ELIGIBILITY SPECIALIST II - 60066288

State of Florida•Fort Lauderdale, FL

5d•$37,036

About The Position

This is a professional position assigned to the Office of Economic Self-Sufficiency. Position provides back-up to the unit’s supervisor in day-to-day duties which include but are not limited to; reviewing cases during the various processes in the service delivery model, performing case reviews for unit employees, giving feedback to strengthen accuracy rates and provide training and/or mentoring to unit members. The ESS II is expected to handle a high volume of work which is deadline driven requiring the ability to prioritize and plan work assignments while being flexible to change with little notice.

Requirements

At least 18 months experience working in the Office of Economic Self-Sufficiency determining eligibility for food stamps, Medicaid, and cash assistance.

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.

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