Caseworker-Port Orange

Reporting to 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 in-person 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. All candidates must successfully pass a national background check and a 12-panel drug screening. HealthFund Solutions is a drug-free workplace.

We are an equal opportunity employer. All qualified applicants will be considered without regard to race color religion sex sexual orientation gender identity national origin disability or veteran status