Impactful Eligibility Specialist II - Training & Quality

Florida; Fort Lauderdale (FL); On-site; USD 32,000 - 42,000; Full time

Job summary

Florida Department of Children and Families, Office of Economic Self-Sufficiency, is seeking an Eligibility Specialist II to provide back-up to the unit’s supervisor and handle high-volume case reviews in a deadline-driven environment. The role requires prioritizing tasks, mentoring staff, and ensuring accuracy across the service delivery model in Fort Lauderdale, FL.

The position emphasizes reviewing cases, training team members, and maintaining thorough electronic records while ensuring

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 and Families, Office of Economic Self-Sufficiency, is seeking an Eligibility Specialist II to provide back-up to the unit’s supervisor and handle high-volume case reviews in a deadline-driven environment. The role requires prioritizing tasks, mentoring staff, and ensuring accuracy across the service delivery model in Fort Lauderdale, FL.

The position emphasizes reviewing cases, training team members, and maintaining thorough electronic records while ensuring