AccountantExaminer 3 (PN )

Join Our Team!

Accepting applications for Accountant/Examiner 3

The Ohio Department of Developmental Disabilities (DODD) mission is to partner with people and communities to support Ohioans with developmental disabilities and their families in realizing their version of a good life.

Ohio is the heart of opportunity and we envision Ohio as the best place in the nation for people with developmental disabilities to thrive. Our core values reflect our focus on the experience of each person we support:

• Inclusion
• Partnership
• Respect

The Division of Medicaid Development and Administration works with state agency personnel and stakeholders to develop policies related to Medicaid funded services for people with developmental disabilities.

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.

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.

Current Department of Developmental Disabilities OCSEA employees shall receive first consideration pursuant to Article 17 of the collective bargaining agreement.

Hourly wage will be paid at a step 1 unless otherwise specified by collective bargaining agreement or rules outlined in the ORC/OAC.

No additional materials will be accepted after the closing date; in addition you must clearly demonstrate how you meet the minimum qualifications.

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 ourTotal 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.

What will you do

• Reviews & audits billing system transactions (e.g. cost projections & authorizations of waiver costs targeted care management billing nursing services billing) authorized by program offices (e.g. county boards of DD) for compliance with waiver reimbursement department requirements (i.e. Cost Projection Tool (CPT)); reviews projected waiver cost information to authorize payment for waiver services through the MSS MBS FI/VUE360 system or Sandata EVV system; reviews components of cost projections and authorizations upon request for county boards providers DODD Medicaid Staff Ohio Dept. of Job and Family Services &/or for fiscal control reviews & audits; reviews patient liability information as necessary

• Provides guidance and technical assistance to Account Examiner 2s and Customer Service Assistants; researches difficult inquiries & referrals from AE2s &/or Customer Service Assistants utilizing various Medicaid related systems (e.g. Medicaid Services System (MSS) Electronic Medicaid Billing System (eMBS) Payment Authorization of Waiver Services (PAWS) Individual Data System (IDS/LOC) Waiver Management System (WMS) Provider Services Management System (PSM) Developmental Disability Profile (DDP) Acuity Assessment Instrument (AAI) Monthly Rate Calculator (MRC) Medicaid Financial Intermediary System (FI) Medicaid VUE 360 (Interface with FI) SanData EVV system Service Now Ohio Integrated Eligibility System (OhioBenefits or OIES)

• Provides high level technical assistance program assistance & support by telephone e-mail in writing or in person to DODD Medicaid Home & Community Based Services (HCBS) Waiver providers DODD staff County Boards of DD staff recipients &/or family members & general public concerning federal Medicaid regulations Ohio Revised & Administrative Codes policies & procedures status of claims claims processing procedures & system access & security.

• Monitors tracks & takes appropriate action to address help desk response time & other statistics related to customer inquiries;

• Identifies potential areas of need for additional training in the field or for internal staff; identifies ineffective or outdated systemic issues & makes recommendations to management for needed changes to systems procedures &/or policies; creates evaluates &/or revises materials to be distributed &/or posted to the provider billing section of the DODD website; updates various Medicaid related systems with pertinent provider demographic information received upon certification of provider by DODD and Ohio Department of Medicaid.

• Provides basic technical assistance & guidance to Medicaid Services Systems (MSS) users to meet customer service standards; researches & responds to basic inquiries utilizing Medicaid related systems (e.g. MSS eMBS PAWS IDS/LOC PSM DDP AAI MRC Service Now FI/VUE360 Sandata EVV OhioBenefits) & ensures that services authorized through MSS or PAWS accurately flow through to the State Medicaid Billing System

• Reviews cost authorization in the SPA &/or PAWS systems to ensure accuracy; reviews patient liability information for accuracy as necessary; PAWS plans; coordinates technical assistance & response to inquiries with other Medicaid Operational units (e.g. Provider Certification Prior Authorization Waiver Enrollment & other divisions within DODD)

• Ensures cases are tracked using appropriate software & volume of open cases remains at a manageable level; provides appropriate customer service; monitors & analyzes various reports related to claims and billing & takes appropriate action to resolve.

To request a reasonable accommodation due to disability please contact the ADA Coordinator by email at

-Or completion of undergraduate core coursework in accounting or 2 yrs. accounting.

-Or completion of undergraduate core coursework in business administration economics computer science or related field; 16 semester or 24 quarter hours in accounting.

-Or 12 mos. exp. as Accountant/ Examiner 2 66112 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

Professional Skills: Attention to Detail Customer Focus Responsiveness