OPS MEDICAL DISABILITY CASE RECORD SPEC - 64801636

Requisition No: 842907 

Agency: Department of Health

Working Title: OPS MEDICAL DISABILITY CASE RECORD SPEC - 64801636

 Pay Plan: Temp

Position Number: 64801636 

Salary:  $17.85 per hour 

Posting Closing Date: 12/21/2024 

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DEPARTMENT OF HEALTH

DIVISION OF DISABILITY DETERMINATIONS

OPEN COMPETITIVE OPPORTUNITY

OPS POSITION

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TITLE: OPS MEDICAL DISABILITY CASE RECORD SPECIALIST

 

POSITION LOCATION: TALLAHASSEE / LEON COUNTY (CAIII Position)

POSITION #:    64801636

SALARY:         $17.85/HR

 

Your Specific Responsibilities:

The incumbent is responsible for the routine technical electronic records management activities relating to Social Security and Medically Needy disability claims. This includes receipt from the Social Security field offices and Department of Children and Families (Medically Needy cases), reviewing claims that are initialized through the automated claims process, initial review, pre-development, and assignment of disability claims.  This requires the ability to comprehend written and electronic documents including a basic knowledge of medical terminology and comprehension of regulatory policies; ability to make independent case processing decisions’ knowledge of the multiple case processing systems (i.e., Social Security Administration (SSA) system (Legacy system), PCOMM and eView); and  the skill  and ability to review and organize electronic documents.  The following outlines specific duties assigned.

Initiates, develops, and maintains the electronic record management activities involved with the Case Coding, Consultative Examination (CE), and/or Medical Evidence of Record (MER) processes.  All required information must be reviewed in the appropriate systems  for completeness and accuracy and documented on the Electronic Worksheet (EWS) when appropriate.

 

Conducts the initial file review upon receipt of claim.  Reviews disability claim to determine completeness of file. Reviews medical disability and associated medical documents to determine if additional documentation needed, i.e., Medical Evidence Records (MER) all accounted for to support disability claim, initiates requests for MER (Case receipts, CE requests, claimant/MER source information) received from SSA offices/components/medical vendors or other Disability Determination Services (DDS) offices.  Reviews claim type(s) and paper folder indicators in eView and the previous case type and paper folder indicators in the Legacy system when necessary prior to receipting.  Inputs appropriate system flags for  “special” claim type in Legacy system and notates such in the Case Inquiry comment line.  Obtains queries from the National DDS system database to verify on-line information as needed using the Legacy system prior to receipting.  Copies medical evidence from the electronic folder to create a paper file when necessary.

 

Inputs data, following special request procedures for designated MER vendor sources as requir