Eligibility Specialist

Our great team at Health Fund Solutions is looking for full time Medicaid/ Disability Caseworkers. The shift will be onsite at a local hospital. Weekends and some holidays are required. Day Shifts only

Experience with Florida Medicaid, Disability or DCF applications preferred.

If you are looking for a great Company to work for that has great benefits, you have found the perfect place. Join our team and build your career as a Caseworker with our organization.

Job Summary:

Employees will screen patient’s bedside and by phone to see if patients qualify for Federal, State and County programs which include Medicaid, Disability and ACA Marketplace Insurance. Will be responsible for submitting applications and getting all pending documentation.

The Caseworker will coordinate activities to ensure that Medicaid, Social Security, County Indigent or other types of eligible funding for healthcare services are received for patients. This includes assisting the patients and others (family members) to complete forms, applications and other paperwork.

This position requires doing daily screenings, following up on previous applications and then follow-up on any questions on disability.

Duties/Responsibilities:

• Collect and review patient information to determine patient’s eligibility.
• Prepare documents; review for accuracy and completeness.
• Provide technical assistance on agency issues, services, programs.
• Maintain and/or create files or record keeping systems. Sort, label file and retrieve documents or other materials.
• Manage caseload.
• Retrieve, sustain and communicate all designated reports.
• Maintain database.
• Develop and retain a professional relationship with hospital staff.

Required Skills/Abilities:

• Associates Degree preferred
• Thorough knowledge and understanding of Florida Medicaid eligibility criteria.
• Full Cycle Florida Medicaid application experience preferred
• Disability application experience preferred.
• 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 preferred.
• Ability to communicate clearly and concisely required.
• Excellent verbal and written communication skills
• Required working weekend and some holidays.
• Florida DCF experience a plus.

Benefits:

• Health Insurance
• Dental Insurance
• Vision Insurance
• Short Term and Long term disability
• Term Life Insurance
• Critical Care Insurance
• 401K with company match
• Paid Time Off

Please note that as we are vendors to several hospital systems. This position requires that you have the COVID vaccination completed, or the first dose already administered prior to your start date. If you choose not to vaccinate, you are required to provide a fully executed medical or religious exemption form upon your first day of employment. 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.

Job Type: Full-time

Pay: $19.00 - $21.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Holidays
• Weekend availability

Ability to commute/relocate:

• Orlando, FL 32806: Reliably commute or planning to relocate before starting work (Required)

Application Question(s):

• We are in the medical industry, will you be open to getting the COVID vaccination or providing an approved exemption in order to submit weekly negative COVID results?
• Are you willing to work weekends and holidays?
• How many years experience do you have with submitting Florida Medicaid applications?
• How many years experience do you have with submitting Social Security Disability applications?
• This shift requires that you work on Saturday. Are you willing to work on Saturdays?
• Are you willing to work some holidays as needed?

Education:

• High school or equivalent (Required)

Language:

• Fluent Spanish (Preferred)

Work Location: One location

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