Caseworker-Port Orange, Fl.

Overview

Under the supervision of the Eligibility Manager the Caseworker for Medicaid and Disability will complete tasks related to securing eligible healthcare funding for patients through programs such as Medicaid Social Security County Indigent and other available funding sources. This role involves helping patients and their families complete necessary forms applications and paperwork. Caseworkers will screen patient eligibility both in-person at the bedside and via phone determining their qualification for various Federal State and County programs including Medicaid Disability and ACA Marketplace Insurance.

Responsibilities

Complete approximately 5-8 new self-pay screenings bedside daily

Collect all required documentation and review patient information to determine patients eligibility

Perform all discharge screenings by phone

Provide program options that HealthFund Solutions can assist in applying for the patient

File all applications that the patient might be eligible for within 24 hours

Follow-up on all pending documents for each file

Follow-up on previously filed applications until approved

Review all documents before sending to Federal/State/or County agencies for accuracy and completeness

Submit required documentation

Immediately after screening the patient IF they meet sponsorship qualifications send referrals to Sponsorship

Review application denials with management

Maintain accurate files & notes on actions taken to be recorded in hospital software and HealthFund Solutions database

Communicate with patients and hospital staff (written and verbal)

Maintain and update database as new information becomes available

Manage large caseload to completion

Develop and retain a professional relationship with HFS staff and hospital staff

Will require working evenings weekends and some holidays

Other duties assigned by Management

Qualifications & Skills:

Highschool required

Associates degree preferred

Thorough knowledge and understanding of Florida Medicaid eligibility criteria

Full Cycle Florida Medicaid application experience preferred

Disability application experience preferred both Medicaid and Social Security

Ability to maintain and respect confidentiality and HIPAA guidelines

Highly effective in working objectively with a diverse group of people and must demonstrate communication organizational administrative and time managers ability to read and comprehend simple instructions

Ability to self-direct work

Effective stress coping skills

Bi-lingual with Spanish preferred

Ability to communicate clearly and concisely is required

Excellent verbal and written communication skills

May require working evenings weekends and some holidays

Experience with Florida Family Medicaid Medicaid Disability Social Security Disability and filing DCF applications preferred

Florida DCF experience a plus

NOTE: This job description is not intended to be all-inclusive. Employees may perform other duties as required to meet the ongoing needs of the organization.

Physical Abilities:

While performing the duties of this job

Ability to sit for long periods of time entering data into the computer.

Ability to occasionally lift up to 10 pounds.

Ability to concentrate and stay on task for long periods of time.

NOTE: This job description is not intended to be all-inclusive. Employee may perform other duties as

required to meet the ongoing needs of the organization

Please note that as we are vendors to several hospital systems. All onsite hospital positions are required to have the COVID vaccination completed prior to start date. If you choose not to vaccinate you are required to provide a fully executed medical or religious exemption form prior to your start date. Upon approval of that exemption you would be required to submit to weekly COVID testing. Be aware that this policy could change at any time.

We are an equal opportunity employer and considers all qualified applicants equally without regard to race color religion sex sexual orientation gender identity national origin veteran status or disability status.

The successful candidate will be required to complete the Form I-9 and that information will be verified using the E-Verify system. E-Verify is operated by the Department of Homeland Security in partnership with the Social Security Administration to verify employment eligibility.

Any candidate offered a position will be required to pass pre-employment screenings which include a national background check and a 12-panel drug screen.

HealthFund Solutions is a Drug -Free Workplace.