While utilizing excellent customer service skills and professionalism assist callers by responding to inquiries in English or Spanish received through the State Hearings Division toll-free telephone number. Analyzes and researches claimants' calls for various public assistance programs (e.g., California Work Opportunity and Responsibility to Kids (CalWORKs), Medi-Cal, KinGAP, etc.) via Virtual Contact Center (VCC). Prepares and files oral state hearing requests in the Appeals Case Management system (ACMS) for applicants/recipients disputing their public assistance benefits to ensure due process is met per federal and state law. Communicates policy, procedures, and program information in language more readily understood by clients. Verify callers and record details of inquiries and actions taken to resolve each request. Accurately determines the best course of action to meet the caller's needs. Maintains current, organized, and retrievable program material to ensure accurate and timely responses. Research and analyze claimants' issues and personal data through the California Healthcare Eligibility, Enrollment, and Retention System (CalHEERS) and/or Medical Eligibility Data System (MEDS) to file hearing requests on claimants' behalf. Complies with all Health Insurance Portability and Accountability Act (HIPAA) guidelines and regulations regarding handling highly confidential personal health information.
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