ELIGIBILITY SPECIALIST I
Florida Jobs
ELIGIBILITY SPECIALIST I - 60025451
Families in need and in crisis require time sensitive actions from strong, compassionate individuals who are dedicated to assisting the vulnerable and promoting strong self-sufficient families. This demanding and challenging career could be your opportunity to help those in need make a better life for themselves and their families. Every minute and every case processed count for those who are hungry, caring for others, in need of assistance to provide shelter for loved ones, or just need a helping hand, and your career choice could make a critical difference by making a tremendous impact on countless lives. If you are interested in making a difference, please join our TEAM!
The primary function of an Eligibility Specialist involves determining the eligibility of applicants and recipients for government assistance programs. The work performed includes processing data from electronic sources and entering information into a computer-based eligibility system under state and federal requirements. Eligibility workers are expected to handle a high volume of work which is deadline driven. Workers must be able to prioritize, plan and project their work, while remaining flexible to frequent changes in the program policy and/or computer-based systems.
The duties of a typical day are as follows:
- Interviewing applicants to obtain and verify information needed to determine eligibility for Food Assistance, Medicaid, and Cash Assistance.
- Learning numerous state and federal program regulations, through intensive training prior to full case assignment and then ongoing training thereafter.
- Instructing clients in completion of various forms, and reviewing the applications and forms submitted for completeness and accuracy.
- Determining program eligibility in accordance with current regulations using a computer-based eligibility system.
- Researching information provided by an applicant until satisfactory explanations regarding eligibility status is confirmed.
- Reporting cases where identity theft or fraud is suspected.
- Advising clients of deadlines, time frames, and necessary actions to be taken.
- Working with clients who may not take the necessary actions within the required time frame.
- Establishing and maintaining multiple electronic files and conducting regular reviews and updates.
- Documenting all communications and contacts with clients.
- Managing an electronic caseload that varies based on the community needs, ensuring that accuracy levels are maintained, and cases are processed within the specified time frames set by federal and state regulations.
- Computing and authorizing government assistance benefits based on financial and family status.
- Reviewing and explaining the monthly benefit amount to the customer.
- Staying current with changes in rules, laws, procedures, etc. that affect timeliness and accuracy.
This position may require face-to-face contact with clients.
Qualifications: Two years or more of customer service, interviewing, recruiting, investigating, accounting, processing insurance policies or determining eligibility. OR Associate degree, or higher from an accredited college or university, OR 60 semester hours or 90 quarter hours can substitute for the experience. (When applying please attach required education, certification, or licensure). Ability to attend an 8 - 12-week mandatory training course.
All eligible candidates will be required to complete a skills assessment to include the following tests, which requires successful completion for advancement to the next step in the hiring process:
- Typing (TT) – A test of typing speed, measuring both speed and accuracy.
- General Aptitude Mobile Evaluation (GAME) – A test to evaluate critical thinking, problem-solving ability, attention to detail and the ability to learn and apply new information.
- Computer Skills (CLIK) – A basic computer literacy test, assessing knowledge of internet browsers, email, chat, and word processing.
- Employee Personality Profile (EPP) – A test to assess personality traits.
Hired candidates may be eligible for telework if they are employed with the department for a minimum of nine months, have completed training, and meet or exceed all performance expectations.
Knowledge, Skills, and Abilities:
- Apply the laws, rules, and regulations governing eligibility and grant determination for multiple government assistance programs and the case administration of these programs.
- Ability to review images such as pictures or handwritten notes to make eligibility determinations based on the information provided.
- Communicate with others to obtain and verify information concerning eligibility.
- Detect and evaluate potential fraudulent situations.
- Analyze and interpret written, numerical, and verbal data from various sources.
- Enter data accurately into a computerized system.
- Navigate through computer screens, complete, and review basic computer documents and other forms.
- Plan and organize caseload to ensure work is completed in accordance with regulations relating to eligibility and timeliness.
- Read, understand, apply complicated and detailed regulations, and policy directives.
- Perform a variety of mathematical computations accurately and rapidly.
- Establish and maintain cooperative working relationships with the public and staff.
- Use computers and related software packages.
- Follow written and oral directions and instructions.
Candidate Profile (application) must be completed in its entirety. Include supervisor names and phone numbers for all periods of employment. Account for and explain any gaps in employment so that the hiring process is not delayed. Experience, education, training, knowledge, skills and/or abilities as well as responses to pre-qualifying questions must be verifiable to meet the minimum qualifications. It is unacceptable to use the statement "See Resume" in place of entering work history.
If you experience problems applying online, please call the People First Service Center at View phone number on click.appcast.io.
The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.
Pursuant to Chapter 295, Florida Statutes, candidates eligible for Veterans' Preference will receive preference in employment for Career Service vacancies and are encouraged to apply. Certain service members may be eligible to receive waivers for postsecondary educational requirements. Candidates claiming Veterans' Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code. Veterans' Preference documentation requirements are available by clicking here.
All documentation is due by the close of the vacancy announcement.
Location: Ocala, FL, US, 34474
$22 - $23 per hour
...Call Center Associate Eligibility Specialist Jefferson County invites you to apply for the Call Center Associate Eligibility Specialist position. This role offers the opportunity to serve the community while working in a collaborative, fast-paced, and mission-driven...SuggestedHourly payWork experience placementRemote workFlexible hours$18 - $22 per hour
...Authenticity, Respect and Excellence (CARE). Job Title: Eligibility Service Coordinator Employment Type: Full-Time, non... ...facilitate communication between patients and Savista's Eligibility Specialist who will assist the patient with obtaining financial...SuggestedHourly payFull timeTemporary workWork at officeLocal areaImmediate startMonday to Friday$60k - $67k
...The ADA Eligibility Specialist Supervisoris responsible for reviewing ADA paratransit application materials, supplemental intake and professional verification forms, conducting in-person interview for applicants, and performing functional assessments with applicants...SuggestedFull timeContract workTemporary workWork at officeLocal areaLong distanceFlexible hours$52k - $55k
...Stride Consulting is seeking an Eligibility Verification & Authorization Specialist to support patients and families through insurance processes. This remote role requires collaboration, strong communication, and customer service skills. Responsibilities include verifying...SuggestedRemote work$18.85 - $36.77 per hour
...JOB DESCRIPTION Job Summary Provides support for eligibility activities including screening of candidates and identification of qualified, eligible prospects for both long-term care. Assists current members with coverage renewals - ensuring that program participants...SuggestedHourly payWork experience placementWork at officeRemote work$17 - $18 per hour
...A healthcare services provider is seeking a Patient Access & Eligibility Specialist to support patient access to care management services. This role involves verifying insurance coverage, confirming program eligibility, and assisting patients through the administrative...Hourly payRemote workMonday to Friday$18.25 - $24 per hour
...A healthcare company is seeking a Membership Eligibility Processor to handle enrollment applications and maintain eligibility records. The ideal candidate will have a high school diploma and data entry experience. Responsibilities include processing applications, ensuring...Hourly payRemote workWork from homeFlexible hours$17 - $18 per hour
A healthcare services company seeks a Patient Access & Eligibility Specialist to support patient access to care management services. This remote role involves verifying insurance coverage, confirming eligibility, and assisting patients through administrative processes....Hourly payRemote work- ...Eligibility Specialist Working Lead THIS POSITION IS LOCATED IN ALLEN OR WELLS COUNTY (the primary location for this individual will be dependent upon the candidate selected) Knowledge Services has an opportunity with the FSSA/Division of Family Resources as an...Work at officeLocal areaImmediate start
$18.25 - $24 per hour
...A health care organization is looking for a Membership Eligibility Processor who can work from home. The role includes processing enrollment applications, maintaining eligibility records, and providing excellent customer service. Candidates should have a high school diploma...Hourly payRemote workWork from home$43.82k
...Senior Eligibility Specialist III (COE) - 60035091 This role was formerly the Eligibility Specialist II position with the Specialized Medicaid Center of Excellence within the Office of Economic Self Sufficiency. The position has been upgraded to a Senior Eligibility...Work at officeRemote work- ...Overview Under general direction, assists Eligibility Supervisor or Manager in a lead capacity in providing daily oversight and coordination for MAP mail-in, electronic application processing and performance improvement activities. Responsible for new employee and electronic...For contractorsWork at officeShift work
- ...Perform pre-registration and registration functions for Ambulatory/Outpatient Operations area assigned; verify insurance coverage eligibility and benefits; verify required referrals and/or prior authorization are in place prior to visit; contact patients for outdated or...Full timePart timeWork at officeShift workRotating shiftWeekend work
- ...Beale Personnel is recruiting an experienced Medical Insurance Eligibility and Preauthorization Specialist. This is an employer direct hire, permanent full time position on-site in Tucson, AZ. Job description: A comprehensive general Ophthalmology practice in...Permanent employmentFull time
- Northpoint Recovery seeks a Patient Financial and Eligibility Specialist in Meridian, ID. This role involves verifying insurance eligibility and benefits for patients, collaborating with the admissions team, and creating financial agreements based on patient responsibility...Remote job
$27 - $30 per hour
Libertana is looking for a Medi-Cal Eligibility Resolution Specialist to identify and resolve eligibility issues impacting access to services. Responsibilities include conducting eligibility verification, communicating with county eligibility workers, and coordinating Medi...Remote jobHourly pay- ...About Us Care Lync is a Social Services agency focused on hiring an Eligibility Specialist providing (Service Coordination/Case Management) services to adults diagnosed with Intellectual, Developmental and Physical Disabilities and Autism Spectrum Disorder throughout...Work at officeImmediate start
- ...Eligibility And Enrollment Specialist The Eligibility and Enrollment Specialist is responsible for receiving, reviewing, processing, and maintaining new member(s) enrollment information. The Eligibility and Enrollment Specialist is responsible for monitoring and working...Work at officeImmediate start
- ...Eligibility Specialist I Do you have a passion to provide meaningful contributions to your community? Would you like to be part of an organization whose central mission is helping to protect, stabilize and strengthen the lives of South Carolina's children, families...Temporary workWork at officeNight shift
- ...Eligibility Specialist The Stanislaus Regional Housing Authority, a nonprofit, public corporation, is committed to addressing the unmet housing needs of residents and communities in our county. The Housing Authority manages approximately 1700 units throughout the County...Permanent employmentWork experience placementWork at officeLocal area
$27.72 per hour
...Eligibility Specialist Job responsibilities include determining eligibility and performing ongoing case management for Public Assistance Programs in MAXIS. Primary location is flexible and could be Stillwater, Woodbury, Forest Lake, or Cottage Grove. Public Assistance...Hourly payWork experience placementLocal areaMonday to FridayFlexible hours- ...Description As an Eligiblity Specialist at Communities Connected for Kids, you will work with other dedicated professionals who share... ...Lucie, FL, this position is responsible for determining the eligibility of clients involved in the Dependency Court System,...For contractorsFor subcontractorLive inWork at officeImmediate startFlexible hours
- ...Job Requirements Eligibility Specialist - Dialysis Full Time - Remote Summary Innovative Renal Care is seeking a detail-oriented Eligibility Specialist to manage insurance processing and benefit verification for our dialysis clinics. In this fully remote...Full timeWork at officeLocal areaRemote work
$19.84 - $38.69 per hour
...Job Summary TMG is on the lookout for our next great Eligibility Screener! If you love doing meaningful work that helps others live their best lives, we want to hear from you! We’re currently in search for someone with a background in human services, social work,...Hourly payWork experience placementWork at officeRemote workWork from homeFlexible hours$37.04k
...ELIGIBILITY SPECIALIST II - 60059373 Date: May 15, 2026 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ( . Requisition No: 873376 Agency: Children and Families Working Title: ELIGIBILITY SPECIALIST II...Work at officeFlexible hours- ...and vulnerable adults? If so, the SC Department of Social Services has the right job opportunity for you! Job Duties: The Eligibility Specialist I for our Economic Services Intake Centers is responsible for conducting telephone interviews to assist clients with determining...Full timeTemporary workLocal area
- ...Eligibility and Outreach Specialist Adelante Healthcare Mesa - Mesa, AZ 85201 Overview Position Type Full Time Category Health Care Description Primarily responsible for promoting health insurance programs through coordinated comprehensive and effective...Full time
- ...Eligibility Specialist II (MAGI) The Agency's mission is to be boldly innovative in improving the health and quality of life for South Carolinians. This position is located in Localized Eligibility Processing (LEP), Chester County. This is an in-office role and not...Work at officeNight shiftWeekend work
- ...Eligibility And Prior Authorization Specialist Location: Las Vegas, NV Job Type: Full-Time At Hera, we believe women's healthcare deserves higher standards where value is placed on the quality of care provided, and the best patient outcomes are achieved. We believe...Full timeWork at office
- ...general supervision, is responsible for the successful resubmission of invoices to the responsible party. Analyzes and resolves eligibility variances via web research and/or direct contact with patients. Coordinates the activities for the acquisition of referrals and retro...Temporary workWork at officeShift work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to ELIGIBILITY SPECIALIST I. Be the first to apply!
- vetting specialist United States
- protection specialist United States
- mental health specialist United States
- outreach specialist United States
- fixed income specialist United States
- community outreach specialist United States
- registration specialist United States
- accessibility specialist United States
- intake specialist United States
- bilingual specialist United States


