Eligibility Coordinator

Community Partnership For Children; Daytona Beach (FL); On-site; USD 21,000 - 30,000; Full time

Job summary

Community Partnership for Children in Daytona Beach, FL, seeks a full-time Eligibility Technician to support Medicaid applications, determine eligibility, and process data entry and payments.

Responsibilities include maintaining case documentation, coordinating with Protective Investigators and CIC Specialists, completing Medicaid applications for various placements, and entering data into ICWSIS and FSFN to support timely payments and annual reviews.

Qualifications

• High school diploma or GED required.
• Minimum of one year of related experience.
• Bachelor's degree preferred.
• Child Welfare credentials preferred.
• Experience with Medicaid eligibility is a plus.
• Ability to understand and interpret legal documents.

Responsibilities

• Obtains and maintains appropriate case documentation for determining eligibility of children.
• Maintains open communication with Protective Investigators and Case Managers.
• Completes Medicaid applications for children in out-of-home placements.
• Completes Medicaid applications for relative and non-relative placements.
• Enters demographic, placement and payment data into ICWSIS and FSFN.
• Communicates placement changes to ESS/CIC and coordinates with Finance for payments.
• Provides documents for annual Medicaid reviews and TANF redeterminations.
• Participates in staff meetings, trainings, and quality improvement activities.

Skills

Strong interpersonal skills

Excellent verbal and written skills

Ability to multi-task

Ability to understand legal documents

Ability to maintain confidentiality

Time management and organization

Education

High School Diploma or GED equivalent

Bachelor's Degree

Child Welfare credentials

Tools

Microsoft Word

Microsoft Excel

Job description

Locations: Daytona Beach, Fl.
Exempt/Non-Exempt: Hourly Non-Exempt
Employment Type: Full Time
Department: Finance/Rev Max

SUMMARY:

To provide services in the areas of Medicaid application, eligibility determination, data input, and payment vouchering

PRINCIPAL DUTIES AND RESPONSIBILITIES

• Obtains and maintains appropriate case documentation for determining eligibility of children and for maintaining compliance.
• Maintains open communication with Protective Investigators and Case Managers responsible for supervising cases of children in care, obtaining information in order to determine eligibility.
• Completes Medicaid applications for children in out-of-home paid placements and works with Economic Self Sufficiency (ESS) Child in Care (CIC) Specialists to obtain Medicaid eligibility.
• Completes Medicaid applications for relative and non-relative placements.
• Enters demographic, placement and payment data into the Integrated Child Welfare Services Information Systems (ICWSIS) for foster care, group care, and adoptions.
• Enters placement and demographic data into Florida Safe Families Network (FSFN) for all children.
• Enters eligibility data into ICWSIS and FSFN.
• Communicates to ESS/CIC all placement change information.
• Works with the Finance Department to ensure timely and accurate payments.
• Provides necessary documents to ESS for required annual Medicaid reviews for all children in out-of-home paid placements, relative and non-relative placements, and adoptive children.
• Completes required annual TANF redeterminations for children in out of home paid placements and adoptive children.
• Attends staff meetings, in-service training and other meetings, staffings, or conferences as necessary.
• Provides technical assistance on the completion of all eligibility forms.
• Participates in the quality improvement process.

This list of essential functions is not intended to be exhaustive. Community Partnership for Children reserves the right to revise this job description as needed to comply with actual job requirements.

EXPERIENCE/PERFORMANCE REQUIREMENTS (Knowledge, skills and abilities):

• Strong computer skills, including the use of Microsoft Word and Excel
• Strong interpersonal skills
• Excellent verbal and written skills
• Ability to multi-task
• Ability to understand legal documents
• Ability to maintain confidentiality
• Time management and organization skills

EDUCATION REQUIREMENTS:

REQUIRED:

High School Diploma or GED equivalent
Minimum of one year of related experience

PREFERRED:

Bachelor's Degree

Child Welfare credentials, as issued by Florida Certification Board

Previous experience in client eligibility determination

LICENSES AND CERTIFICATIONS

Possess a current Background Clearance Screening Letter as required by DCF; and successfully complete the background screening requirements for Community Partnership for Children.

If local travel is required, a Valid Florida driver’s license and documentation of current automobile insurance, is required.

PHYSICAL DEMANDS AND WORK ENVIRONMENT

Employee will work in an office/clerical environment. The employee will work predominantly seated with recurrent need to walk, stand, and bend from the waist. Occasional light lifting, stooping, and climbing may be required. Occasional local travel.

GENERAL INFORMATION

The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. This job description should not be construed to constitute contractual obligations of any kind or a contract of employment between Community Partnership for Children and any employee. Employment at Community Partnership for Children is “at-will” and either party can terminate the employment relationship at any time, with or without just cause.