
Dynamic Eligibility Advisor with extensive experience at HHSC, adept at applying complex policies to determine client benefits. Proven analytical thinker and problem-solver, skilled in client engagement and compliance. Successfully enhanced program understanding through effective communication, ensuring clients receive accurate support and services. Committed to fostering positive relationships and achieving organizational goals.
Interview clients (in person or by phone) to collect financial and personal information.
Obtain, verify, and calculate income and resources to determine financial eligibility for benefits.
Enter case information into eligibility systems and document client records.
Policy Application & Compliance Interpret and apply relevant state and federal regulations, policies, and procedures to cases.
Ensure eligibility decisions comply with legal, regulatory, and program guidelines.
Customer Interaction
Explain program requirements, benefits, rights, and appeal processes to applicants and recipients.
Respond to questions from clients and assist in resolving issues related to eligibility.
Case Management Tasks
Process changes in client circumstances, including status changes and adjustments to benefits.
Address overpayments and benefit restorations as appropriate.
Communication & Coordination May make outbound calls to verify information.
For specialized Advisor II roles (e.g., MEPD), prepare evidence and represent the agency in fair hearings or similar proceedings.Â
Accurately determines eligibility for TANF, Food Stamps, Medicaid and/or Medicaid for the Elderly and People with Disabilities Programs. Work involves interviewing clients, documenting information gathered, determining benefits, verifying case data, explaining program benefits and requirements. Reviews eligibility of clients for ongoing services. Job requires detailed oriented individuals with ability to apply complex policies and procedures. This position may require travel of up to 50% during the training period.