Case Worker I
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POST DATE 9/1/2016
END DATE 10/26/2016
JOB DESCRIPTIONSuperior Group is looking for Case Worker I for our client located in Irving, TX 75038.
Pay Rate: $16.00 per hour
Hours: 8:00am to 5:00pm (M-F)
Duration: 6 months
Responsible for processing all casualty or estate functions involving several state Medicaid beneficiaries or deceased Medicaid beneficiaries.
This includes intake, maintenance, claims review and selection, management, settlement and related functions to the case.
Effectively work, maintain and manage a variety of cases with current and accurate notes from creation to recovery
Maintain a daily system of providing timely and accurate information needed to move cases through the case management workflow.
Confirm documentation of eligibility for beneficiaries.
Conduct all case document review and updates as needed.
Confirm and validate third party liability and, probate and beneficiary asset research.
Interact professionally (i.e. on incoming and outgoing calls and correspondence) with attorneys, insurance adjusters, medical providers, court staff, recipients and family members and client.
Prepare needed correspondence, liens, claims and other related documents to progress the case to recovery.
Negotiate and compromise claim/lien settlement amounts per contract guidelines.
Process all claim/lien disputes and review claims with attorneys and other stakeholders.
Conduct outgoing periodic follow up on case status and payment.
Perform basic and advanced levels of document review to identify current case status, legal research, and case management and ensure case progress through workflow
Prioritize case events and critical case payment/recovery issues, while meeting, various internal and legal deadlines that are revenue impacting.
Compile, analyze and make conclusions about case information and status from multiple sources.
Meet department objective standards for Customer Service.
Complete periodic reports for management when necessary.
May have some training responsibilities limited to projects and specific tasks
Ability to interact with all levels of people both internally and externally in a professional manner.
Ability to communicate and comprehend well both verbally and in writing, fluently in English.
Ability to be careful and thorough about detail including with cite-checking and proofreading skills.
Ability to multi-task and prioritize effectively.
Ability to work independently to meet objectives.
Ability to analyze information and use logic to address work-related issues and problems.
Ability to perform oral presentations with good quality.
Ability to perform well in team environment, to achieve business goals.
Ability to maintain a high level of confidentiality and ethics.
Ability to function effectively under pressure and manage deadline oriented project demands and multiple initiatives.
Ability to perform the following: lifting, bending, pushing, pulling, stopping, kneeling, reaching, and carrying of light to heavy items (40 to 50lbs).
Average manual dexterity work in use of a PC, phone, sorting, filing and other office machines.
Required Skills / Qualifications:
High School Diploma or GED
Minimum of 2 years’ experience with Microsoft Office, PowerPoint, Word, and Excel.
Minimum of 2 years’ experience in managing large caseloads
Preferred Skills / Qualifications:
Experience in a Legal office; paralegal or legal assistant and experience in the insurance industry (casualty or health insurance)
Basic knowledge of Microsoft Access.
Medicaid and/or Medicare knowledge.
Bilingual (Spanish & English)
Go Beyond. www.superiorjobs.com.
EEO Employer - Minorities / Females / Disabled / Veterans / Sexual Orientation / Gender Identity.