OPS HUMAN SERVICES COUNSELOR III - 50601195

State of Florida

6d • $18

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.

Requirements

• Must have excellent communication and interpersonal skills
• Must have experience with Medicaid
• Must be fluent in the English language: reading, writing, speaking
• Must be willing and able to work weekends and holidays if needed
• 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

What This Job Offers

• Education Level: No Education Listed
• Number of Employees: 1,001-5,000 employees