What are the responsibilities and job description for the Eligibility Specialist position at Independent Living Systems?
About the Role:
We are seeking an experienced Eligibility Specialist to join our team. As an Eligibility Specialist, you will be responsible for assisting our members with maintaining eligibility for government programs and benefits. You will work closely with members to gather necessary information and documentation. ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. Your attention to detail and ability to navigate processes will be critical to your success in this role. Ultimately, your work will help ensure that our members receive the care they need to maintain their health and well-being.
Minimum Qualifications:
- Associates degree in Social Services or related field
- 2 years of experience in case management or eligibility determination
- Knowledge of medical terminology and review processes
- Strong data entry and record-keeping skills
- Excellent communication and interpersonal skills
Preferred Qualifications:
- Bilingual in English and Spanish
Responsibilities:
- Monitor client eligibility for Medicaid with the state of Florida
- Gather and review necessary documentation to support eligibility determinations
- Communicate with members to gather information and answer questions
- Maintain accurate records of eligibility determinations and related communications
- Collaborate with other members of the team to ensure timely and accurate processing of eligibility determinations
Skills:
As an Eligibility Specialist, you will use your expertise in Medicaid and social services to help clients navigate complex eligibility determination processes. Your strong data entry and record-keeping skills will be essential to maintaining accurate records of eligibility determinations and related communications. Additionally, your excellent communication and interpersonal skills will enable you to work effectively with members and collaborate with other members of the team. Your knowledge of medical terminology and review processes will be critical to your success in this role, as you will be responsible for monitoring eligibility for Medicaid and other medical insurance programs. Finally, bilingual proficiency in English and Spanish would be highly valued.
