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Jobs · OTHR · Florida

Eligibility Specialist, FL PACE Centers

Miami Jewish Health · Miami, FL · 1 mo ago
OTHRFull-time

About the role

Miami Jewish Health is seeking an Eligibility Specialist to join our team. This position is part of the Medicaid and Long-Term Care (LOC) eligibility process for our PACE program.

Responsibilities

  • Screens eligibility criteria for application to Medicaid program
  • Responsible for annual recertification for Medicaid and LOC
  • Oversees eligibility process - completes all Medicaid applications for benefits, re-certifications, and files appeals for denials with Department of Children and Families
  • Reviews eligibility workflow and follows up with Department of Children and Families with changes in Medicaid policies and income
  • Completes 2515 form to report all dis-enrollments and relocation to Department of Children and Families
  • Completes food assistance applications for current and upcoming PACE participants
  • Follows up with Intake team and PACE prospects/participants on pending documents and correspondence
  • Reviews all documents submitted to Department of Children and Families, collaborates with Intake specialist on enrollment process and following up with Medicaid approval
  • Completes monthly reports: upcoming re-certifications and Medicaid issues
  • Sets up and submits agency forms and reviews for accuracy for forms 2613, 2515, 2505 and all requested documentation to be submitted to Department of Children and Families
  • Collaborates with state and local agencies to ensure that PACE participants have continuous public assistance: Social Security Administration, Department of Children and Families and CARES Abilities

Requirements

  • Bilingual (Spanish/English) highly preferred
  • High school diploma or equivalent required
  • Associates Degree in Public Administration, Human Resources and Business Administration preferred
  • 3 years social services experience
  • Valid Florida driver’s license and proof of auto insurance required

Qualifications

  • Education: High school diploma or equivalent required

Skills

  • Bilingual (Spanish/English)
  • Strong organizational and attention to detail skills
  • Excellent written and verbal communication skills
  • Ability to work independently and manage multiple tasks
  • Proficiency with Microsoft Office Suite

Benefits

We offer competitive compensation, medical/dental/vision coverage and a 403(b)-retirement savings plan for eligible full and part-time positions, free on-campus parking, an onsite fitness center and more.

Pay

Competitive salary commensurate with experience.

Schedule

Full-time position.

Equal Opportunity Employer

We believe in the power of empathy, the value of relationships and the importance of a life well-lived. Come see why Miami Jewish Health is unlike anywhere you’ve ever worked before. We provide equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

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