Provider Support Call Center

What will you do?

As an Accountant/Examiner 2 in the Medicaid Development & Administration (MDA) Call Center unit, you will be answering call and providing technical assistance & guidance to Medicaid Services System (MSS) users.

You will also be assisting DODD Medicaid Home & Community Based Waiver providers, County Boards of DD personnel with processing eligible Medicare &/or Medicaid claims for reimbursement for patients housed in DODD facilities &/or from service providers &/or county boards on the inbound phone lines.

Tasks of the position include, but are not limited to:

• Receiving inbound calls 6-7 hours of the day
• Researching & responding to basic inquiries utilizing Medicaid related systems
• Providing technical assistance or program assistance to Department of Developmental Disabilities (DODD) Medicaid Home & Community Based Services Waiver providers, other DODD personnel, County Boards of DD personnel, recipients &/or family members & general public concerning payment systems, accessing systems, locations of Ohio Revised & Administrative Codes, policies & procedures, status of claims, claims processing procedures & system access & security
• Coordinating technical assistance & response to inquiries with other Medicaid Operational units
• Ensuring cases are tracked using appropriate software & volume of open cases remains at a manageable level
• Monitoring & reviewing claim submissions for adjudication & through Ohio Administrative Knowledge System (OAKS) for appropriate reimbursement

To request a reasonable accommodation due to disability, please contact the ADA Coordinator by email at [email protected].

Why Work for the State of Ohio

At the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*. For a list of all the State of Ohio Benefits, visit our Total Rewards website! Our benefits package includes:

• Medical Coverage
• Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period
• Paid time off, including vacation, personal, sick leave and 11 paid holidays per year
• Childbirth, Adoption, and Foster Care leave
• Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more)
• Public Retirement Systems (such as OPERS, STRS, SERS, and HPRS) & Optional Deferred Compensation (Ohio Deferred Compensation)

• Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.

Qualifications

24 months' experience in position involving review & processing of claims, collections, billings, payments or review of documents for accuracy, completeness &/or compliance with reporting guidelines, laws or rules with exp. commensurate to duties to be assigned.

• OR 16 semester or 24 quarter hours in accounting AND 12 mos. exp. in accounting or other fiscal/financial activity.

• OR 12 mos. exp. as Accountant/ Examiner 1, 66111, with state government exp. commensurate with duties to be assigned.

• OR equivalent of Minimum Class Qualifications for Employment noted above.

Job Skills: Accounting and Finance, Customer Research, Claims Examination, Computer Literacy, Operation Support, Customer Focus, Listening, Responsiveness, Problem Solving Supplemental Information

• Current Department of Developmental Disabilities OCSEA employees shall receive first consideration pursuant to Article 17 of the collective bargaining agreement.
• No additional materials will be accepted after the closing date; in addition, you must clearly demonstrate how you meet minimum qualifications.
• The final candidate selected for the position will be required to undergo a criminal background check. Rule 5123-2-02, “Background Investigations for Employment,” outlines disqualifying offenses that will preclude an applicant from being employed by the Department of Developmental Disabilities.
• Hourly wage will be paid at step 1, unless otherwise specified by collective bargaining agreement or rules outlined in the ORC/OAC.
• Unusual Working Conditions: May be required to travel

ADA Statement

Ohio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.

Drug-Free Workplace

The State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note, this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting.