Disability Case Developer
: Job Details :

ATHENA Consulting is an award-winning staffing firm serving state and local governments. Our mission is to make lives better! We make our Clients' Lives Easier by engaging and supporting our clients and partnering with them to be the most knowledgeable staffing partner. We make our Employees' Lives Better by identifying and cultivating their talents and matching these talents with our customers' needs. ATHENA places a high value on customer service, accountability and getting the job done.

Location: Olyphant, PA

Compensation: $19.23/hour

Schedule: Full-Time, 40 hours/week

Are you detail-oriented, empathetic, and eager to make a real impact in people's lives? Join our team as a Disability Case Developer in Olyphant, PA, where your organizational skills and commitment to helping others can shine.

What's In It for You?

At our organization, we believe in rewarding hard work and dedication. Here's what you'll gain:

• Competitive Pay: Earn $19.23 per hour for meaningful, impactful work.
• Work-Life Balance: Enjoy a consistent, full-time schedule of 40 hours per week Monday through Friday from 10am to 6:00pm.
• Benefits: Full Medical, Dental, and Vision Insurance to take care of your health.
• Medical, Dental and Vision insurance with HSA and FSA options
• 401(k) with matching
• Life insurance
• Employee discount
• Referral program
• Retirement plan
• PTO: 0 - 36 months 15 days / 120 hours; 37 + months 20 days / 160 hours.
• Paid Holidays (12): New Year's Day, Martin Luther King Jr. Day, President's Day, Memorial Day, Juneteenth, Independence Day, Labor Day, Columbus Day, Veterans Day, Thanksgiving, Day after Thanksgiving, Christmas Day
• Professional Growth: Expand your skills in case management and advocacy while building a fulfilling career.
• Supportive Environment: Be part of a team that values empathy, integrity, and teamwork.
• Rewarding Work: Experience the satisfaction of helping individuals secure the support they need to thrive.

Mission Statement:

Equus Workforce ​Solutions read more about them here:

POSITION SUMMARY:

We are currently recruiting for a Disability Case Developer for one of our clients located in Olyphant, PA. This 40 hour per week position pays $19.23 per hour and requires a pre-employment criminal background check and drug testing.

The Disability Case Developer will develop medical files from start to finish for clients applying for Medicaid disability.

RESPONSIBILITIES OF POSITION:

· Develop linkages and collaborate on an ongoing basis with Eligibility Sites to facilitate Medical Assistance Process for persons with disabilities.

· Contact providers acquired from Medicaid Disability Applications to obtain the clients objective medical documentation and complete a Medical Eligibility review for the state of Colorado.

· Will compose letters, correspondence, and memos regarding independent judgment regarding content.

· May compile and analyze information from a variety of sources to assist in the preparation of full case development for Medicaid Disability Determination.

· Data will be utilized in monthly reporting schedules. Must be knowledgeable of procedures and program requirements to respond to inquiries and to explain services, policies, procedures, and rationales to customers, clients, and treating sources for Medicaid Disability Determination.

· Assure thorough development of medical files for clients applying for Medicaid disability through the state of Colorado.

· Maintain accuracy during case development and track diary dates in all stages of case process.

· Contact client within 24 hours to confirm and request additional documentation.

· Send releases for objective medical documentation to treating providers within 48 hours.

· Complete follow up with all providers within 5 business days and log activity.

· If sufficient objective medical documentation is not received within 45 days, schedule a consultative examination for primary impairment.

· Notify client within 24 hours of scheduling consultative examination of details regarding their appointment and request confirmation from them that they will attend.

· Perform necessary follow up with client if confirmation is not received.

· Obtain sufficient objective medical documentation within the 60-day requirement.

· Confer with Disability Review Team Counselors on case-by-case basis regarding documentation and disability and refer case to Disability Review Team.

· Input case results in computer system and send allowance/denial notice to client within 3 days of completion.

· Complete other duties as assigned.

REQUIRED SKILLS AND ABILITIES:

· Bachelor's Degree and medical records background OR equivalent work experience will also be considered.

· Must have excellent phone/people skills and able to work with minimal supervision.

· Must be able to multi-task and work with minimal supervision and have excellent problem-solving skills including researching why records have not been attained.

· Must have excellent computer skills including Microsoft Word & Excel and be able to meet deadlines.

Successful ATHENA employees will display the following characteristics:

• You strive to be the best in your field currently and in the future.
• You like to make your employer look good.
• You find solutions, where others only see problems.
• You are proactive, you make and meet commitments, and you perform your duties exceedingly well.
• You are aware of the employer's needs at all times and are well-versed in what you personally and ATHENA can offer them as a whole.
• You have the ability to work with diverse, integrated, deliverable-driven teams to accomplish the larger mission.

ATHENA Consulting LLC is an Equal Opportunity Employer and Prohibits Discrimination and Harassment of any kind. All Aspects of employment decisions including the decision to hire, promote, discipline or discharge, will be based on business needs, job requirements, individual qualifications and competence and performance, without regards to race, color, nationality, social or ethnic origin, religion or believes, sex, sexual orientation, gender identity or expression, marital, civil or domestic partnership status, age, physical or mental disability, medical condition, genetic information, pregnancy, past or present military service, or any other statuses protected by the law or regulations in the locations where we operate.