Top 58 Eligibility worker Jobs in New York Ny

Eligibility Specialist
Constructive Partnerships Unlimited —Manhattan, NY
- $25 - $28 an hour
- Temporary
- Mid-level
- Office
- Analysis skills
Senior Manager, Eligibility
1199SEIU Family of Funds —New York, NY
- $125,400 - $156,700 a year
- Full-time
- Microsoft Word
- Computer science
- Computer Science
MEDICAID ELIGIBILITY VERIFICATION SPECIALIST
Agency HRA/DEPT OF SOCIAL SERVICES —Manhattan, NY
- $61,656 - $70,904 a year
- Full-time
- High school
- Data analysis skills
- Mid-level
- Loan forgiveness
- Food provided
Eligibility and Claims Clerk
Employee Benefits Fund —New York, NY
- $59,295.44 a year
- Spanish
- Microsoft Outlook
- Office
- Paid holidays
- Disability insurance
Quick Apply
Medicaid Eligibility Coordinator
VNS Health —Manhattan, NY
- $23.17 - $28.96 an hour
- Full-time
- Bilingual
- Mid-level
- Driver's License
- Continuing education credits
- Paid holidays
3d
Eligibility Team Manager
ADMIN FOR CHILDREN'S SVCS —Manhattan, NY
- $62,868 - $97,593 a year
- Full-time
- Mid-level
- Office
- High school diploma or GED
- Loan forgiveness
6d
Representative Patient Eligibility
St. Joseph's Health —Paterson, NJ
- $17.90 - $27.75 an hour
- Full-time
- Hospital
- Entry level
ELIGIBILITY SUPPORT SPECIALIST
C2Q Health Solutions —Brooklyn, NY
- $55,000 - $63,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
10d
Insurance Eligibility and Medical Billing Assistant
Ohel Children's Home and Family Services —Brooklyn, NY
- $50,000 - $55,000 a year
- Full-time
- Mid-level
- 2 years
- Health insurance
- Paid time off
Quick Apply
11d
ELIGIBILITY AND SUPPORT SERVICES COORDINATOR
HRA/DEPT OF SOCIAL SERVICES —Bronx, NY
- $68,209 - $78,440 a year
- Full-time
- High school
- Mid-level
- Office
- Employee assistance program
- Loan forgiveness
10h
Infant/ Toddler Assistant Teacher
Bright Beginnings —Jamaica, NY
- $17 - $19 an hour
- Full-time
- Background check
- Classroom
- Spanish
- 401(k)
- Tuition reimbursement
Quick Apply
Enrichment Instructor
Shake it off —Scarsdale, NY
- $16 - $20 an hour
- Part-time
- Classroom
- Childcare
- CPR Certification
- Paid training
- Flexible schedule
Quick Apply
Brand Representative - Dank By Definition
Dank By Definition LLC —New York, NY
- $70,000 - $100,000 a year
- Full-time
- Hybrid work
- Marketing
- Public speaking
- Office
- On-the-job training
- Opportunities for advancement
Quick Apply
Android Engineer
Fuku —New York, NY
- $180,000 - $240,000 a year
- Full-time
- Remote
- Background check
- 5 years
- Mentoring
- Health insurance
- Dental insurance
Quick Apply
Senior Program Eligibility Specialist
Programs for Parents —Newark, NJ
- $23.08 an hour
- Full-time
- Spanish
- Writing skills
- Basic math
Upper School English Teacher
CALHOUN SCHOOL INC —New York, NY
- $75,000 - $100,000 a year
- Full-time
- School experience
- Classroom
- High school
Quick Apply
2027 Commercial & Investment Bank Risk Management Full-Time Analyst Program
JPMorganChase —New York, NY
- $100,000 a year
- Full-time
- Microsoft Word
- English
- Office
- Health insurance
- Tuition reimbursement
Food and Farm Activity Specialist
Harlem Grown —New York, NY
- $24 - $26 an hour
- Part-time
- Background check
- Classroom
- Spanish
Senior Program Eligibility Specialist
Programs For Parents Inc —Newark, NJ
- $25 an hour
- Full-time
- Hybrid work
- Spanish
- Ability to walk for extended periods
- Mid-level
- 403(b) matching
- Commuter assistance
Quick Apply
4d
Medical Insurance Eligibility Specialist
The Cardiovascular Care Group —Clifton, NJ
- $25 - $28 an hour
- Full-time
- Bilingual
- Customer service
- Medical office experience
- Paid jury duty
- Paid holidays
Quick Apply

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eligibility worker jobs near new york ny

Eligibility Specialist

Constructive Partnerships Unlimited -
Manhattan, NY

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Job Details

Temporary
$25 - $28 an hour

Qualifications

Bachelor's degree
Disability services experience

Full Job Description

Job Brief

The Eligibility Specialist supports the review and coordination of eligibility determinations for individuals applying for services through the Office for People with Developmental Disabilities.

Shift Worked:

9AM-5PM

Weekly Hours:

37.5

FLSA Status:

Exempt

Pay range:

$25-$28

Position Summary:

The Eligibility Specialist supports the review and coordination of eligibility determinations for individuals applying for services through the Office for People with Developmental Disabilities. This role ensures that all eligibility determinations meet OPWDD criteria for Developmental Disability eligibility.

Key Responsibilities:

Review and process eligibility applications in accordance with OPWDD guidelines for DD eligibility.
Ensure required documentation is complete, accurate, and current, including:
- Internal forms
- SART
- Waiver approval
- Personal Documents
Verify that eligibility criteria are met, including:
- Medicaid Exceptions Codes
- CCO Enrollment when applicable
Review Level of Care (LOC) determinations to confirm need for ICF/IID level of services.
Coordinate with Manger and Director obtain missing or updated documentation from Program.
Track application status and ensure timely submission to OPWDD, HRA and other state and city entities for determination.
Maintain organized and audit-ready eligibility filed in compliance with Medicaid and OPWDD requirements.
Conduct internal quality reviews to ensure eligibility determinations are appropriate.
Assist with outside entities related audits by ensuring documentation supports eligibility and service authorization.
Identify discrepancies, insufficient documentation, or compliance risks and escalate as needed.
Enter and maintain accurate data in Billing and EMR platforms.

Qualifications

Bachelor's degree in accounting or related field.
1-3 years of experience in OPWDD eligibility, intake or case management.
Strong knowledge of:
- OPWDD DD eligibility criteria
- Level of Care (LOC) / ICF-IID eligibility standards
The Eligibility Specialist plays a critical role in ensuring that all eligibility determinations meet OPWDD standards for Developmental Disability and Level of Care and are fully supported by appropriate documentation. The Eligibility Specialist supports internal controls that align with Medicaid program integrity requirements and Office of the Medicaid Inspector General expectations, including documentation accuracy, verification, and audit readiness.

Skills & Competencies

Strong analytical skills in reviewing eligibility documentation.
Diligence and ability to identify missing or non-compliant records.
Knowledge of OPWDD eligibility workflows and submission processes.
Effective communication with interdisciplinary teams and external entities.
Time management and ability to manage multiple cases simultaneously.

Work Environment

Temporary position (3-6 months, may be extended based on operational need)
Office-based/In-Person
Interaction with internal departments and outside entities such as OPWDD, HRA, SNAP & SSA offices.

Apply Now

Refine Your Search

eligibility worker jobs in new york ny

Eligibility Specialist

Senior Manager, Eligibility

MEDICAID ELIGIBILITY VERIFICATION SPECIALIST

Eligibility and Claims Clerk

Medicaid Eligibility Coordinator

Eligibility Team Manager

Representative Patient Eligibility

ELIGIBILITY SUPPORT SPECIALIST

Insurance Eligibility and Medical Billing Assistant

ELIGIBILITY AND SUPPORT SERVICES COORDINATOR

Infant/ Toddler Assistant Teacher

Enrichment Instructor

Brand Representative - Dank By Definition

Android Engineer

Senior Program Eligibility Specialist

Upper School English Teacher

2027 Commercial & Investment Bank Risk Management Full-Time Analyst Program

Food and Farm Activity Specialist

Senior Program Eligibility Specialist

Medical Insurance Eligibility Specialist

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