StarCare Specialty Health System (StarCare) is seeking a full-time Aging and Disability Benefits and Outreach Specialist to join its outstanding Silver Star team. The Aging & Disability Benefits Specialist plays a critical role in helping older adults and individuals with disabilities access public benefits and community resources that support their health, independence, and quality of life. This position serves as a trusted resource for participants and their families by providing guidance through complex eligibility requirements and application processes for programs such as Medicare, Medicaid, Social Security, and the Supplemental Nutrition Assistance Program (SNAP). The Specialist conducts comprehensive financial and benefits assessments, evaluates income, assets, household composition, and insurance coverage, and assists individuals with obtaining required documentation and completing applications accurately and efficiently. Working closely with federal, state, and local agencies, the Specialist monitors application status, resolves eligibility issues, addresses denials and discrepancies, and advocates on behalf of applicants to ensure timely access to benefits and services. Additionally, the position conducts annual financial reassessments, verifies ongoing eligibility, identifies primary payer sources, maintains accurate insurance and policy information, and supports compliance-related activities, including participation in the Random Moment Time Study (RMTS) process when applicable. In collaboration with the Silver Star Marketing & Eligibility Specialist, this role also supports community outreach, education, enrollment, and engagement initiatives that increase awareness of the Program of All-Inclusive Care for the Elderly (PACE), strengthen referral relationships, and connect eligible individuals with comprehensive services and supports that enhance their ability to age safely and independently within the community.
Responsibilities:
- Collaborate with appropriate state and federal agencies to facilitate the timely processing, review, and determination of benefits eligibility.
- Coordinate, track, document, and report benefits eligibility activities in collaboration with Aging & Disability Services staff and financial personnel to ensure timely application processing and compliance with program requirements.
- Work with representative payees, guardians, and authorized representatives, as appropriate, to obtain benefit and financial information.
- Partner with the Census Development Manager to assess and verify the financial eligibility of prospective PACE participants.
- Participate in intake and financial eligibility meetings with prospective participants, consumers, and family members to review program requirements, eligibility criteria, and enrollment status.
- Communicate eligibility determinations to applicants and family members and provide guidance regarding next steps in the enrollment process.
- Conduct timely follow-up activities to ensure all potential funding sources, public benefits, and financial eligibility options have been fully explored.
- Collaborate with external organizations, including financial institutions, housing authorities, and government agencies, to obtain required verifications, records, and supporting documentation.
- Contact referred individuals to schedule appointments, assist with completion of applications and agency forms, and respond to questions regarding state and federal benefit programs.
- Support the Silver Star Marketing & Eligibility Specialist with community outreach, marketing initiatives, participant recruitment efforts, and referral development activities related to the PACE program.
- Coordinate with Aging & Disability Services team members to ensure the timely completion of annual financial assessments and the collection of required supporting documentation.
- Attend and participate in annual Community-Based Organization (CBO) training and other required educational programs.
- Maintain accurate and confidential participant records in accordance with organizational policies, regulatory requirements, and program standards.
- Provide exceptional customer service to participants, families, community partners, and referral sources while promoting access to benefits and supportive services.
- Maintain regular and consistent attendance for the assigned work hours.
- Ensure all required training and credentials are current and compliant with Center, federal, state, and local regulations, and in addition to StarCare policies and procedures.
- Complete special departmental projects and other responsibilities with similar skill and work conditions as assigned.
- Support all activities in alignment with StarCare’s mission, values, and operational goals.
Schedule:
This is a full-time, on-site, position scheduled Monday – Friday, 8am – 5pm, with flexibility to meet the needs of the department.
Benefit Package:
StarCare offers Benefit eligible employees an expansive benefit package including but not limited to: Company-paid medical coverage, fully funded employer contribution to HSA, company-paid life insurance, company paid hospital indemnity plan, retirement plan with up to 12% employer match, front loaded paid time off (PTO), thirteen (13) paid holidays, sabbatical leave, longevity augmentations, and employee referral augmentations.
Qualifications:
- Bachelor's degree from an accredited college or university in Human Services, Business Administration, Social Services, Healthcare Administration, or a related field required.
- Proficient in the use of standard office equipment and Microsoft Office applications, including Word, Excel, Outlook, and PowerPoint.
- Must have a current Texas driver’s license and be insurable under the Center’s insurance.
- Must pass all required pre-employment and annual screenings applicable to the position or services provided, as required by law, regulation, or agency policy, which may include criminal background, nursing registry, MVR, and drug screening based on applicable requirements.
Skills & Abilities:
- Problem Solving: Ability to analyze situations, identify challenges, and develop effective solutions.
- Communication: Strong verbal, written, and electronic communication skills to convey information clearly and professionally.
- Collaboration: Ability to work effectively with others across teams and departments to achieve shared goals.
- Exhibiting Corporate Values: Demonstrates behaviors and decision-making aligned with the organization’s core values and mission.
- Documentation: Proficient in accurately recording, organizing, and maintaining information in various formats.
- Productivity & Reliability: Demonstrates consistent performance, meets deadlines, manages time effectively, and maintains dependability in fulfilling job responsibilities.
- Project and Outcome Management: Ability to plan, execute, and monitor tasks and projects to achieve desired outcomes within established timelines.
