Job Description
Description We are looking for a detail-oriented Eligibility Specialist to join our team in Port St Lucie, Florida. In this Contract to permanent position, you will play a critical role in managing eligibility documentation and ensuring compliance for children in out-of-home care. This role requires a strong understanding of Medicaid processes, insurance follow-up, and preauthorization procedures.
Responsibilities:
• Prepare and compile comprehensive documentation to facilitate Title IV-E determinations for children entering out-of-home care.
• Enroll newly eligible Medicaid recipients into the Sunshine Child Welfare Specialty Plan.
• Identify and refer children potentially eligible for Social Security benefits to the Master Trust Specialist.
• Process and submit applications for all children under the supervision of CCKids.
• Monitor and manage Title IV-E determinations to prevent expiration and ensure timely re-determinations.
• Review, approve, and organiz...
Responsibilities:
• Prepare and compile comprehensive documentation to facilitate Title IV-E determinations for children entering out-of-home care.
• Enroll newly eligible Medicaid recipients into the Sunshine Child Welfare Specialty Plan.
• Identify and refer children potentially eligible for Social Security benefits to the Master Trust Specialist.
• Process and submit applications for all children under the supervision of CCKids.
• Monitor and manage Title IV-E determinations to prevent expiration and ensure timely re-determinations.
• Review, approve, and organiz...