STAFF ASSISTANT - 64082378 1 1

State of Florida

1d • $37,000 - $40,000 • Onsite

About The Position

Children’s Medical Services (CMS) is responsible for the administration of the Safety Net Program. The Safety Net Program provides limited benefits for children up to age 21 who have chronic and serious health condition(s) who do not qualify for Florida Medicaid or Florida KidCare or are unable to access medically necessary or essential family support services. The Safety Net Program is governed by Florida Statute 391.029 (3)(a) and FAC 64C-2.004.

Your Specific Responsibilities:
This is a medically oriented OPS staff position. This position reports to the Division of Children’s Medical Services, Safety Net Program (SNP) supervisor. This position is responsible for the screening and eligibility determination of children eligible for the services for the Safety Net program. Work includes performing a variety of clerical duties that require independent judgement, effective communication, accuracy, and organizational skills. The individual in this position is expected to adhere to specified timeframes and deadlines. This position provides support to the CMS Safety Net Program.

Requirements

• Knowledge of organizational procedures, policies, practices, rules and regulations.
• Ability to plan, organize and coordinate work assignments.
• Ability to meet deadlines and prioritize tasks effectively.
• Ability to communicate effectively verbally and in writing to express facts and ideas in a succinct and organized manner.
• Ability to effectively communicate clinical information with medical practitioners.
• Knowledge in medical terminology and procedure codes.
• Ability to establish and maintain effective working relationships with others.
• Working knowledge of Microsoft Word, Excel, and other software.
• Must be able to multitask.
• Must be an active listener and ask questions as appropriate.
• Driver’s License

Nice To Haves

• Experience in Medical setting, Medical Terminology, Pediatrics
• Experience with Microsoft Office

Responsibilities

• Effectively uses FLMMIS, CMS 3.0, VIDA, and other necessary data information systems to determine program eligibility status.
• Receive correspondence requesting SafetyNet via email or telephone.
• Contacts parent/guardian to begin Safety Net application process.
• Explain Safety Net Program, verify insurance, clinical diagnosis, and determine needs. Verify accuracy of documents received.
• Resolves non-clinical issues which includes verification of eligibility and general contact information.
• Routes calls to clinical eligibility staff to conduct clinical screening as appropriate.
• Escalates calls and/or emails using appropriate chain of command based on the urgency of the issue.
• Processes referrals and applications for Safety Net, ensuring appropriate documentation of activities and quality assurance reviews.
• Documents in accordance with established guidelines while using the current electronic medical record program.
• Process Safety Net Financial Eligibility Worksheet.
• Calculate proof of parent/guardian income and uses Financial Eligibility Worksheet chart to determine annual federal poverty level.
• Confirm client primary and secondary diagnosis to ensure information matches on Safety Net checklist and signed application.
• Determine client Clinical Risk Group and family cost share amount.
• Process Safety Net Financial Responsibility Agreement.
• Download Federal Poverty Level annually and as needed.
• Serves as a community resource professional in the specialized medical field of pediatrics.
• Attends meetings and conferences directly related to roles and responsibilities.
• Performs other duties as assigned.

Benefits

• Annual and Sick Leave benefits;
• Nine paid holidays and one Personal Holiday each year;
• State Group Insurance coverage options, including health, life, dental, vision, and other supplemental insurance options;
• Retirement plan options, including employer contributions
• (For more information, please click www.myfrs.com);
• Flexible Spending Accounts;
• Tuition waivers;
• And more! For a more complete list of benefits, including monthly costs, visit www.mybenefits.myflorida.com.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed