ELIGIBILITY SPECIALIST II - 60050557

State of Florida • Fort Pierce, FL

2d • Onsite

About The Position

This is a professional position within the Florida Department of Children & Families - Office of Economic Self-Sufficiency, specifically in the Career Service pay plan. The role provides back-up support to the unit’s supervisor for day-to-day duties, which include reviewing cases at various stages of the service delivery model and performing case reviews for unit employees. The Eligibility Specialist II is responsible for providing feedback to improve accuracy rates and offering training and mentoring to unit members. This position requires handling a high volume of deadline-driven work, necessitating the ability to prioritize and plan assignments while remaining flexible to changes with short notice. The position is located in Fort Pierce.

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.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed