OPS MEDICAL DISABILITY CASE RECORD SPEC - 64858424

Requisition No: 860083 

Agency: Department of Health

Working Title: OPS MEDICAL DISABILITY CASE RECORD SPEC - 64858424

 Pay Plan: Temp

Position Number: 64858424 

Salary:  $18.40/Hour 

Posting Closing Date: 09/14/2025 

Total Compensation Estimator Tool

DEPARTMENT OF HEALTH

DIVISION OF DISABILITY DETERMINATIONS

 OPEN COMPETITIVE OPPORTUNITY

THIS IS AN OPS POSITION

POSSIBLE MULTI-HIRE OPPORTUNITY

TITLE:  OPS MEDICAL DISABILITY CASE RECORD SPECIALIST

 

POSITION LOCATION: JACKSONVILLE/DUVAL COUNTY

POSITION #:    64858424

SALARY:          $18.40/Hour

 

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 required, to initiate the case receipt, case development, MER authorization and case closure processes, which will produce system-generated letters for MER vendor, claimant and other auxiliaries. Collates and prepares letters for mailing.  Responds and processes edits which may be generated from the system.

Inputs data, following special request procedures for designated CE vendor sources as required, to initiate the CE vendor selection, CE scheduling/rescheduling/cancellation/travel/CE authorization processes which will produce system generated letters for CE vendor, claimant and other auxiliaries.  Collates and prepares letters for mailing. Notifies PRO of CE vendor address changes.

Prepares claimant travel reimbursement packages and submits completed and signed invoice to DDD/Finance and Accounting office for payment.

Validates and manually index faxed MERs received from medical vendor/claimant and other sources.

Monitors CE authorizations in the fiscal queues, reviews note from DDD/Finance and Accounting office and/or adjudicator and updates information, as appropriate.  Faxes CE authoriza