Information and Eligibility Specialist

Family Partnerships of Central Florida•Maitland, FL

12d

About The Position

The Information and Eligibility Specialist manages, enters, reports, and validates data and obtains, maintains, and processes client information to determine eligibility for Federal and State funding and Medicaid. The role resolves information gaps, requests missing or additional documentation, and maintains records that meet Federal and State eligibility requirements. It works with Protective Investigators, Case Managers, and internal agency teams to gather and update case information, support eligibility and Medicaid activities, and provide reports and technical assistance. The position also supports training, peer file reviews, Federal Monitoring Reviews, quality improvement activities, and the agency’s strategic plan. Employees are expected to provide professional, respectful, timely customer service; protect confidential information; comply with personnel policies and procedures; and meet applicable productivity, attendance, and job-performance standards. The role requires local travel of 5% per week and long-distance travel of 2.5% per month. A thorough background screening is required upon hire, including FBI, FDLE, local law, employment reference, DMV, criminal records, Social Security trace, and drug screening checks. An FDLE check will be conducted at least every five years.

Requirements

High school diploma or GED.
At least 2 years of experience with spreadsheets and databases.
Proficiency in Microsoft Excel and Word.
At least 2 years of child welfare or related experience.
Strong customer service and organizational skills.
Ability to work with strict deadlines and effectively in a team environment.
Ability to analyze and organize information from multiple sources, identify causes of problems, and make recommendations.
Thoroughness and attention to detail when assembling, processing, or providing detailed information, including under pressure.
Ability to remain composed and effective amid changing priorities, disruptions, unclear information, unrealistic expectations, time demands, frustration, or interpersonal conflict.
Ability to persevere, work long hours when needed, and maintain urgency in accomplishing goals.
Excellent verbal and written communication skills.
Ability to manage multiple tasks and conflicting priorities.
Ability to read and interpret legal documents and operating procedures.
Knowledge of web-based applications.
Ability to work effectively with and show sensitivity to cultural differences and varied socioeconomic backgrounds.
Ability to protect confidential information, act ethically, and comply with organizational values.
Ability to travel.
Ability to safely perform essential job functions and meet qualitative and quantitative productivity standards consistent with applicable standards and laws.
Ability to maintain reasonably regular and punctual attendance and comply with personnel policies and procedures.
Successful completion of required background screening upon hire, including drug screening.

Nice To Haves

Record management experience.
Data management experience.
Thorough knowledge of the state SACWIS system (FSFN).
Previous experience in client eligibility determination.
Knowledge of quality assurance programs.
Knowledge of client information system software.

Responsibilities

Accurately enter required program information while meeting strict deadlines.
Obtain and maintain appropriate eligibility documentation.
Complete applications for Medicaid and Federal and State funds.
Communicate with Protective Investigators and Case Managers to obtain information about income, household composition, and family resources for eligibility determinations.
Provide technical assistance with completing eligibility forms.
Support Medicaid verification, provider changes, validation, plan enrollment, and tracking activities.
Track documents, prepare checklists, and request additional information.
Query systems and distribute weekly and monthly reports to case management and senior management staff.
Perform routine data-validation sampling.
Attend IES team, staff, service center, and case management meetings, as well as trainings and conferences as needed.
Participate in and document CTS staffings.
Perform IES training activities, including Argos training, DCM orientation, and ongoing FSFN support.
Participate in peer file reviews and Federal Monitoring Reviews.
Communicate with internal staff, including Records Room, Adoption, GAP, Master Trust, and Operations, about case-data and eligibility changes.
Use established checklists, forms, and task-tracking tools identified in the Data Center Handbook to report work status and maintain documentation.
Participate in agency strategic planning and quality-improvement processes.
Provide professional, respectful, timely, and responsive customer service.
Assist with file audits, Records Room work, and duties in other counties as assigned.
Provide feedback on IES tools and procedures and train and support new IES team members.