Caseworker-Port Orange, Fl.

HealthFund Solutions•Port Orange, FL

1d•Onsite

About The Position

Under the supervision of the Eligibility Manager, the Caseworker for Medicaid and Disability will complete tasks related to securing eligible healthcare funding for patients through programs such as Medicaid, Social Security, County Indigent, and other available funding sources. This role involves helping patients and their families complete necessary forms, applications, and paperwork. Caseworkers will screen patient eligibility both in-person at the bedside and via phone, determining their qualification for various Federal, State, and County programs, including Medicaid, Disability, and ACA Marketplace Insurance.

Requirements

Highschool required
Thorough knowledge and understanding of Florida Medicaid eligibility criteria
Ability to maintain and respect confidentiality and HIPAA guidelines
Highly effective in working objectively with a diverse group of people and must demonstrate communication, organizational, administrative and time managers ability to read and comprehend simple instructions
Ability to self-direct work
Effective stress coping skills
Ability to communicate clearly and concisely is required
Excellent verbal and written communication skills
May require working evenings, weekends, and some holidays
Ability to sit for long periods of time entering data into the computer.
Ability to occasionally lift up to 10 pounds.
Ability to concentrate and stay on task for long periods of time.

Nice To Haves

Associate’s degree preferred
Full Cycle Florida Medicaid application experience preferred
Disability application experience preferred both Medicaid and Social Security
Bi-lingual with Spanish preferred
Experience with Florida Family Medicaid, Medicaid Disability, Social Security Disability and filing DCF applications preferred
Florida DCF experience a plus

Responsibilities

Complete approximately 5-8 new self-pay screenings bedside daily
Collect all required documentation and review patient information to determine patient’s eligibility
Perform all discharge screenings by phone
Provide program options that HealthFund Solutions can assist in applying for the patient
File all applications that the patient might be eligible for within 24 hours
Follow-up on all pending documents for each file
Follow-up on previously filed applications until approved
Review all documents before sending to Federal/State/or County agencies for accuracy and completeness
Submit required documentation
Immediately after screening the patient, IF they meet sponsorship qualifications send referrals to Sponsorship
Review application denials with management
Maintain accurate files & notes on actions taken to be recorded in hospital software and HealthFund Solutions database
Communicate with patients and hospital staff (written and verbal)
Maintain and update database as new information becomes available
Manage large caseload to completion
Develop and retain a professional relationship with HFS staff and hospital staff
Will require working evenings, weekends, and some holidays
Other duties assigned by Management