1 result for Administrative Specialist I in Juno Beach, FL

Eligibility Specialist

Port Saint Lucie, FL
onsite
Contract / Temporary to Hire
19 - 21 USD / Hourly
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 organize pre-adoption files submitted by Adoption Case Managers. • Handle agreements, update placements and services, and coordinate with case managers on adoption case assignments and finalizations. • Process new Title IV-E applications for children placed in adoption settings promptly and accurately. • Assist case management teams in obtaining eligibility documentation for adoption cases or future eligibility reviews. • Address inquiries about Medicaid billing, primary care physician changes, and related matters from foster parents, caregivers, case managers, and investigators.
2026-03-10T00:00:00Z