Serves as a Medicaid caseworker. Determines/re-determines Medicaid eligibility according to Medicaid policies and procedures. Verifies eligibility information provided by client using proper sources. Completes the required forms to render timely and accurate case decisions using appropriate payment category and by using federal and state regulations defined by Medicaid policies and procedures. Collects and accurately prepares case files and client history information and enters data in MEDS according to timelessness schedule indicated by Medicaid policies and procedures. Prepares reports. Provides external customer service to public by answering phones calls, returning phone calls within 24 hours and cleaning voice mail daily. Provides internal customer service by working in harmonious and professional relationships. Performs emergency preparedness/shelter duties as assigned by supervisor. Attends meetings and training sessions. Makes and keeps schedules, completes tasks timely and reports to work timely.
Minimum and Additional Requirements:
A bachelor’s degree and one (1) year experience in a social services program or a high school diploma and five (5) years’ experience with one (1) being in a social services program.
Knowledge of fact-gathering methods, interviewing techniques and state/federal laws concerning Medicaid policy. Ability to analyze case data and make appropriate decisions. To exercise judgment and discretion in applying/interpreting rules, regulations, policies and procedures. To coordinate tasks and stay organized. To follow rules and regulations. Must have basic mathematical skills. Open to cultural/demographic diversity and have ability to establish and maintain effective working relationships.
This position is located in Harvest Health Care. Harvest Health Care requires pre-employment health screening. Please complete the State application to include all current and previous work history and education. A resume will not be accepted nor reviewed to determine if an applicant has met the qualifications for the position. Supplemental questions are considered part of your official application for qualification purposes. All applicants must apply on line. All correspondence from the Office of Human Resources will be through electronic mail with the exception of a letter of offer.
This position is located in the Division of Local Eligibility Processing, Charleston County.
State of South Carolina - 18 months ago