MEDICAL CARE PROGRAM ASSOCIATE I
|Department||MDH Med Care Prgms - Ofc Systems Ops Pharmacy|
|Date Opened||11/28/2017 2:00:00 PM|
|Filing Deadline||2/6/2018 11:59:00 PM|
|Salary||$14.61 - $18.72/hour|
|HR Analyst||Carolyn Chase|
LOCATION OF POSITION
Maryland Department of Health
Office of Systems, Operations, and Pharmacy
201 W. Preston Street
Baltimore, MD 21201
Main Purpose of Job
The main purpose of this position is to process Medicaid claims in the Claims Processing Unit within the Office of Systems, Operations, and Pharmacy at the Maryland Department of Health. The Claims Specialist/Processor is responsible for the accurate and timely front end adjunction of medical claim fees for service inpatient, outpatient facility and professional services. Normal processing includes data entry of the claims, the review and interpretation benefits and edit/audit resolution, claim payment and routing claims for review to OHS for resolution. The employee will follow all state and federal regulations when determining responsible payer, coding of the claims and ensuring that clean claims are filed to each payer. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary. The successful applicant should have experience in Medical Claims Data Entry.
Education: Graduation from an accredited high school or possession of a high school equivalency certificate.
Experience: One year of clerical experience applying policies in a medical care, health insurance or federal or State entitlement program.
1. Additional general clerical experience may be substituted on a year-for-year basis for the required education.
2. Thirty credit hours from an accredited college or university may be substituted for the required experience.
DESIRED OR PREFERRED QUALIFICATIONS
The successful applicant should have experience in Medical Claims Data Entry.
Applicants who meet the minimum qualifications will be evaluated. The evaluation may be a rating of your application based on your education, training and experience as they relate to the requirements of the position. Therefore, it is essential that you provide complete and accurate information on your application. Please report all related education, experience, dates and hours of work. For education obtained outside the U.S., a copy of the equivalent American education as determined by a foreign credential evaluation service must accompany the application. All information concerning your qualifications must be submitted by the closing date. We will not consider information submitted after this date.
Contractual employees who work for an agency covered under the State Employee and Retiree Health and Welfare Benefits Program (the Program), have a current employment contract and work 30 or more hours a week (or on average 130 hours per month) may be eligible for subsidized health benefits coverage for themselves and their dependents. As a contractual employee, you will be responsible for paying 25% of the premiums for your medical and prescription coverage, including any eligible dependents you have enrolled. The State of Maryland will subsidize the remaining 75% of the cost for these benefits. You can also elect to enroll in dental coverage, accidental death and dismemberment insurance, and life insurance, but will be responsible to pay the full premium for these benefits.
Online application process is STRONGLY preferred. If you are having difficulty with your user account or have general questions about the online application system, please contact the MD Department of Budget and Management, Recruitment and Examination Division at 410-767-4850 or Application.Help@maryland.gov. If online process is not available, please send your paper application to: Maryland Department of Health, Recruitment and Selection Division, 201 W. Preston St., Room 114-B, Baltimore, MD 21201. The paper application must be received by 5 pm, close of business, on the closing date for the recruitment, no postmarks will be accepted. Incorrect application forms will not be accepted. If you need to submit additional information, the preferred method is to upload. If unable to upload, please fax requested information only to 410-333-5689. Appropriate accommodations for individuals with disabilities are available upon request by calling: (410) 767-1251 or MD TTY Relay Service 1-800-735-2258. We thank our Veterans for their service to our country, and encourage them to apply. As an equal opportunity employer Maryland is committed to recruiting, retaining and promoting employees who are reflective of the State’s diversity. Should additional information regarding this recruitment be required, please contact the Maryland Department of Health Recruitment and Selection Division at 410-767-1251 or via email at firstname.lastname@example.org.