Senior Eligibility Specialist II: Quality & Training

Florida; West Palm Beach (FL); On-site; USD 33,000 - 41,000; Full time

Job summary

The Florida Department of Children and Families in Riviera Beach seeks an Eligibility Specialist II to support the Office of Economic Self-Sufficiency. You will review cases, provide feedback to improve accuracy, and mentor team members in a high-volume, deadline-driven environment.

Qualified candidates will undergo criminal history screening and adhere to state and federal regulations. Salary is $37,035.96 per year, with eligibility for standard benefits.

Qualifications

• Reviews case files and determines eligibility within required timeframes.
• Performs quality management system reviews and analyzes data from multiple sources.
• Provides training and mentoring to unit staff to improve accuracy and performance.
• Maintains thorough electronic case records as required by procedures.

Responsibilities

• Performs quality management system reviews as assigned.
• Reviews case reading errors and ensures corrections are completed accurately and timely.
• Reviews and analyzes data from quality control and monitoring sources; provides training.
• Determines eligibility for public assistance benefits within deadlines per policy.
• Maintains case management activities including medical expense tracking and Medicaid file resolution.
• Identifies possible fraud/overpayments and refers to fraud departments.

Skills

Case management

Quality reviews

Data analysis

Training

Mentoring

Fraud detection

Job description

The Florida Department of Children and Families in Riviera Beach seeks an Eligibility Specialist II to support the Office of Economic Self-Sufficiency. You will review cases, provide feedback to improve accuracy, and mentor team members in a high-volume, deadline-driven environment.

Qualified candidates will undergo criminal history screening and adhere to state and federal regulations. Salary is $37,035.96 per year, with eligibility for standard benefits.