MEDICAL CARE PROGRAM ASSOCIATE III

JobAps; Baltimore, Northern (MD, KY); Hybrid; USD 42,000 - 62,000; Full time

Job summary

JobAps in Baltimore, MD, is seeking the lead paraprofessional in Beneficiary Services/Recipient Relations. You will supervise inquiries from Medical Assistance beneficiaries and coordinate liaison with providers and insurers.

This role requires thorough knowledge of MA policies and the ability to exercise discretion. You will train Medical Care Program Associates and monitor call handling on the 800 hotline to ensure timely issue resolution.

Qualifications

• High school diploma or GED required.
• Three years of clerical experience with policy knowledge in medical care, health insurance, or entitlement programs.
• Notes provide for substitution of education or clerical experience.
• Experience in Medicaid-related policies or programs preferred.

Responsibilities

• Respond to inquiries and complaints from beneficiaries.
• Provide liaison services to health care providers, insurers, or other governmental agencies.
• Oversee and monitor calls on the 800 hotline for Medical Assistance beneficiaries.
• Research and resolve problems related to Medical Assistance program data.

Skills

Staff leadership

Beneficiary liaison

Policy interpretation

Call monitoring

Discretion/Judgment

Education

High School Diploma or GED

Tools

MMIS

HBX

E+E

Job description

Introduction

THIS RECRUITMENT IS LIMITED TO CURRENT MARYLAND DEPARTMENT OF HEALTH EMPLOYEES ONLY.

GRADE

ASTD12

LOCATION OF POSITION

MDH - Office of Eligibility Services
201 W. Preston Street
Baltimore, MD 21201

Main Purpose of Job

This position is the lead level of paraprofessional work in the Beneficiary Services/Recipient Relations Unit, which includes the training of Medical Care Program Associates. Duties include responding to inquiries and complaints from beneficiaries and providing liaison services to health care providers, insurance companies or other governmental agencies. This position is responsible for overseeing and monitoring calls on an 800 hotline for Medical Assistance beneficiaries and researching and resolving any problems presented by the beneficiaries. This position requires a thorough knowledge and demonstrated application of Medical Assistance policies, regulations and guidelines, and requires the exercise of discretion and independent judgment directly related to Medical Assistance Program data and situations.

MINIMUM QUALIFICATIONS

Education: Graduation from an accredited high school or possession of a high school equivalency certificate.
Experience: Three years 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 one year of the required experience.

DESIRED OR PREFERRED QUALIFICATIONS

• Experience directing staff; coaching staff members on improving performance using best practices, supporting staff in providing Medicaid recipients with current and accurate information on a daily basis to achieve program goals;
• Experience accurately applying or interpreting and analyzing Medicaid regulations, policies, and procedures;
• Experience working with a supervisor to manage resources and workflows to ensure operational goals are successfully met
• Experience using multiple data systems including MMIS, HBX and E+E
• Experience with Medical Assistance eligibility and billing
• Experience with Microsoft Excel and Word

LIMITATIONS ON SELECTION

THIS RECRUITMENT IS LIMITED TO CURRENT MARYLAND DEPARTMENT OF HEALTH EMPLOYEES ONLY.

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

STATE OF MARYLAND BENEFITS

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