and making eligibility determinations.
• TIERS and Eligibility Workload Management System (EWMS) experience within the last year preferred.

Benefits

• 100% paid employee health insurance for full-time eligible employees.
• Defined benefit pension plan.
• Generous time off benefits.
• Numerous opportunities for career advancement.