Vermont Healthcare Service Specialist II

Overview

The Department of Vermont Health Access (DVHA)s Health Access Eligibility & Enrollment Unit (HAEEU) is seeking a qualified individual to join their dynamic team. Work in a supportive work environment with a Monday-Friday schedule eleven paid state holidays in addition to a robust benefits package.

JOB DUTIES:
The Vermont Healthcare Support Specialist II (VHSSII) determines applicant eligibility for Vermonts health care programs including Medicaid Dr. Dynasaur Healthy Vermonters VPHARM and Vermont Health Connect. The VHSSII reviews and enters applications for Vermonts health care programs to determine eligibility and complete enrollment and plan selection and processes changes with extreme attention to detail to ensure accurate processing. The VHSII regularly processes work in each of the health care programs/subprograms. The majority of VHSSII work is processed on the phone with customer calls.

The Healthcare Services Specialist II role has the following responsibilities:

• Researching and resolving discrepancies in healthcare profiles.
• Reviews and enters applications and life changes with accurate eligibility.
• Can work multiple work buckets.
• Subsidy Coverage Dates and Eligibility Discrepancies.
• Reconciliation of the different systems to ensure all data aligns with the health exchange and our carrier partners.
• Handles a high call volume of customers needs.
• Provides excellent customer service

Mission:
The Department of Vermont Health Access (DVHA)s mission is to improve Vermonters health and well-being by providing access to high-quality cost-effective health care. We have identified three priorities that support our mission: Advancing value-based payments modernizing information technology infrastructure and operational performance improvement. Our department commits to executing our responsibilities and priorities while adhering to three core values: Transparency Integrity and Service.

Diversity Equity and Inclusion:

As part of our values of transparency integrity and service we are committed to supporting diversity equity inclusion and accessibility as part of our person-centered culture. We actively celebrate our colleagues and future colleagues different abilities racial identity sexual orientation ethnicity age and gender. Everyone is welcome and supported here.

Our State:
Vermont is a small but mighty state. We are ranked as one of the top 10 states to raise a family in 2022. We are nationwide leaders for progressive social and educational policies. We are in Northern New England 1.5 hours from Montreal and 3.5 hours from Boston. We have beautiful Lake Champlain the Green Mountains and year-round outdoor activities.

Who May Apply

This position Vermont Healthcare Service Specialist II (Job Requisition #54050) is open to all State employees and external applicants.
If you would like more information about this position please contact Deborah Alden at .
Resumes will not be accepted via e-mail. You must apply online to be considered.
Please note that multiple positions in the same work location may be filled from this job posting.

AHS BACKGROUND CHECKS: Candidates must pass any level of background investigation applicable to the accordance with AHS Policy 4.02 Hiring Standards Vermont and/or national criminal record checks as well as DMV and adult and child abuse registry checks as appropriate to the position under recruitment will be conducted on candidates with the exception of those who are current classified state employees seeking transfer promotion or demotion into an AHS classified position or are persons exercising re-employment (RIF) rights.

Environmental Factors

Duties are performed in an office setting. Workload is consistently heavy with constant need for prompt and accurate decision making. Incumbents must be able to function independently prioritize their own work and multi-task effectively. Private means of transportation should be available for necessary travel to training and/or meetings. Applicants may provide a variety of challenges including but not limited to highly emotional conditions (i.e. irate customers inability to communicate attempts at falsification and total discouragement). Work outside of typical business hours may be expected.

Minimum Qualifications

One (1) year of experience in a customer service environment and using computer programs.

OR

Six (6) months experience as a Vermont Healthcare Service Specialist I (VHSS I).

Preferred Qualifications

One (1) year of experience in a customer service environment or call center environment using computer programs including data entry and the ability to explain policies/procedures or rules/regulations

Experience with research and review of healthcare services or similar field

Special Requirements

Candidates must pass any level of background investigation applicable to the accordance with AHS Policy 4.02 Hiring Standards Vermont and/or national criminal record checks as well as DMV and adult and child abuse registry checks as appropriate to the position under recruitment will be conducted on candidates with the exception of those who are current classified state employees seeking transfer promotion or demotion into an AHS classified position or are persons exercising re-employment (RIF) rights.

Total Compensation

As a State employee you are offered a great career opportunity but its more than a paycheck. The States total compensation package features an outstanding set of employee benefits that are worth about 30% of your total compensation including:

• 80% State paid medical premium and a dental plan at no cost for employees and their families
• Work/Life balance: 11 paid holidays each year and a generous leave plan
• State Paid Family and Medical Leave Insurance (FMLI)
• Two ways to save for your retirement: A State defined benefit pension plan and a deferred compensation 457(b) plan
• Tuition Reimbursement
• Flexible spending healthcare and childcare reimbursement accounts
• Low cost group life insurance
• Incentive-based Wellness Program
• Qualified Employer for Public Service Student Loan Forgiveness Program

Want the specifics Explore the Benefits of State Employment on our website.

Equal Opportunity Employer