Claims Examiner 2 (07070)
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Job Location:
Helena, MT - USA
Monthly Salary:
Not Disclosed
Posted on:
16 hours ago
Vacancies:
1 Vacancy
Job Summary
State government does not discriminate based on race color national origin religion sex sexual orientation gender identity or expression pregnancy childbirth or medical conditions related to pregnancy or childbirth age physical or mental disability genetic information marital status creed political beliefs or affiliation veteran status military service retaliation or any other factor not related to merit and qualifications of an employee or applicant.
To be considered for this position you must complete the state application and attach all required documents through the Montana State Careers site at
The Montana Department of Public Health and Human Services (DPHHS) has a career opportunity within the Senior & Long Term Care Division Nursing Facility Services.
This position is responsible for the resolution of disputed claims provided to Medicaid recipients by providers. This position ensures compliance with state and federal laws concerning the Medicaid claims and any related issues. This position is responsible for monitoring and verification of staffing/occupancy reports and any deficiencies.
Why Join DPHHS
Our mission at DPHHS is serving Montanans in their communities to improve health safety well-being and empower independence. By joining our department you will have the opportunity to perform meaningful work in public service to our state and its residents.
The State of Montanas comprehensive benefits package includes healthcare coverage retirement plans paid vacation sick leave and holidays work/life balance and eligibility to participate in the Public Service Loan Forgiveness (PSLF) addition DPHHS is the largest state agency with a wide range of advancement opportunities whether you are joining the workforce or have several years of experience.
Qualifications for this Career Opportunity
Knowledge of general accounting principles.
General knowledge of medical billing and coding terminology.
Skill in verifying the accuracy of data.
Meet minimum qualifications:
Bachelors degree in accounting business administrative finance economics or a closely related field.
One year of experience in healthcare claims processing.
Medical coding certification preferred.
Other combinations of related education and experience may be considered on a case-by-case basis.
How to Apply
To be considered for a DPHHS position submit the following required documents with your application on the State of Montana Careers website. When submitting the required documents you must check the relevant document box to ensure your attachments are uploaded correctly to your application for this position.
Resume
Successful applicants will be subject to background checks relevant to the position and must pass reference checks before an offer will be extended. DPHHS is an equal opportunity employer. Women minorities and people with disabilities are encouraged to apply. For a copy of the full job description or if you need a reasonable accommodation in the application or hiring process contact DPHHS Human Resources listed below.
Additional Information
This position is a mandatory reporter of suspect abuse neglect or exploitation of individuals over the of 60 and those with disabilities over the age of 18.
This position may be eligible for partial teleworkwithin the state of conditions will be provided by the supervisor and must adhere to state policy.
This position may be eligible for a statutory $1.00 an hour base pay increase effective July 1 2026.
Key Skills
- Auditing
- GAAP
- Military Experience
- Phlebotomy
- Conflict Management
- Vital Signs Experience
- Computer Forensics
- Research Experience
- Securities Law
- Operating Systems
- PTSD Care
- RMF
About Company
The Montana Department of Labor & Industry wants to help both employees and employers to be happy on the job. We take seriously our mission to promote and protect the well-being of Montana's workers, employers and citizens, and to uphold their rights and responsibilities. Our agenc ... View more
