Eligibility Specialist II: Quality & Training Mentor

Florida; Florida; On-site; USD 33,000 - 41,000; Full time

Job summary

Florida Department of Children and Families - Office of Economic Self-Sufficiency is seeking an Eligibility Specialist II to support the service delivery model by reviewing cases, providing feedback for accuracy, and mentoring unit staff. The role requires handling high volumes with tight deadlines and ensuring proper documentation of electronic case records.

The position is based in Fort Pierce and involves compliance with state and federal requirements, including background checks and

Qualifications

• Performs quality management system reviews as assigned.
• Reviews case reading errors and ensures corrections.
• Reviews and analyzes data from quality control and monitoring sources and provides training.
• Determines eligibility for public assistance benefits within designated time frames.
• Maintains assigned work responsibilities including medical expense tracking and Medicaid file resolution.
• Identifies cases of possible fraud and/or overpayment.

Responsibilities

• Performs quality management system reviews as assigned.
• Reviews case reading errors with the Eligibility Self Sufficiency Specialist I, ensuring corrections are completed accurately and timely.
• Analyzes data from quality control and monitoring sources and provides training where problems are identified.
• Follows procedures to determine eligibility for public assistance benefits within required time frames.
• Maintains case management activities including medical expense tracking and Medicaid file resolution.
• Identifies possible fraud or overpayment and refers appropriately.

Skills

Quality management

Case reviews

Training and mentoring

Prioritization and planning

Deadline-driven

Fraud detection

Job description

Florida Department of Children and Families - Office of Economic Self-Sufficiency is seeking an Eligibility Specialist II to support the service delivery model by reviewing cases, providing feedback for accuracy, and mentoring unit staff. The role requires handling high volumes with tight deadlines and ensuring proper documentation of electronic case records.

The position is based in Fort Pierce and involves compliance with state and federal requirements, including background checks and