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Description

We are looking for a detail-oriented Eligibility Specialist to join our team in Port St Lucie, Florida. In this role, you will play a critical part in ensuring the accurate and timely processing of Medicaid applications, Title IV-E determinations, and other related documentation for children in out-of-home care. This position requires strong organizational skills and the ability to collaborate effectively with various stakeholders to address eligibility and insurance-related matters.

Responsibilities:

• Compile and review documentation to complete Title IV-E determinations for children entering out-of-home care.

• Enroll new Medicaid recipients in the Sunshine Child Welfare Specialty Plan.

• Refer eligible children to the Master Trust Specialist for potential Social Security benefits.

• Submit and manage Medicaid applications for children under supervision, ensuring timely processing within 48 business hours of removal.

• Monitor and ensure Title IV-E determinations remain current, completing re-determinations as needed.

• Organize, approve, and maintain pre-adoption files in collaboration with Adoption Case Managers.

• Process adoption agreements, update placements and services, and coordinate with case managers on finalizations.

• Address Medicaid billing inquiries and assist caregivers, case managers, and investigators with eligibility documentation.

• Manage new Adoption Title IV-E applications and ensure their accuracy and timely submission.

• Interface with internal systems to designate the organization as the Medicaid Payee when applicable.

Requirements • Proven experience with insurance follow-up, Medicaid eligibility, or related processes.

• Familiarity with preauthorization procedures and Medicaid application workflows.

• Proficiency in using Microsoft Excel for data organization and reporting.

• Strong understanding of Medicaid guidelines and requirements.

• Excellent organizational skills with the ability to manage multiple priorities effectively.

• Strong communication and interpersonal skills to work with diverse stakeholders.

• Detail-oriented mindset to ensure accuracy in documentation and determinations.

Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.

All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.

• 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https://www.roberthalf.com/us/en/terms) .