Caseworker, G12, Indigent Health Care Services

State Of Texas • Laredo, TX

389d • $31,512 - $33,134

About The Position

The Caseworker position at Indigent Health Care Services in Webb County, TX, is responsible for reviewing client applications to determine eligibility for various health care programs. The role involves interviewing applicants, verifying documentation, and maintaining accurate case records to ensure efficient service delivery to eligible clients.

Requirements

• High school diploma or GED from an accredited institution.
• At least one year of related experience.
• Ability to type 35 wpm.
• Knowledge of relevant federal and state laws, county ordinances, and department policies and procedures.
• Knowledge of the Texas Health and Safety Code and the Indigent Health Care Program Handbook.
• Knowledge of community social welfare programs and resources.
• Knowledge of computers and job-related software programs.
• Skill in problem-solving, prioritizing, and planning.
• Skill in interpersonal relations and oral and written communication.
• Ability to communicate in English and Spanish.

Responsibilities

• Review client cases to determine program eligibility.
• Gather and make copies of required documentation.
• Interview applicants and program recipients regarding their medical necessities.
• Determine household composition and verify residency, resources, and income.
• Prepare required reports and obtain client signatures.
• Update, maintain, and verify case record information.
• Review cost estimates, CPT codes, and physician orders for calculations.
• Schedule client appointments.
• Review and prepare medical claims for payment, including for qualifying jail inmates.
• Post checks received for processed claims and enter information into the request log.
• Prepare explanations of benefits for providers for all paid claims.
• Resolve client and provider billing questions and concerns.
• Perform outreach efforts and maintain related client files and records.
• Maintain contact with state and local agencies to follow up on client benefits status.
• Process and evaluate burial/cremation assistance applications.
• Process and evaluate emergency medication assistance and pharmaceutical assistance program applications.

Benefits

• Wellness program
• Health insurance
• Dental insurance
• Employee assistance program
• Vision insurance
• Life insurance
• Retirement plan

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Executive, Legislative, and Other General Government Support
• Education Level: High school or GED