Eligibility Caseworker-Daytona Beach, Fl.

HealthFund Solutions•Daytona Beach, FL

2d•Onsite

About The Position

The Eligibility Caseworker for Medicaid and Disability reports to the Eligibility Manager and works to secure eligible healthcare funding for patients through Medicaid, Social Security, County Indigent programs, ACA Marketplace Insurance, and other available funding sources. The caseworker helps patients and their families complete forms, applications, and other required paperwork, and screens eligibility in person, at the bedside, and by phone for applicable Federal, State, and County programs. This position is based at a hospital facility in Daytona Beach, Florida. The schedule is Monday through Friday, 8:00 a.m. to 4:30 p.m. EST, with evenings, weekends, and some holidays also required. The listed pay is $22.00 per hour. Candidates must pass a national background check and a 12-panel drug screening. HealthFund Solutions is a drug-free workplace and an equal opportunity employer.

Requirements

High school education required.
Thorough knowledge and understanding of Florida Medicaid eligibility criteria.
Ability to maintain and respect confidentiality and HIPAA guidelines.
Ability to work objectively with a diverse group of people.
Communication, organizational, administrative, and time-management abilities.
Ability to read and comprehend simple instructions.
Ability to self-direct work.
Effective stress-coping skills.
Ability to communicate clearly and concisely.
Excellent verbal and written communication skills.
Must successfully pass a national background check and a 12-panel drug screening.

Nice To Haves

Associate’s degree preferred.
Full-cycle Florida Medicaid application experience preferred.
Disability application experience preferred, including Medicaid and Social Security disability.
Bilingual Spanish preferred.
Experience with Florida Family Medicaid, Medicaid Disability, Social Security Disability, and filing DCF applications preferred.
Florida DCF experience is a plus.

Responsibilities

Complete approximately 5–8 new self-pay bedside screenings daily.
Collect required documentation and review patient information to determine eligibility.
Complete discharge screenings by phone.
Present program options that HealthFund Solutions can assist patients in applying for.
File all applications for which the patient may be eligible within 24 hours.
Follow up on pending documents for each file.
Follow up on filed applications until they are approved.
Review documents for accuracy and completeness before sending them to Federal, State, or County agencies.
Submit required documentation.
Send referrals to Sponsorship immediately after screening patients who meet sponsorship qualifications.
Review application denials with management.
Maintain accurate files and record notes on actions taken in hospital software and the HealthFund Solutions database.
Communicate in writing and verbally with patients and hospital staff.
Maintain and update the database as new information becomes available.
Manage a large caseload through completion.
Develop and maintain professional relationships with HealthFund Solutions and hospital staff.
Perform other duties assigned by management.