Medicaid Recovery Caseworker (Executive I)
Medicaid Recovery Caseworker (Executive I)
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$ 5703 - 8170
1 Vacancy
Job Description
Job Requisition ID:47182
Posting ID: DF47182
BPIS 07904 &
Start Date: 05/12/2025
Closing Date: 05/27/2025
Agency:Department of Healthcare and Family Services
Class Title:EXECUTIVE I 13851
Skill Option:None
Bilingual Option:None
Salary: Anticipated starting salary $5703 month / Full salary range $5703 $8170
Job Type: Salaried
Category:Full Time
County: Sangamon
Number of Vacancies: 2
Bargaining Unit Code:RC062
Merit Comp Code:
This position is a union position; therefore provisions of the relevant collective bargaining agreement/labor contract apply to the filling of this position.
All applicants who want to be considered for this position MUST apply electronically through the website. State of Illinois employees should click the link near the top left to apply through the SuccessFactors employee career portal.
Applications submitted via email or any paper manner (mail fax hand delivery) will not be considered.
Why Work for Illinois
Working with the State of Illinois is a testament to the values of compassion equity and dedication that define our state. Whether youre helping to improve schools protect our natural resources or support families in need youre part of something biggersomething that touches the lives of every person who calls Illinois home.
No matter what state career youre looking for we offer jobs that fit your life and your scheduleflexible jobs that provide the gold standard of benefits. Our employees can take advantage of various avenues to advance their careers and realize their dreams. Our toptier benefits and great retirement packages can help you build a rewarding career and lasting future with the State of Illinois.
The Illinois Department of Healthcare and Family Services Division of Finance Bureau of Collection Services is seeking to hire a Medicaid Recovery Caseworker responsible for reviewing and implementing policies and procedures to recover amounts owed to the State Medicaid program. This position will consult with external attorneys representatives from the Attorney Generals Office Circuit Clerk offices thirdparty payers and others to determine the status of cases and legal proceedings. The caseworker will also initiate and monitor the referral of all case documentation to the Attorney Generals Office for assistance with recovery efforts; review documentation and corresponds with attorneys insurance companies and Department of Human Services (DHS) local offices regarding recoveries of cases; confer with management and recommend the resolution of claims based on the facts and circumstances of each case; and compile and develop periodic statistical and financial reports as directed by management to monitor case progress and assess completion of tasks and goals.
HFS values employees with different backgrounds life experiences and talents.
Employees receive a robust benefit package including:
MondayFriday work schedule
Flexible work schedules are available in many program areas. (Remote work may be an option
for certain positions.)
Health Life Vision and Dental Insurance
Pension Plan
Paid Parental Leave
Deferred Compensation Program and other pretax benefit programs (Medical/Daycare)
Employees earn (12) paid Sick Days annually.
New Employees earn (10) paid Vacation Days their first year of service and can earn up to
(25) paid Vacation Days annually.
Employees earn (3) paid Personal Days annually.
(1314) paid holidays annually (based on start date)
If you are seeking a new opportunity and this position appeals to you please apply today!
At the Illinois Department of Healthcare and Family Services (HFS) we value staff as our greatest asset. We work in a spirit of teamwork to help millions of Illinoisans access high quality healthcare and fulfill child support obligations to advance their physical mental and financial wellbeing. We provide healthcare coverage for children and adults through Medicaid and other medical programs and we help ensure that children receive financial resources from both their parents through Child Support Services. The HFS Office of the Inspector General investigates audits and reviews program activity to ensure the integrity of our programs is maintained.
HFS is committed to promoting and preserving a workplace culture that embraces diversity equity and inclusion. We welcome and value employees with different backgrounds life experiences and talents. It is the collective sum of our individual differences that provides a broad perspective leading to greater innovation and achievement. In recruiting for our team we recognize the unique contributions of each applicant regardless of culture ethnicity race national origin sex gender identity and expression age religion disability and sexual orientation. HFS is an equal opportunity employer.
Essential Functions
- Under direction serves as a Medicaid Recovery Caseworker for the Illinois Department of Healthcare and Family Services (HFS) Division of Finance Bureau of Collection Services by reviewing and implementing policies and procedures to recover amounts owed to the State Medicaid program
- Consults with external attorneys representatives from the Attorney Generals Office Circuit Clerk offices third party payers and others to determine the status of cases and legal proceedings
- Initiates and monitors the referral of all case documentation to the Attorney Generals Office for assistance withrecovery efforts
- Reviews documentation and corresponds with attorneys insurance companies and Department of Human Services (DHS) local offices regarding recoveries of cases
- Confers with management and recommends the resolution of claims based on the facts and circumstances of each case
- Compiles and develops periodic statistical and financial reports as directed by management to monitor case progress and assess completion of tasks and goals
- Participates in special projects and collaborative work groups
- Performs other duties as required or assigned which are reasonably within the scope of the duties enumerated above
Minimum Qualifications
- Requires knowledge skill and mental development equivalent to the completion of four (4) years of college preferably with coursework in business or public administration
- Requires one (1) year of responsible administrative experience in a public or business organization or completion of an agency approved professional management training program
Preferred Qualifications
- One (1) year of experience researching and analyzing medical/case records related to casualty Workers Compensation or estate recovery cases
- One (1) year of experience negotiating case settlements with insurance carriers attorneys or similar entities
- One (1) year of experience utilizing medical systems such as: Medical Management Information Systems (MMIS) Integrated Eligibility Systems (IES) Enterprise Data Warehouse (EDW) or Medical Expenditure Reporting and Analysis (MERA)
- One (1) year of experience in medical case management
- One (1) year of experience utilizing Microsoft Excel Word and Outlook
Conditions of Employment
- Requires completion of a background check and selfdisclosure of criminal history
- Requires the ability to utilize and maintain state issued equipment such as a laptop
- The conditions of employment listed here are incorporated and related to any of the job duties as listed in the job description
Work Hours: Monday Friday 8:30am 5:00pm
Work Location: 201 South Grand Ave E Springfield IL
Agency Contact:
Posting Group: Leadership & Management
This position DOES NOT contain Specialized Skills (as that term is used in CBAs).
APPLICATION INSTRUCTIONS
Use the Apply button at the top right or bottom right of this posting to begin the application process.
If you are not already signed in you will be prompted to do so.
State employees should sign in to the career portal for State of Illinois employees a link is available at the top left of the homepage in the blue ribbon.
NonState employees should log in on the using the View Profile link in the top right of the homepage in the blue ribbon. If you have never before signed in you will be prompted to create an account.
If you have questions about how to apply please see the following resources:
State employees: Log in to the career portal for State employees and review the Internal Candidate Application Job Aid
NonState employees: on click Application Procedures in the footer of every page of the website.
The main form of communication will be through email. Please check your junk mail spam or other folder for communication(s) regarding any submitted application(s). You may receive emails from the following addresses:
Employment Type
Full-Time
