Income Maintenance Caseworker II - Adult Medicaid

Randolph County, NC; Asheboro (NC); On-site; USD 36,000 - 48,000; Full time

Job summary

Randolph County, NC seeks an Income Maintenance Caseworker I to manage intake, processing and review for Medicaid eligibility. You will use a state web-based system to collect data, verify facts, and determine continued program participation with careful attention to policy guidelines.

The role emphasizes interviewing clients, documenting information, and explaining options or referrals. Strong data entry and customer service skills are essential to support caseloads effectively.

Qualifications

• Experience with interviewing clients and collecting required data.
• Ability to enter information accurately into a web-based system.
• Knowledge of program rules for determining eligibility.
• Strong customer service and communication skills.

Responsibilities

• Conduct intake, processing and review to determine eligibility for Medicaid services.
• Review and re-verify client information and update records as needed.
• Explain program requirements and assist clients with options and referrals.
• Maintain case files and perform changes or updates as required.
• Ensure timeliness and accuracy in all data collection activities.

Skills

Interviewing

Data entry

Eligibility determination

Customer service

Attention to detail

Education

Associate degree or higher in Human Services, Social Services or related field

Job description

Description

The primary purpose of the position is to be responsible for intake, processing, and review functions of determining and/or re-determining applicant/client eligibility for services in the Medicaid Program(s).

The primary purpose of the position is to be responsible for intake, processing, and review functions of determining and/or re-determining applicant/client eligibility for services in the Medicaid Program(s).

Work Involves Performing Intake, Processing And Review For Various Services In The Medicaid Program Using a State-interconnected Web-based Application And Includes, But Is Not Limited To, Such Tasks As

• Interviewing clients and/or reviewing other forms of media including mail-in applications and electronically collected data such as Electronic Pre-Assessment Screening Service (ePASS) to obtain required information.
• Entering information into a web-based application to complete initial applications and verify the information obtained. In the intake function, the employee is responsible for obtaining all pertinent data concerning the clients' family composition, financial, employment and health status.
• Determining and/or verifying eligibility using a web-based application. In the processing function, the employee is involved in processing clients' applications through the verification of all information obtained during intake. Completing scheduled reviews by obtaining required information and processing updated information in a web-based application. In the review function, work involves the redetermination or review of the clients' case on a periodic basis, to re-verify the clients' eligibility for continued participation in the various services.
• Take care of case maintenance such as changes, updates, etc.
• Inform clients of their rights and obligations as prescribed under program policies.
• Explain requirements and options and advise or refer clients to other program services as appropriate.

Regular attendance and punctuality are essential. This position must be available during working hours so that eligible clients can receive the necessary services.

Work includes performing other related duties as assigned.

Minimum Education And Experience

One year of experience as an Income Maintenance Caseworker; or an equivalent combination of training and experience.

Minimum Training and Experience Requirements for an Income Maintenance Caseworker I -

Graduation from an accredited associate degreeprogram in Human Services Technology, Social Services Associate, Paralegal Technology, BusinessAdministration, Secretarial Science, or a closely related curriculum; or graduation from high school and two years of paraprofessional, clerical, or other public contact experience which included negotiating, interviewing, explaining information, gathering and compiling of data, analysis of data and/or performance of mathematical or legal tasks with at least one year of such experience being in an income maintenance program; or graduation from high school and three years of paraprofessional, clerical or other public contact experience which included negotiating, interviewing, explaining information, the gathering and compiling of data, the analysis of data and/or the performance of mathematical or legal tasks; or an equivalent combination of training and experience.