Eligibility Specialist II — Public Benefits Expert

My Florida CFO; Orlando (FL); Hybrid; USD 36,000 - 38,000; Full time

Job summary

Florida Department of Children and Families in Orlando seeks an Eligibility Specialist II to provide back-up to the ESS unit supervisor, review cases, give feedback to improve accuracy, and mentor staff in a fast-paced, deadline-driven environment.

The role requires calculating eligibility for food stamps, Medicaid, and cash assistance, handling data, and maintaining electronic records while complying with federal and state laws.

Qualifications

• At least 2 years' experience working in the Office of Economic Self-Sufficiency determining eligibility for food stamps, Medicaid, and Cash assistance as an Eligibility Specialist.

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.

Skills

Ability to prioritize deadlines

Complex arithmetic

Fact-finding interviews

Written and oral communication

Problem-solving techniques

Training and mentoring

Job description

Florida Department of Children and Families in Orlando seeks an Eligibility Specialist II to provide back-up to the ESS unit supervisor, review cases, give feedback to improve accuracy, and mentor staff in a fast-paced, deadline-driven environment.

The role requires calculating eligibility for food stamps, Medicaid, and cash assistance, handling data, and maintaining electronic records while complying with federal and state laws.