Eligibility Specialist II: Case Review & Training Lead

FDOT; Fort Lauderdale (FL); On-site; USD 31,000 - 43,000; Full time

Job summary

Florida Department of Children & Families in Fort Lauderdale seeks an Eligibility Specialist II to back-up unit supervision and handle high-volume, deadline-driven case reviews within the Office of Economic Self-Sufficiency.

The role involves prioritizing tasks, providing mentoring, and ensuring accurate eligibility determinations and records in line with federal/state policies. Salary noted and benefits align with state guidelines.

Responsibilities

• Performs quality management system reviews as assigned.
• Reviews case reading errors with the Eligibility Self Sufficiency Specialist I, and ensures corrections are completed accurately and timely.
• Reviews and analyzes data from quality control and all monitoring sources and provides training in the areas in which problems are identified.
• Follows established unit procedures to determine eligibility for public assistance benefits within designated time frames as required by Federal and State laws and Department policy and procedures.
• Maintains assigned work responsibilities by taking prompt action on all case management activities including medical expense (bill) tracking, changes, sanctions, data exchange, alerts, ad-hoc reports, and Medicaid file resolution.
• Identifies cases of possible fraud and/or overpayment; makes appropriate referrals to fraud and overpayment departments.
• Ensures electronic case records are documented thoroughly and properly as required by Departmental procedures.

Job description

Florida Department of Children & Families in Fort Lauderdale seeks an Eligibility Specialist II to back-up unit supervision and handle high-volume, deadline-driven case reviews within the Office of Economic Self-Sufficiency.

The role involves prioritizing tasks, providing mentoring, and ensuring accurate eligibility determinations and records in line with federal/state policies. Salary noted and benefits align with state guidelines.