ELIGIBILITY SPECIALIST II - 60069064

State of FloridaFort Lauderdale, FL
1dOnsite

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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