Applying for:

This is a professional administrative support position responsible for assisting the Integrated Health Team in the coordination of behavioral and mental health/substance abuse services for children through the Medicaid Managed Care Plan.

Essential Functions:

• Establish and maintain positive working relationships with HFC customers

• Perform routine administrative functions, drafting correspondence, scheduling appointments, organizing and maintaining electronic files

• Assist case managers, foster parents, caregivers and medical offices with Medicaid inquiries for access to Medicaid services

• Responsible for ensuring there is no lapse in coverage from notices provided by Agency for Health Care Administration for children with open child welfare cases

• Notify HFC REVMAX Specialists with insurance reinstatements for youth

• Review medical bills, research coverage and forward to appropriate designee

• Complete necessary primary care physician changes to ensure children receive appropriate medical care

• Utilize data systems (FSFN, FLMMIS, DOH Immunization Portal, PRO, JJIS) to review information, pull reports and enter updates when applicable  

• Communicate with medical offices to coordinate timely appointments, as necessary

• Coordinate distribution of all member ID cards, handbook or other notifications to case managers

• Maintain relationships with insurance company representatives and provided necessary documents for change requests and provide assigned case manager information to Care Management teams     

• Complete medicaid managed plan changes via the medicaid member portal or customer service line for caregivers and case management

• Upload Multi-Disciplinary Team staffing notes, Suitability Assessment recommendations and medical records into data systems (FSFN and internal data systems)

• Provides case manager assignment to Lakeland Regional Health and Peace River Baker Act facilities

• Provide parents, caregivers and case managers with guidance and support when navigating Medicaid Plan Portals for creating profiles

• Monitors phone calls and forwards to correct HFC team, CMO or CBC

• Assists IH team by searching for medical providers

• Orders department supplies

• Perform special projects as assigned

Required Qualifications: