OPS HUMAN SERVICES COUNSELOR III - 50601195
About The Position
The incumbent works under the supervision of Business Manager II and is responsible for processing Medicaid applications to meet the individual needs of residents. Interviews residents, reviews records, and confers with other professionals to assist with financial needs. Demonstrate strong auditing, investigative, research, and organizational skills, as well as having up-to-date knowledge of the Florida Medicaid program and be able to accurately apply software programs needed to complete investigations and audits. Process information with HMO or third-party insurance for Medicare and Medicaid. Assist in filling out applications for insurance. Maintains resident related databases and clinical records as requested. Meets all governmental requirements for social service documentation. Assist in application process for new admissions. Perform other related duties and projects as assigned.
Requirements
- Must have excellent communication and interpersonal skills
- Must have experience with Medicaid
- Must be fluent in the English language: reading, writing, speaking
- Must have basic computer skills, including Microsoft Office Suite (Excel, Outlook, & Word)
- Successful completion of the due diligence process to include, but not limited to, a Level II background check and drug test
Nice To Haves
- Two (2) or more years of experience in a health care setting
- One (1) year of experience in a health care setting in a business office setting
- Experience working in a nursing home or long-term care/120-bed skilled nursing facility
Responsibilities
- Interviews residents, reviews records, and confers with other professionals to assist with financial needs
- Demonstrate strong auditing, investigative, research, and organizational skills, as well as having up-to-date knowledge of the Florida Medicaid program and be able to accurately apply software programs needed to complete investigations and audits
- Process information with HMO or third-party insurance for Medicare and Medicaid
- Assist in filling out applications for insurance
- Maintains resident related databases and clinical records as requested
- Meets all governmental requirements for social service documentation
- Assist in application process for new admissions
- Perform other related duties and projects as assigned
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Career Level
Mid Level
Education Level
No Education Listed
