Public Benefits Eligibility & QA Specialist II

Florida; West Palm Beach (FL); 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 day-to-day case work, reviews, and staff training in a high-volume, deadline-driven environment.

The role involves performing quality reviews, ensuring accurate eligibility determinations, and maintaining detailed electronic case records in compliance with policy and state laws. Location: Riviera Beach with state-wide posting considerations.

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 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

Case reviews

Mentoring

Quality control

Deadline driven

Job description

Florida Department of Children and Families – Office of Economic Self-Sufficiency is seeking an Eligibility Specialist II to support day-to-day case work, reviews, and staff training in a high-volume, deadline-driven environment.

The role involves performing quality reviews, ensuring accurate eligibility determinations, and maintaining detailed electronic case records in compliance with policy and state laws. Location: Riviera Beach with state-wide posting considerations.