68900232 - OPS SENIOR CLERK

State of Florida; Tallahassee (FL); On-site; USD 32,000 - 36,000; Full time

Job summary

State of Florida's Agency for Health Care Administration seeks an OPS Senior Clerk to support the Medicaid Program Integrity unit. The role handles mail, messages, and inquiries, ensuring accurate communication to staff and underserved populations, including bilingual callers.

Responsibilities include processing mail, coordinating with investigators, and assisting with administrative tasks. Strong communication, organization, and independent work are essential for success in a fast-paced

Qualifications

• Two years of customer service experience.
• Preference for candidates with a high school diploma or equivalent.
• Must successfully complete background and fingerprint screening.

Responsibilities

• Answer and return phone calls on behalf of office employees.
• Take and communicate messages to staff promptly.
• Receive mail and forward documents to staff quickly.
• Collaborate with team members on projects and assignments.
• May perform interpreter duties if bilingual.

Skills

Telephone etiquette

Verbal communication

Written communication

Problem solving

Independent work

Regulatory knowledge

Microsoft Office

Interpersonal skills

Education

High school diploma or equivalent

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Internet Explorer

Job description

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The State Personnel System is an E-Verify employer. For more information click on ourE-Verify Website .

Requisition No:883111

Agency: Agency for Health Care Administration

Working Title: 68900232 - OPS SENIOR CLERK

The Agency for Health Care Administration is Florida's chief health policy and planning entity.

The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000 health care facilities, and empowering consumers through health care transparency initiatives.

Position Overview:

This is a full time OPS position, with regularly scheduled hours of Monday-Friday 8:00 a.m. to 5 p.m.

This OPS Senior Clerk position will be filled at a rate of $16.00 per hour a nd is non-negotiable.

This position does not require travel.

The Agency requires background and fingerprint screening as a condition of employment.

The Florida Medicaid program is one of the top five largest in the country and has an estimated $38 billion annual budget.

Each month Florida Medicaid covers medical services for almost 4 million recipients.

To most effectively serve this large patient population, one of the Agency goals is to ensure fewer budgeted dollars are lost to fraud, abuse, and waste.

The Bureau of Medicaid Program Integrity (MPI) does this specifically through audits and investigations of healthcare providers suspected of engaging in fraudulent or abusive behavior, as well as overpayment recoveries, administrative sanctions, and the referral of suspected fraud or other criminal activities for law enforcement investigation.

Medicaid Program Integrity is a fast-paced bureau that addresses abusive behavior in the Florida Medicaid program to fight fraud, abuse, and waste.

To do this, the highly collaborative and innovative units rely on a team with diverse educational and experience backgrounds.

This position will assist with customer support relating to receiving complaints of alleged abuse or fraud.

The main functions of this position are to process mail and to assist with the administrative duties of the Investigations Unit.

Included in the functions of this position are activities such as:

• Answering and returning phone calls on behalf of office employees.
• Taking and ensuring messages are accurate and communicated to the appropriate staff member in a timely manner.
• Receiving mail and additional complaint documents and forwarding to the appropriate staff member in a timely manner.
• Collaborating with team members on projects and assignments.
• This position serves a large population of Spanish/Creole speaking customers and employee may be required to perform interpreter duties, if bi-lingual.

MPI provides a multitude of training opportunities for all MPI employees to enhance their professional growth.

Benefits of Working for the State of Florida:

Working for the State of Florida is more than a paycheck.

The State’s total compensation package for Other Personal Services (OPS) employees features a highly competitive set of employee benefits including:

• No state income tax for residents of Florida;
• State Group Insurance coverage options (must meet eligibility requirements), including health, life, dental, vision, and other supplemental insurance options;
• 401 (a) FICA Alternative Plan administered through VALIC (tax deferred Retirement Savings Plan);
• Participation in the Florida Deferred Compensation Plan (457b)

OPS employment is a temporary employer/employee relationship used for accomplishing short term or intermittent tasks.

OPS employees are at-will employees and are subject to actions such as pay changes, changes to work assignment, and terminations at the pleasure of the agency head or designee.

OPS employees do not serve probationary periods or become permanent in their positions because they serve at the pleasure of the agency head.

KNOWLEDGE, SKILLS, AND ABILITIES

Ability to handle telephone calls in a courteous and effective manner.

Ability to communicate effectively verbally and in writing.

Ability to solve problems and make decisions based on available information.

Ability to execute projects and assignments timely and accurately within a fast-paced environment.

Ability to work independently.

Ability to review and comprehend applicable federal and state laws, rules, policies, and regulations related to health care and enforcement activities.

Knowledge of standard business formats and styles for letters and business forms.

Knowledge of office procedures and general office equipment.

Knowledge of the Florida Medicaid Program.

Knowledge of Microsoft features including, Word, Excel, Outlook, and Internet Explorer.

Possess investigative skills, research skills, written and oral communication skills, and organizational skills.

MINIMUM QUALIFICATIONS REQUIREMENTS

Two years of customer service experience.

Preference will be given to candidates that have a high school diploma or its equivalent.

LICENSURE, CERTIFICATION, OR REGISTRATION REQUIREMENTS

N/A

CONTACT:

HELEN GUNN 850-412-4626

BACKGROUND SCREENING

It is the policy of the Florida Agency for Health Care Administration that any applicant being considered for employment must successfully complete a State and National criminal history check as a condition of employment before beginning employment, and, if applicable, also be screened in accordance with the requirements of Chapter 435, F.S., and Chapter 408, F.S. No applicant may begin employment until the background screening results are received, reviewed for any disqualifying offenses, and approved by the Agency. Background screening shall include, but not limited to, fingerprinting for State and Federal criminal records checks through the Florida Department of Law Enforcement (FDLE) and Federal Bureau of Investigation (FBI) and may include local criminal history checks through local law enforcement agencies.

Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-866-663-4735). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.

The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.

For assistance, call the People First Service Center at [phone] Monday - Friday, 8:00 a.m. to 6:00 p.m., Eastern time. Pursuant to Florida Law, 110.211 F. S., the State of Florida is an EEO employer.