Benefits Case Worker

Full time positions are complimented with a wealth of benefits to include comprehensive health benefits, paid parental leave, generous paid time off, tuition and student loan assistance, employer retirement contributions, and much more! 

Essential Job Functions

• Collaborate with DGV/CLA QIDPs to manage and maintain health care and supplemental insurances for residents.
• Assist DGV/CLA Client Account Managers and billing coordinators in managing and maintaining government-issued incomes for residents.
• Resolve eligibility and enrollment issues as they arise.
• Support the Social Security benefits application process as needed and facilitate Social Security, Medicare/Medicaid appeals.
• Work with Client Account Managers during admissions to identify changes in benefits status.
• Assist Client Account Managers in identifying and applying for additional benefits for individuals.
• Support Assistant Controller in managing PA Able and Special Needs Trust Accounts.
• Collaborate with Client Account Managers to monitor client fund balances and alert QIDPs when action is necessary.
• Act as a conduit for information related to client benefits throughout The Communities of Don Guanella and Divine Providence to optimize benefits.
• Maintain a positive work atmosphere in accordance with our Mission and Core Values.
• Fulfill mandatory reporter responsibilities.
• Attend regularly scheduled Supervision and Stand-Up meetings.

Other Job Functions

• Adheres to all policies, procedures, and training expectations of the Developmental Programs Division, as well as the requirements set forth by the Department of Health, Department of Public Welfare, and their respective facilities.
• Perform other duties as assigned by supervisors.

Knowledge/Skills/Abilities

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Bachelor’s degree in business, special education, psychology, rehabilitation, social work, or other Intellectual and Developmental Disability (IDD) field with a minimum of two (2) years of experience in healthcare, benefits administration, or a related role.
• Knowledge of Social Security, Medicaid/Medicare benefits.
• Must be detail oriented, have good problem-solving skills, organizational skills, and must have exceptional interpersonal and communication skills.
• Ability to successfully pass and maintain acceptable background checks – FBI, PA Child Abuse, and PA State Police Criminal History.
• A valid US Driver’s License is required. Attaining approved driver status for the organization is required.

Supervisory Responsibilities:

This position does not include any direct supervisory responsibilities.

Reasoning Ability:

Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form; ability to deal with problems involving several concrete variables in standardized situations.

Computer Skills:

Working knowledge of computers and be willing to learn the software programs used by the State and other governing agencies (e.g., HCSIS, Enterprise Incident Management System) and other internal systems. Must be proficient in Windows Operating Systems and Microsoft Office applications (e.g., Outlook, Word, Excel, PowerPoint, etc.)

Work Environment:

While performing the duties of this job, the employee will be required to work in a variety of settings and environments and has a low exposure risk to adverse weather conditions.

The noise level in the work environment is usually moderate.

Must be available to work flexible hours and is expected to come in at various times depending upon workload and business needs.

Physical Demands:

The employee must regularly lift and /or move up to 10 pounds, occasionally lift and/or move up to 50 pounds with assistance.

Specific vision abilities required by this job include Close vision, Distance vision, Peripheral vision, Depth perception and Ability to adjust focus.

While performing the duties of this job, the employee is regularly required to stand for extended periods of time; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is frequently required to walk and sit.

Hazards:

While performing the duties of this job, the employee may face low exposure risks to blood borne pathogens, with a low exposure risk to hazardous materials.

 ** Equal Opportunity Employer M / F / D / V **