MEDICAL CARE PROGRAM ASSOCIATE III

State of Maryland; Maryland; Sur place; USD 38 000 - 54 000; Plein temps

Résumé du poste

The State of Maryland seeks a lead paraprofessional in the Beneficiary Services/Recipient Relations Unit within the Maryland Department of Health, Office of Eligibility Services, Baltimore.

You will supervise call handling on the 800 Medical Assistance hotline and ensure accurate information is provided to beneficiaries and providers.

Qualifications

• Education: High school graduation or equivalent.
• Three years of clerical experience in medical care, health insurance, or entitlement programs.

Responsabilités

• Lead paraprofessional in Beneficiary Services/Recipient Relations.
• Oversee and monitor 800 hotline calls for Medical Assistance beneficiaries.
• Research and resolve issues for beneficiaries in coordination with providers and agencies.

Connaissances

Staff coaching

Medicaid policy analysis

Resource/workflow management

Data systems

Eligibility & billing

MS Office (Excel/Word)

Formation

High school diploma or GED

Alternative: 30 college credits

Outils

MMIS

HBX

E+E

Microsoft Excel

Microsoft Word

Description du poste

* * 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

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

• Candidates may substitute additional general clerical experience on a year-for-year basis for the required education.
• Candidates may substitute thirty credit hours from an accredited college or university for one year of the required experience.

Desired Or Preferred Qualifications

The desired candidate should possess the following:

• 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.

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