Medical Disability Case Record Specialist

2 weeks ago

Miami, Florida, United States My Florida Corp Defunct Full time
Job Summary

We are seeking a highly skilled Medical Disability Case Record Specialist to join our team at the Department of Health. As a key member of our team, you will be responsible for managing electronic records related to Social Security and Medically Needy disability claims.

Key Responsibilities
  • Initiate, develop, and maintain electronic record management activities involved with Case Coding, Consultative Examination (CE), and/or Medical Evidence of Record (MER) processes.
  • Conduct initial file reviews, determine completeness of files, and review medical disability and associated medical documents to determine if additional documentation is needed.
  • Input data into system flags for special claim types and notate in Case Inquiry comment lines.
  • Obtain queries from National DDS system database to verify online information as needed.
  • Collate and prepare letters for mailing, respond to and process edits generated from the system.
  • Prepare claimant travel reimbursement packages and submit completed and signed invoices to DDD/Finance and Accounting office for payment.
  • Validate and manually index faxed MERs received from medical vendors/claimants and other sources.
  • Monitor CE authorizations in fiscal queues, review notes from DDD/Finance and Accounting office and/or adjudicators, and update information as needed.
  • Assist adjudicators with outstanding CE/MER authorizations and update exam/authorization status as needed.
  • Monitor and process clerical follow-up requests and updates in Legacy system.
  • Complete closure process on completed claims, including proper coding/electronic input into Legacy system and ensuring paper files are appropriately routed.
Requirements
  • Knowledge of and ability to operate general office automation equipment, including personal computers, fax machines, copiers, printers, and scanners.
  • Knowledge of SSA computer system and ability to generate MER and CE, process electronic invoices, schedule CEs, scan documents, and load/input into electronic databases.
  • Ability to analyze and gather information through review of files and identify missing/needed documentation.
  • Ability to read and apply applicable regulatory policies, procedures, and guidelines.
  • Ability to communicate effectively in writing and verbally.
  • Basic knowledge of medical terminology.
Qualifications
  • General office or academic experience with data entry.
  • Ability to determine work priorities, assign work, and ensure proper completion of work assignments.
About Us

The Department of Health is committed to protecting, promoting, and improving the health of all people in Florida through integrated state, county, and community efforts. We are an equal opportunity employer and do not tolerate discrimination or violence in the workplace.

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