MEDICAL CARE PROGRAM ASSOCIATE I (FULL-TIME CONTRACTUAL)

State of Maryland; Baltimore (MD); Hybrid; USD 35,000 - 45,000; Full time

Job summary

The State of Maryland is seeking a full-time contractual position to provide liaison services within Medicaid Provider Services. This role includes resolving claims-related inquiries in a call center setting and requires a background in health care clerical work. Successful candidates will have effective communication skills and the ability to work independently in a hybrid environment.

Benefits

Subsidized health benefits

Leave benefits

Qualifications

• Graduate from an accredited high school or equivalent.
• One year of clerical experience applying policies in health care.
• Experience collaborating with teams is preferred.

Responsibilities

• Provide liaison services for Medicaid claims inquiries.
• Resolve complex paper claims issues.
• Communicate effectively with various stakeholders.

Skills

Clerical experience

Customer service

Time management

Independence

Education

High school diploma or equivalent

Job description

GRADE

ASTD10

LOCATION OF POSITION

MDH - Medicaid Provider Services-Institutional PRU
201 W. Preston Street
Baltimore, MD 21201

Main Purpose of Job

The main purpose of this full-time contractual position is to provide liaison services to the various Maryland Department
of Health (MDH) and other administrations, Long Term Care, Acute Hospital, Hospice and Home Health
Provider Community with matters related to claims payments. This position functions within a call
center environment and will serve as a primary information resource for the provider community and
its fiscal representatives that make inquiries and register complaints regarding the paper billing policy
and procedures affecting the payment of claims. This position is responsible for applying and
interpreting Medical Assistance regulations and policies regarding fee for claims payment, facility inpatient and outpatient services covered by the program. This position must resolve, and process
complex paper claims problems related to claims nonpayment errors. In addition, this position must
be able to exercise a significant degree of independence of action and decision making with the
ability to communicate with managers, various MDH/DHS administrations/units, providers and
vendors as well as other duties, responsibilities and qualifications may be required and/or assigned
as necessary.


This position may operate in a hybrid manner, meaning job duties will be performed
both remotely and on-site (e.g., 80% remote, 20% onsite), based on the designated telework
schedule/plan that best fits the unit and or otherwise directed by the Appointing Authority.

MINIMUM QUALIFICATIONS

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.
Notes:
1. Candidates may substitute additional general clerical experience�on a year-for-year basis for the required education.
2. Candidates may substitute thirty credit hours from an accredited college or university�for the required experience.

DESIRED OR PREFERRED QUALIFICATIONS

The desired candidates should possess the following:



Experience using SOPs and working independently, asking questions where warranted.
Experience collaborating with internal teams and external stakeholders, providing quality customer service.
Experience using time management effectively.

SELECTION PROCESS

Applicants who meet the minimum (and selective) qualifications will be included in further evaluation. 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.�Clearly indicate your college degree and major on your application, if applicable. For education obtained outside the U.S., any job offer will be contingent on the candidate providing an evaluation for equivalency by a foreign credential evaluation service prior to starting employment (and may be requested prior to interview).�
Complete applications must be submitted by the closing date.�Information submitted after this date will not be added.�
Incorrect application forms will not be accepted.�Resumes will not be accepted in lieu of a completed application.
Candidates may remain on the�certified eligible list for a period of at least one year. The resulting certified eligible list for this recruitment may be used for similar positions in this or other State agencies.

BENEFITS

Contractual employees who work for an agency covered under the State Employee and Retiree Health and Welfare Benefits 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.
Leave may be granted to a contractual employee at a rate of one hour for every 30 hours worked, not to exceed 40 hours per calendar year.

FURTHER INSTRUCTIONS

Online applications are highly recommended. However, if you are unable to apply online,�the paper application (and supplemental questionnaire) may be submitted to MDH, Recruitment and Selection Division, 201 W. Preston St., Room 114-B, Baltimore, MD 21201.�Paper application materials must be received by 5 pm, close of business, on the closing date for the recruitment, no postmarks will be accepted.
If additional information is required, the preferred method is to upload.� If you are unable to upload, please fax the requested information�to 410-333-5689.�Only additional materials that are required will be accepted for this recruitment. All additional information must be received by the closing date and time.
For questions regarding this recruitment, please contact the�MDH Recruitment and Selection Division at 410-767-1251.
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�[e-mail].�
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.
People with disabilities and bilingual candidates are encouraged to apply.
As an equal opportunity employer, Maryland is committed to recruitment, retaining and promoting employees who are reflective of the State's diversity.
MDHMedCare