Esperanza Villasenor

General duties of a Human Services Specialist consist of determining eligibility for Medi-Cal, CalFresh, CalWORKs and General Relief. The HSS conducts interviews with customers to obtain, clarify and verify financial, demographic, medical and other pertinent information needed to determine eligibility for financial and medical assistance services under Federal, State and County programs. The HSS must read, interpret, and explain regulations, requirements and legal rights and responsibilities to customers.

Provide excellent customer service.
• Processing assigned recertifications (RRR) for CalWORKs, CalFresh and Medi-Cal.
• Process Semi-Annual (SAR 7) income reports for CalWORKs and CalFresh.
• Issue benefits accurately and timely.
• Resolve/prevent suspended/pending overpayments and over issuance claims.
• Ensure all overpayments/over issuances are correctly processed.
• Ensure discontinued CalWORKs (CW) cases are evaluated for Transitional CalFresh (TCF), Medi-Cal (MC) when appropriate.
• Process Homeless Assistance applications.
• Enter case comments using the standardized template and acronyms to fully explain actions taken and required follow-up to ensure timely processing.
• Ensure all appropriate notices are mailed for all case actions and comments match notice sent.
• Resolve all Alerts, IEVS, PVS and MEDS Exceptions when processing RRR/SARs.
• Ensure documents are sent for imaging in a timely manner.
• Resolve and close assigned Review Customer Care Tasks (RCCs), Manager Elevations (MEs) and Lobby Tickets within the required processing timeframes.
• Stay current with all program changes and implement use.
• Stay current on new and revised federal, state and county legislation, laws, rules, regulations, policies, and procedures pertaining to all assistance programs.
• Research Program Guide and Eligibility Policy and Procedure Guides
• Process tasks assigned to CalSAWS in a timely manner.

Be part of the saffing team, assist with any task that is needed.