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Eligibility Specialist

3c0dd3d5 4999 41d7 98cc 1480c2ec7b18 19000101 000001 · Miami, FL, US, Miami, FL · Hybrid · Active · ADP Workforce Now Recruiting

Job facts

FieldValue
Company3c0dd3d5 4999 41d7 98cc 1480c2ec7b18 19000101 000001
TitleEligibility Specialist
Normalized title-
Department / team-
LocationMiami, FL, United States
Work modelHybrid / Hybrid
Employment typeFull Time
Salary-
Statusactive
ATS providerADP Workforce Now Recruiting
Posted / first seen2026-06-02 / 2026-05-31
Changed / last seen2026-06-06 / 2026-06-06

Related slices

PageWhat it containsOpen
Company jobsActive postings from 3c0dd3d5 4999 41d7 98cc 1480c2ec7b18 19000101 000001.Open
Company breakdownsRole, location, ATS, and work model facets for this company.Open
ATS provider jobsActive postings observed through ADP Workforce Now Recruiting.Open
Provider filtered searchThe same provider as a filtered job collection.Open
City jobsActive postings in Miami.Open
Work model jobsActive Hybrid postings.Open
Lifecycle eventsOpen, update, close, and reopen events for this posting.Open
Original postingCanonical source or apply URL captured from the ATS.Open

Linked records

Company3c0dd3d5 4999 41d7 98cc 1480c2ec7b18 19000101 000001
Source302551a8-748f-4faa-9750-5ca1bff38b4e
ATS providerADP Workforce Now Recruiting

Description

We are seeking a Eligibility Specialist to join our team at Independent Living Systems (ILS). 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. About the Role: The Eligibility Specialist plays an essential role in ensuring that individuals and families receive the appropriate health care and social care benefits by accurately determining their eligibility for Medicaid. The Eligibility Specialist requires a thorough knowledge of medical insurance policies and social services regulations to verify documentation effectively. The Eligibility Specialist will collaborate with applicants, healthcare providers, and government agencies to facilitate timely and accurate benefit determinations. By maintaining detailed records, the Eligibility Specialist helps to uphold program integrity and compliance with federal and state guidelines. Ultimately, The Eligibility Specialist contributes to improving access to essential health and social care services for vulnerable populations. Minimum Qualifications: High school diploma or equivalent; associate degree or higher in a related field preferred. Experience working with Medicaid, or other medical insurance programs. Strong knowledge of social services and case management principles. Proficiency in data entry and medical review processes. Excellent communication and organizational capabilities. This role is hybrid, Must reside in Florida. Preferred Qualifications: Bachelor’s degree in health administration, social work, or a related discipline. Certification in case management or eligibility determination. Experience with Medicaid program administration. Familiarity with electronic health records (EHR) and benefits management software. Prior experience working within government health care or social assistance agencies. Bilingual in English and Spanish Responsibilities: Demonstrate commitment to Our Mission and models ILS Experience Standards of Excellence. Review and assist with submission of applications for Medicaid for determination of eligibility. Conduct thorough reviews of upcoming recertifications and verify documentation to ensure compliance with program requirements. Maintain accurate and up-to-date data entry records related to applicant information and eligibility decisions and achieve monthly quality score standard. Communicate with applicants, and other internal and external stakeholders, to gather necessary information and resolve discrepancies in a timely manner Stay informed about changes in health care policies, insurance regulations, and social service programs to provide accurate guidance. Maintain established standards for schedule adherence, attendance, quality , and productivity. Perform other duties as assigned.

Full job record

Job ID7c986e8b4f4127c380fc932e954eff0fbb16707d
Org ID49379e87-693c-40ca-a1c0-a87d49a8c461
Source ID302551a8-748f-4faa-9750-5ca1bff38b4e
Board ID302551a8-748f-4faa-9750-5ca1bff38b4e
Provideradp_workforcenow
Provider Job Key577509
TitleEligibility Specialist
Normalized Title—
Statusactive
Activeyes
Location TextMiami, FL, US, Miami, FL
Department—
Team—
Employment Typefull_time
Workplace Typehybrid
Remote Policyhybrid
CountryUnited States
RegionFL
CityMiami
Salary Raw—
Salary Min—
Salary Max—
Salary Currency—
Salary Period—
Source URLhttps://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=3c0dd3d5-4999-41d7-98cc-1480c2ec7b18&ccId=19000101_000001&lang=en_US&type=JS&jobId=577509&jwId=9201928039966_1
Apply URLhttps://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=3c0dd3d5-4999-41d7-98cc-1480c2ec7b18&ccId=19000101_000001&lang=en_US&type=JS&jobId=577509&jwId=9201928039966_1
First Seen At2026-05-31 18:28:50Z
Last Seen At2026-06-06 12:27:21Z
Last Checked At2026-06-06 12:27:21Z
Last Changed At2026-06-06 12:27:21Z
Inactive At—
Source Posted At2026-06-02 19:21:00Z
Source Updated At—
Raw Payload Uris3://job-postings-prod-raw-590183727216/raw/provider=adp_workforcenow/board=3c0dd3d5-4999-41d7-98cc-1480c2ec7b18|19000101_000001/date=2026-06-06/2026-06-06T12-27-14-462Z-00a1032b83198dd62d51ca64ab5b0c3c35b13f93212275f85290110684625205.json
Event Fields
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Parsed Structured
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Extensions
{}
Native Structured
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    "requisitionDescription": "<div><div><div><div><div><div><div><div><div><div><p style=\"margin-left:0in;\" data-pasted=\"true\">We are seeking a Eligibility Specialist to join our team at Independent Living Systems (ILS). 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.</p><p><strong><span style=\"font-size: 14px; font-family: arial, sans-serif;\">About the Role:</span></strong></p><p style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:16px;font-family:\"Aptos\",sans-serif;'><span style=\"font-size: 14px; font-family: arial, sans-serif;\">The Eligibility Specialist plays an essential role in ensuring that individuals and families receive the appropriate health care and social care benefits by accurately determining their eligibility for Medicaid. The Eligibility Specialist requires a thorough knowledge of medical insurance policies and social services regulations to verify documentation effectively. The Eligibility Specialist will collaborate with applicants, healthcare providers, and government agencies to facilitate timely and accurate benefit determinations. By maintaining detailed records, the Eligibility Specialist helps to uphold program integrity and compliance with federal and state guidelines. Ultimately, The Eligibility Specialist contributes to improving access to essential health and social care services for vulnerable populations.</span></p><p style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:16px;font-family:\"Aptos\",sans-serif;'><span style=\"font-family: arial,sans-serif;\"><strong>&nbsp;</strong></span></p><p style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:16px;font-family:\"Aptos\",sans-serif;'><span style=\"font-family: arial,sans-serif;\"><strong><span style=\"font-size: 14px;\">Minimum Qualifications:</span></strong></span></p><ul style=\"margin-bottom:0in;margin-top:0in;\" type=\"disc\"><li style=\"margin: 0in; line-height: normal; font-size: 16px; font-family: arial, sans-serif;\"><span style=\"font-size: 14px;\">High school diploma or equivalent; associate degree or higher in a related field preferred.</span></li><li style=\"margin: 0in; line-height: normal; font-size: 16px; font-family: arial, sans-serif;\"><span style=\"font-size: 14px;\">Experience working with Medicaid, or other medical insurance programs.</span></li><li style=\"margin: 0in; line-height: normal; font-size: 16px; font-family: arial, sans-serif;\"><span style=\"font-size: 14px;\">Strong knowledge of social services and case management principles.</span></li><li style=\"margin: 0in; line-height: normal; font-size: 16px; font-family: arial, sans-serif;\"><span style=\"font-size: 14px;\">Proficiency in data entry and medical review processes.</span></li><li style=\"margin: 0in; line-height: normal; font-size: 16px; font-family: arial, sans-serif;\"><span style=\"font-size: 14px;\">Excellent communication and organizational capabilities.</span></li><li style=\"margin: 0in; line-height: normal; font-size: 16px; font-family: arial, sans-serif;\"><span style=\"font-size: 14px;\">This role is hybrid, Must reside in Florida.&nbsp;</span></li></ul><p style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:16px;font-family:\"Aptos\",sans-serif;'><span style=\"font-family: arial,sans-serif;\"><strong>&nbsp;</strong></span></p><p style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:16px;font-family:\"Aptos\",sans-serif;'><span style=\"font-family: arial,sans-serif;\"><strong><span style=\"font-size: 14px;\">Preferred Qualifications:</span></strong></span></p><ul style=\"margin-bottom:0in;margin-top:0in;\" type=\"disc\"><li style=\"margin: 0in; line-height: normal; font-size: 16px; font-family: arial, sans-serif;\"><span style=\"font-size: 14px;\">Bachelor&rsquo;s degree in health administration, social work, or a related discipline.</span></li><li style=\"margin: 0in; line-height: normal; font-size: 16px; font-family: arial, sans-serif;\"><span style=\"font-size: 14px;\">Certification in case management or eligibility determination.</span></li><li style=\"margin: 0in; line-height: normal; font-size: 16px; font-family: arial, sans-serif;\"><span style=\"font-size: 14px;\">Experience with Medicaid program administration.</span></li><li style=\"margin: 0in; line-height: normal; font-size: 16px; font-family: arial, sans-serif;\"><span style=\"font-size: 14px;\">Familiarity with electronic health records (EHR) and benefits management software.</span></li><li style=\"margin: 0in; line-height: normal; font-size: 16px; font-family: arial, sans-serif;\"><span style=\"font-size: 14px;\">Prior experience working within government health care or social assistance agencies.</span></li><li style=\"margin: 0in; line-height: normal; font-size: 16px; font-family: arial, sans-serif;\"><span style=\"font-size: 14px;\">Bilingual in English and Spanish</span></li></ul><p style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:16px;font-family:\"Aptos\",sans-serif;'><span style=\"font-family: arial,sans-serif;\"><strong>&nbsp;</strong></span></p><p style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:16px;font-family:\"Aptos\",sans-serif;'><span style=\"font-family: arial,sans-serif;\"><strong><span style=\"font-size: 14px;\">Responsibilities:</span></strong></span></p><div style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:115%;font-size:16px;font-family:\"Aptos\",sans-serif;'><ul style=\"margin-bottom:0in;list-style-type: disc;\"><li style=\"margin: 0in 0in 8pt; line-height: 115%; font-size: 16px; font-family: arial, sans-serif;\"><span style=\"font-size: 14px;\">Demonstrate commitment to Our Mission and models ILS Experience Standards of Excellence.</span></li></ul></div><ul style=\"margin-bottom:0in;margin-top:0in;\" type=\"disc\"><li style=\"margin: 0in; line-height: normal; font-size: 16px; font-family: arial, sans-serif;\"><span style=\"font-size: 14px;\">Review and assist with submission of applications for Medicaid for determination of eligibility.</span></li><li style=\"margin: 0in; line-height: normal; font-size: 16px; font-family: arial, sans-serif;\"><span style=\"font-size: 14px;\">Conduct thorough reviews of upcoming recertifications and verify documentation to ensure compliance with program requirements.</span></li><li style=\"margin: 0in; line-height: normal; font-size: 16px; font-family: arial, sans-serif;\"><span style=\"font-size: 14px;\">Maintain accurate and up-to-date data entry records related to applicant information and eligibility decisions and achieve monthly quality score standard.</span></li><li style=\"margin: 0in; line-height: normal; font-size: 16px; font-family: arial, sans-serif;\"><span style=\"font-size: 14px;\">Communicate with applicants, and other internal and external stakeholders, to gather necessary information and resolve discrepancies in a timely manner</span></li><li style=\"margin: 0in; line-height: normal; font-size: 16px; font-family: arial, sans-serif;\"><span style=\"font-size: 14px;\">Stay informed about changes in health care policies, insurance regulations, and social service programs to provide accurate guidance.</span></li><li style=\"margin: 0in; line-height: normal; font-size: 16px; font-family: arial, sans-serif;\"><span style=\"font-size: 14px;\">Maintain established standards for schedule adherence, attendance, quality</span><span style=\"font-size: 14px; color: rgb(65, 65, 65);\">, and productivity.</span></li><li style=\"margin: 0in; line-height: normal; font-size: 16px; font-family: arial, sans-serif;\"><span style=\"font-size: 14px;\">Perform other duties as assigned.</span></li></ul><p style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:16px;font-family:\"Aptos\",sans-serif;background:white;'><span style=\"font-family: arial,sans-serif;\"><strong>&nbsp;</strong></span></p><p><br></p></div></div></div></div></div></div></div></div></div></div>\n",
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