Eligibility Specialist

at State of Maine, Bureau of Human Resources in Portland, Maine, United States

Job Description

Eligibility Specialist

Portland , Maine , United States | Human Services | Full-time Apply by: Nov. 5, 2021 Apply with Linkedin Apply

Department of Health and Human Services (DHHS)Opening Date: October 22, 2021Closing Date: November 5, 2021Job Class Code: 5073

Grade: 19 (Professional & Technical Services)

Salary: $18.60-$22.82/hourly**Employees in this classification begin at Step 3 of the pay scale.Position Number: 020227337, 02002575, 020227464, 020001683

Agency information:

The Department of Health and Human Services (DHHS) is dedicated to promoting health, safety, resilience, and opportunity for Maine people. The Department provides health and social services to approximately a third of the State’s population, including children, families, older Mainers, and individuals with disabilities, mental illness, and substance use disorders. The Department also promotes public health, operates two state psychiatric hospitals, and provides oversight to health care providers.

The Office for Family Independence is responsible for administration of eligibility determination for a number of programs, including MaineCare, Temporary Assistance for Needy Families (TANF), Food Supplement, Fraud and Recovery, and Child Support.

Job duties:

The position of Eligibility Specialist determines initial and continued eligibility for public assistance programs. The position may also perform quality control work by reviewing eligibility decisions made by others. Work is done in a fast-paced environment that has high standards for customer service and program accuracy. The position gathers sensitive and personal information to make timely and accurate eligibility determinations. Strong interpersonal and conflict resolution skills are necessary as the Eligibility Specialist interacts with people from different walks of life and/or in various emotional states. Much of the work is done in a call center atmosphere.

Typical Duties:

+ Interview clients, obtains and assesses all necessary facts, data, supporting information, and documentation pertaining to the application or recertification for public assistance.

+ Evaluate information and applies allowable standards and criteria.

+ Explain program eligibility requirements, rules, regulations and individual rights and responsibilities to clients.

+ Reviews and analyzes information for accuracy; identifies inconsistencies; requests necessary documentation; verifies and validates data.

+ Answers inquiries and refers clients to various programs.

+ Identifies potential benefit overpayments, assesses cause for overpayment and makes referrals for recovery of benefits.

+ Identifies potential fraud and refers to the Fraud Investigation Recovery Unit.

+ Accurately enters data into an automated system and ensures accurate eligibility results.

+ Communicate verbally and in writing with clients, co-workers and other agencies.

+ Perform intermediate mathematical calculations.

+ Maintain confidentiality of all applicant and recipient information.

Minimum Qualifications:

To qualify, you must have a four (4) year combination of education, training, and/or experience in providing direct assistance to individuals or groups or deciding client eligibility in a business, legal or social services setting which demonstrates interviewing and data gathering skills to form judgments in eligibility determinations, claims resolution, transaction processing, insurance coverage and/or customer service requests – OR – a Bachelor’s Degree in social services, public or business administration, or other related fields.

Application Information:

Please submit all documents or files in a PDF format.

For additional information about this position please contact Lee Freeman, Recruitment & Retention Specialist at 207) 624-4191 or by email at .

To request a paper application, please contact Ashley Smith at . To apply, please upload a resume, cover letter, and transcript (transcript needed only if education is used to meet the minimum qualifications).


Benefits are vital to your health and well-being. We get it. Here’s what the State of Maine offers:

+ growth – build your career

+ health, dental, and vision insurance – take care of yourself

+ retirement savings – financially independent, even after you stop working

+ flexible spending accounts – manage out-of-pocket healthcare and/or daycare costs

+ Living Resources(employee assistance program) – overcome difficult situations with support

+ paid holidays – twelve each year

+ federal public loan forgiveness program- for qualifying loans and payments

+ statewide locations – from Kittery to Madawaska

+ training – develop knowledge, skills, and understanding

The bi-weekly dollar values of some State-paid benefits for full-time employees include: $14.60 for dental insurance; 13.16% of employee’s pay towards retirement; and, depending on the employee’s annual pay, at least 85% ($412.23) of health insurance premiums (more information is available here). Participation in theHealth Premium Credit Programcan decrease the employee’s cost of health insurance by 5%.

Maine State Government is an Equal Opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We provide reasonable accommodations to qualified individuals with disabilities upon request.

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Job Posting: JC195808951

Posted On: Oct 24, 2021

Updated On: Nov 08, 2021