Sr CSR - Enroll/Elig PT - Maximus Services, LLC

This position supports the state of Pennsylvania and applicants must reside in the State of Pennsylvania to be considered for this role.

JOB OVERVIEW: The Enrollment Broker travels throughout assigned county, working primarily in applicants' places of residence. Conducts intake visits for waiver applicants and acts as a facilitator for the eligibility determination

JOB RESPONSIBILITIES:
1. Travels throughout assigned counties, working primarily in applicants' places of residence
2. Conducts intake visits for HCBS applicants and acts as a facilitator for the eligibility determination process, providing assistance from the time individuals are identified as potential participants in an HCBS program to the time they are enrolled as participants or are terminated from the intake process
3. Presents and discusses the concept of HCBS programs, and advises applicants of their rights and responsibilities
4. Assists with application submission, including data entry of the Compass Application
5. Assists applicants with selecting an MCO, Life Provider or Supports Coordinators that best meet their needs, ensuring consumer control is maintained throughout the application process
6. Assists with developing relationships with community-based organizations, advocates and stakeholders to gather feedback on improving the application process and removing barriers to enrolling in HCBS waiver programs
7. Fosters and maintains relationships with parties serving our mutual consumers, including physicians, County Assistance Offices, providers, nursing homes and rehabilitation facilities
8. Facilitates the efficiency of the application process, ensuring any stalled cases receive extra attention and support
9. Attends regularly scheduled meetings
10. Reports on schedule availability at regular intervals
11. Occasionally lifts, carries, or otherwise moves items weighing up to 25 pounds.
12. Performs other duties as assigned by management

EDUCATION/EXPERIENCE: Bachelor's degree including or supplemented by at least 12 college-level credit hours in sociology, social welfare, psychology, gerontology or another behavioral science required; OR A combination of experience and training which adds up to 4 years of experience, and education which includes at least 12 semester hours of college-level courses in sociology, social work, social welfare, psychology, gerontology or other social science.

Job Summary

Essential Duties and Responsibilities:
- Travel throughout assigned county, working primarily in applicants' places of residence.
- Conduct intake visits for waiver applicants and act as a facilitator for the eligibility determination process, providing assistance from the time individuals are identified as potential participants in an HCBS program to the time they are enrolled as participants or are terminated from the intake process.
- Present and discuss the concept of the waiver programs, and advise applicants of their rights and responsibilities.
- Assist with application submission, including data entry of application information into HCSIS 5.
- Assist applicants with investigating Medicaid eligibility as needed.
- Assist applicants with selecting Supports Coordinators that best meet their needs, ensuring consumer control is maintained throughout the application process.
- Consult with the Enrollment Nurse for more difficult cases, as needed.
- Initiate the development of the Individual Service Plan and obtain Department approval.
- Assist with developing relationships with community-based organizations, advocates and stakeholders to gather feedback on improving the application process and removing barriers to enrolling in HCBS waiver programs.
- Foster and maintain relationships with parties serving our mutual consumers, including physicians, County Assistance Offices, providers, nursing homes and rehabilitation facilities.
- Facilitate the efficiency of the application process, ensuring any stalled cases receive extra attention and support.
- Attend regularly scheduled meetings at central Harrisburg office.
- Report on schedule availability at regular intervals.

Minimum Requirements:
- High School diploma or equivalent with 1-3 years of experience.
- Handles more complex customer service inquiries and problems via telephone, recording consistent problem areas.
- May respond to email inquiries.
- Customer service is the primary function.
- Calls are non-routine and require deviation from standard screens, scripts, and procedures.
- Handles situations which may require adaptation of response or extensive research according to customer response.
- Uses computerized system for tracking, information gathering, and/or troubleshooting.
- May handle escalated or unresolved calls from less experienced representatives.
- Works on assignments that are moderately difficult, requiring judgement in resolving issues.
- Understands implications of work and makes recommendations for solutions.

MAXIMUS Introduction

Since 1975, Maximus has operated under its founding mission of Helping Government Serve the People, enabling citizens around the globe to successfully engage with their governments at all levels and across a variety of health and human services programs. Maximus delivers innovative business process management and technology solutions that contribute to improved outcomes for citizens and higher levels of productivity, accuracy, accountability and efficiency of government-sponsored programs. With more than 30,000 employees worldwide, Maximus is a proud partner to government agencies in the United States, Australia, Canada, Saudi Arabia, Singapore and the United Kingdom. For more information, visit https://www.maximus.com.

EEO Statement

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 opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disabled status.

Pay Transparency

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.

Posted Max

USD $24.00/Hr.

Posted Min

USD $14.13/Hr.