Eligibility Services Clerk, MISP

About the Role

Riverside University Health System (RUHS) is seeking a Bilingual Eligibility Services Clerk to join the Eligibility - MISP team. This position is responsible for conducting pre-screening and other interviews with applicants and clients to collect personal, family, and financial information required to determine eligibility.

Key Responsibilities

• Conduct pre-screening and other interviews with applicants and clients using standardized forms to obtain personal, family and financial data required to determine eligibility for public social service aids or basic information to authorize social service plans.
• Give applicants standard forms and request that routine verifications be returned with completed forms.
• Review forms for completeness when returned by the applicant.
• Assist clients with completing application forms for financial assistance.
• Record verifications of birth, income, property, and other required information according to standard procedures.
• File required forms and verifications in an established order to ensure accurate documentation and compliance.
• Complete notices of action and other required forms following eligibility determination.
• Accept late income reports from clients, reviewing them for completion and accuracy.
• Prepare and verify IHSS payroll time sheets.
• Receive mail-out questionnaires on IHSS remedy reassessments.
• Verify and adjust authorization of IHSS, referring special cases to the Social Service Practitioner.
• Determine when to issue notice of intended action or right to fair hearing forms to clients.
• Clear routine case controls using computer printouts.
• Respond to routine telephone calls or lobby visits from applicants and clients reporting changes in their circumstances or requesting information on the status of their applications or case.
• Prepare and maintain other documents associated with the eligibility/services processes.
• Maintain records for use in the development of workload and productivity statistics.
• Complete Newborn Gateway and Medi-Cal Inmate Eligibility Program (MCIEP) applications in accordance with program guidelines.
• Assist Eligibility Specialists by gathering and verifying required documentation from clients.
• Bring discrepancies to the attention of the Eligibility Technician or Social Service Practitioner responsible for the case.
• Conduct face-to-face interviews with patients.
• May involve travel to various locations.

Requirements & Tech Stack

• Bilingual: English/Spanish, level I/II speaking and reading required.
• 5/40 Work Schedule: Monday - Friday 8:00 AM - 4:30 PM.
• Modern office procedures including filing and operating standard office equipment.
• Ability to understand and follow written instructions and guidelines.
• Ability to perform basic arithmetic computations.
• Ability to perform general clerical work and quickly learn department-specific operations.
• Ability to maintain records.
• Ability to effectively interview applicants and clients to obtain personal, family and financial information, and to accurately record this information.
• Ability to work cooperatively with the public and departmental staff.
• Possession of a valid California Driver’s License may be required.

Qualifications

Option I: Experience

• Six months of clerical experience in a public social services agency, preferably involving making mathematical computations.

Option II: Experience

• One year of clerical experience which involved substantial work involving public contact, interviewing, math computations, or completing complex forms.

Bilingual (Spanish) Non-Proctored Assessment will be coordinated by the Human Resources Department.