ELIGIBILITY VERIFICATION SPECIALIST

Eligibility Verification Specialist

The Office of Revenue Management and Development (ORMD) / The Bureau of Case Integrity & Eligibility Verification's (BCIEV) mission is to identify system enhancements to improve claiming and to avoid overpayments, as well as working with program areas to prevent potential errors by reviewing records of Cash Assistance and Medical Insurance and Community Services Administration (MICSA) cases and analyzing their contents for material that might retroactively identify Federal and State obligations that had not previously been recognized.

Bureau of Case Integrity and Eligibility Verification (BCIEV) is recruiting one (1) Principal Administrative Associate II to function as an Eligibility Verification Specialist in its Eligibility Verification Division, who will :

• Work on various Medical Assistance Program (MAP) projects including reviewing and analyzing MAP duplicate Client Identification Numbers (CINs) for potential recovery of duplicate payments to New York State.
• Initiate corrective actions for invalid MAP Social Security Numbers to minimize risk of audit disallowances; evaluate Information Technology Services (ITS) computer printouts relating to MAP reimbursement claims as well as be assigned to special assignments on MAP as necessary.
• Perform quality assurance and Welfare Management System (WMS) look-ups for MAP cases identified through Enterprise Warehouse (EDW) and Electronic Medicaid of New York (E-MEDNY) queries.
• Work on various MAP projects.
• Conduct surveys and special assignments on MAP related issues.

Work Location : 4 World Trade Center

Hours / Schedule : 9 : 00 am to 5 : 00 pm

Principal Administrative Associate - 10124

The City of New York is an inclusive equal opportunity employer committed to recruiting and retaining a diverse workforce and providing a work environment that is free from discrimination and harassment based upon any legally protected status or protected characteristic, including but not limited to an individual's sex, race, color, ethnicity, national origin, age, religion, disability, sexual orientation, veteran status, gender identity, or pregnancy.