Eligibility Specialist Trainee/I/II – Regular & TAP

ABOUT THE POSITION

Riverside University Health System (RUHS) Medically Indigent Services Program (MISP) is currently recruiting to fill multiple vacancies for an Eligibility Specialist Trainee/I/II – Regular & TAP. The incumbent will support the Medically Indigent Services Program in Riverside and Murrieta and travel to various locations throughout Riverside County.

The incumbent in this position will have experience with Medi-Cal eligibility in a hospital environment. The Eligibility Specialist Trainee/I/II – Regular & TAP will be tasked with eligibility services for one or more public social service aids or medical assistance programs as well as review, evaluate, investigate, and justify eligibility determinations. Additionally, the incumbent will assist in community outreaches, welcome patients to the facility, verify medical insurance coverage or assist patients with Medi-Cal eligibility, schedule appointments for consultations, tests, and procedures, as well as answer phone and email inquiries. Riverside University Health System (RUHS) Medically Indigent Services Program (MISP) desires candidates who have experience with bedside assisting, performing Intake worker duties, and data entry.

Required bilingual – Spanish Level I & II

Qualifying experience must be detailed on your resume and/or application.

Meet the Team!
The Riverside University Health System is here for you when you or someone you love is in need of help to achieve and maintain a life of whole health wellness and recovery. Can you see yourself here?

EXAMPLES OF ESSENTIAL DUTIES
• Initially participates in a training program consisting of formalized training and on-the-job training which would give instruction to learn the typical duties performed by the journey level classes.

• Interviews applicants for and recipients of one or more aid categories to assist them in the completion and clarification of the application and declaration forms upon which eligibility decisions are bases; conducts such interviews in the Medically Indigent Services Program (M.I.S.P.) offices, clinics or in the hospitals.

• Obtains pertinent information concerning such items as income, other financial resources, and financial obligations/debts from applicants and recipients; obtains additional information to resolve discrepancies in the applications and declarations by telephone, correspondence, or personal interviews.

• Determines eligibility in accordance with established procedures; records information for case records; interprets program regulations and other pertinent material to applicants, recipients, and the general public.

• Compute amount of grant authorized and perform other similar required computations; may prepare and maintain other documents associated with the eligibility determining process.

• On the basis of observation, or of need expressed by applicant orally or in specified locations on the applications and declaration forms, refers all applicants and recipients who appear to need social services to designated staff members after completing the appropriate referral forms.

MINIMUM QUALIFICATIONS

Eligibility Specialist Trainee
$34,229.52 – $47,693.98 Annually

Eligibility Specialist Trainee- TAP
$16.4565 Hourly

OPTION I
Experience: Two years of general or specialized office experience comparable to Riverside County’s Office Assistant II or higher, or Departmental Supportive Services Aide classification.

OPTION II
Education: Completion of 60 semester/90 quarter units at a recognized college including at least 15 semester/18 quarter units in one or more of the following: social welfare, sociology, social/human services, other behavioral sciences, business/public administration.

OPTION III
Experience: Two years of experience involving responsibility for interviewing or decision-making in a clerical capacity or higher in a personnel office, employment, unemployment, disability insurance, workers; compensation, or social security offices, hospitals, physicians’ offices, insurance firms, social service or similar agencies.

Eligibility Specialist I
$34,677.76 – $50,311.66 Annually

Eligibility Specialist I – TAP
$16.6720 Hourly

Experience: Successful completion of Riverside County Health Services Agency, Medically Indigent Services Program On-the-Job Training Program.

Eligibility Specialist II
$38,493.10 – $55,910.19 Annually

Eligibility Specialist II – TAP
$18.5063 Hourly

Experience: Twelve months of experience performing duties comparable to Riverside County Health Services agency’s Eligibility Specialist I classification in the Medically Indigent Services Program.

Eligibility Specialist I & II
Knowledge of: The goals of public social service agencies, hospitals and health care facilities; the basic laws, rules, and regulations governing eligibility and grant determinations for public assistance programs; interviewing and record keeping techniques; problems requiring referral to the staff; standard office procedures and practices.

Ability to: Interview effectively in a variety of settings; accurately gather, record, and correctly evaluate data necessary for the determination of eligibility for various public assistance programs, correctly interpret the rules and regulations governing eligibility determinations to applicants, recipients, and the general public; speak and write effectively; maintain accurate and systematic records identify problems requiring referral to other Department staff.

SUPPLEMENTAL INFORMATION

Veterans’ Preference

The County has a Veterans Preference Policy. Upload a copy of your (or your spouse’s) Member-4 Form DD-214 (or NGB-22) indicating dates of service, and a copy of your spouse’s letter of disability (if applicable) with your application. For privacy reasons, it is recommended that you remove your social security information from the document(s). A Human Resources Representative will review the materials and determine if you qualify for veterans’ preference. See the policy here ( Download PDF reader ).

Reasonable Accommodations

The County of Riverside is committed to providing reasonable accommodation to applicants as required by the Americans with Disabilities Act (ADA) and Fair Employment and Housing Act (FEHA). Qualified individuals with disabilities who need reasonable accommodation during the application or selection process should contact the recruiter for the position noted above. For additional information and/or to obtain the appropriate form for requesting a reasonable accommodation, please visit the Disability Access Office web page located at: http://dao.rc-hr.com/ .

Condition of Employment

In accordance with the California Department of Public Health Order dated August 5, 2021, and amended December 22, 2021, healthcare facility workers who work in indoor settings where care is provided to patients or where patients have access for any purpose must be vaccinated against COVID-19 as follows: the first dose of a one-dose regimen or second dose of a two-dose regimen, by September 30, 2021. Effective March 1, 2022, all healthcare facility workers must have their booster, obtain the booster within 15 days of becoming eligible for one or have a declination form on file for the booster. Consideration may be given to candidates who are in the process of completing their vaccination regimen.

The Order allows for workers to be exempt from the vaccination requirements by providing the facility with a declination form signed by the individual stating either of the following: (1) the worker is declining vaccination based on Religious Beliefs, or (2) the worker is excused from receiving any COVID-19 vaccine due to Qualifying Medical Reasons. Workers who are exempted from the vaccination requirements must observe all other infection control requirements required by their work site.

A requirement of employment is to provide proof of COVID-19 vaccination, or a completed COVID-19 Vaccination Declination form (filled out by the candidate and their medical provider as appropriate), during the pre-employment process. Failure to submit the required documentation may render a candidate ineligible to move forward in the process.

Other Requirements

License/Certificate: Possession of a valid California Driver’s License is required.

Bilingual Testing

The Human Resources Department will coordinate a Bilingual (Spanish) Non-Proctored Assessment.

What’s Next?

This recruitment is open to all applicants.

Applicants who are current County of Riverside employees and/or current employees of the Riverside University Health System may be considered before other applicants depending on the volume of applications received.

Qualified applicants may be considered for future vacancies throughout the County.

Application Period

BASED ON THE NUMBER OF APPLICATIONS RECEIVED, THIS POSTING MAY CLOSE WITHOUT NOTICE.

Applications received prior to the closing date will be considered based on the information submitted. Changes or alterations cannot be accepted. No late applications will be permitted.

Include relevant work experience details on your resume and/or application.

Applicants who fail to provide information demonstrating they possess the position requirements may not be considered further in the application process. A description of job duties directly copied from the job classification or job posting will not be considered.

All applicants are required to provide a copy of any license(s), official/unofficial transcript(s), degrees, and/or related employment documents to your NeoGov account, prior to the closing date of the job posting. If your education was completed outside of the United States, you will need to provide a copy of your Foreign Education Equivalency evaluation from a member of the National Association of Credential Evaluation Services ( NACES ) or Association of International Credential Evaluators, Inc. ( AICE ).

MEDICAL/DENTAL/VISION INSURANCE: A choice of different medical, dental and visions plan are available to elect. The County provides a Flexible Benefit Credit contribution as governed by the applicable LIUNA Memorandum of Understanding to contribute towards the cost of these plans.

Note: Employees on assignment through the Temporary Assignment Program (TAP) receive different benefits. See the list here .
MISCELLANEOUS RETIREMENT: County of Riverside has three retirement Tiers through the California Public Employees’ Retirement System (CalPERS).

• Tier I (Classic Member – Formula 3% @ 60): Applicable to current and former County of Riverside local miscellaneous employees hired prior to 08/24/2012 and did not withdraw CalPERS contributions. The employee contribution is eight (8%) percent.
• Tier II (Classic Member – Formula 2% @ 60): Applicable to local miscellaneous employees 1) hired after 08/23/2012 through 12/31/2012; 2) Previously employed with another CalPERS contracting public agency or a reciprocal retirement system, with a break in service of less than six months between the separation date with the previous employer and the appointment date with the County of Riverside. The employee contribution is seven (7%) percent.
• Tier III (PEPRA New Member – Formula 2% @ 62): Applicable to CalPERS local miscellaneous new members hired on or after the implementation of the Public Employees’ Pension Reform Act of 2013 (PEPRA) which took effect January 1, 2013. As of July 1, 2020, the employee contribution is 7.25% and subject to change annually.

A new member is defined as any of the following:

CalPERS refers to all members that do not fit within the definition of a new member as “classic members”.

Contribution rates are subject to change based on the County of Riverside annual actuarial valuation.

Note:

This summary is for general information purposes only. Additional questions regarding retirement formulas can be sent to [email protected] or by calling the Benefits Information Line at (951) 955-4981,
Option 2.

If you have prior service credit with another CalPERS agency or within agencies, please contact CalPERS at (888) 225-7377 to determine which retirement tier would be applicable to you. CalPERS is governed by the Public Employees’ Retirement Law. The Retirement Law is complex and subject to change. If there’s any conflict between this summary and the law, the law will prevail over this summary.
DEFERRED COMPENSATION: Voluntary employee contribution with a choice between two 457 deferred compensation plan options.

VACATION ACCRUAL (Bi-Weekly Accrual):

0< 3 year = 80 Hours (10 Days)
4< 9 years = 120 Hours (15 Days)
10 or more years = 160 Hours (20 Days)

Maximum Vacation leave accumulation is 480 hours.

SICK LEAVE: Four (4) hours Sick Leave accrual per pay period with unlimited accrual.

HOLIDAYS: Normally 12 paid holidays per year

BEREAVEMENT LEAVE: Allowed 5 days (3 days are County paid; 2 additional days can be taken from accrued Sick Leave balance)

BASIC LIFE INSURANCE: Equal to one times annual base salary not to exceed $50,000 of term life coverage. Premiums are paid by the County. Additional Supplemental Life plan is available for employee purchase.

DISABILITY: Short-term Disability benefit pays up to a maximum of $461.54 weekly, payable up to a maximum of 52 weeks.

POST RETIREMENT MEDICAL CONTRIBUTION: A monthly contribution is made by the County towards retiree health insurance offered through the County as governed by the applicable Memorandum of Understanding.

OTHER: There may be other benefit provisions as specified in the applicable Memorandum of Understanding. Please contact the recruiter listed on the job posting directly for more information.