Experience Inc. Jobs

Job ID Number

R2612

Employment Type

Full time

Worksite Flexibility

Onsite

Job Summary

As the Product Specialist, you will be responsible for providing data entry of Medicaid Renewal applications

Job Description

We are looking for a Social Work Case Specialist to provide data entry of Medicaid Renewal applications . This position will be full-time and on-site.

What You’ll Do  

• Serve as a knowledgeable guide and support for individuals applying forMedicaid, ensuring a thorough understanding of theapplicationprocess

• Acquire a thorough understanding of the State of Delaware's Health and Social Services programs of assistance

• Maintain a thorough knowledge ofHIPAAregulations and ensure confidentiality and security of client information

• Understand and apply Delaware's MAGI-based eligibility standards forMedicaidand related programs

• Determine eligibility for a minimum of 10 cases each day, with diligent follow-up on cases requiring additionalclient contact

• Analyze applicants'financial dataand input calculations into the eligibility system for accurate case management

• Conduct client interviews, exchanging general and sensitive information to determine eligibility

• Collaborate closely with clients to securely collectapplicationdocuments in digital formats (pdf, jpg, etc.)

• Document all case management activities and communications within the eligibility system

• Attend Fair Hearings to support clients who are disputing denials or other decisions related to their cases

• Participate actively in one-on-one and staff meetings to stay informed and up-to-date with processes and procedures

• Handle additional case management responsibilities as required, adapting to the evolving needs of the department

What You'll Need  

Required: 

• High school diploma or equivalent

• Minimum of one year ofsocial work case processingexperience

• Minimum of one year of customer service experience

• Strong written and verbal communication skills, with fluency in English and Spanish

• Strong proficiency with Microsoft Office Suite (Excel, Word, Teams)

• Strong understanding of Delaware's MAGI-based eligibility standards forMedicaid

• In-depth knowledge ofMedicaidand the State of Delaware’s Programs of Assistance eligibility criteria

• Ability to manage multiple cases and tasks effectively

• Exceptional organizational skills with a focus on attention to detail

• Ability to performfinancial calculationsand analyze complex data

• Proven problem-solving skills

• Responsible and self-driven individual committed tocommunity servicein a team-oriented environment

• Reliable transportation to and from the office, with a record of punctuality

• Availability to work extra hours or a Saturday each month as needed

Preferred: 

• Bachelor's degree in Social Work or related field

• 3-5 years of experience in social work, particularly with processing applications for assistance programs

Physical Demands  

• Ability to safely and successfully perform the essential job functions consistent with the ADA and other federal, state and local standards 

• Sedentary work that involves sitting or remaining stationary most of the time with occasional need to move around the office to attend meetings, etc. 

• Ability to conduct repetitive tasks on a computer, utilizing a mouse, keyboard, and monitor 

Reasonable Accommodation Statement

If you require a reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employment selection process, please direct your inquiries to application.accommodations@cai.io or (888) 824 – 8111.

Equal Employment Opportunity Policy Statement

It is the policy of CAI not to discriminate against any employee or applicant due to race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or being a protected veteran. It is also the policy of CAI to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or being a protected veteran, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Employees and applicants of CAI will not be subject to harassment due to race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or being a protected veteran. Additionally, retaliation, including intimidation, threats, or coercion, because an employee or applicant has objected to discrimination, engaged or may engage in filing a complaint, assisted in a review, investigation, or hearing or have otherwise sought to obtain their legal rights under any Federal, State, or local EEO law is prohibited.