Medicaid Services Specialist
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Job Location:
Monthly Salary:
Posted on:
17 hours ago
Vacancies:
1 Vacancy
Job Summary
Introduction
Make a Difference with DHSS
Our mission at the Department of Health and Social Services (DHSS) is to improve the quality of life of Delaware citizens by promoting health and well-being fostering self-sufficiency and protecting vulnerable populations. We prioritize personal and family independence by assisting individuals and families in a variety of life areas.
We offer numerous career opportunities and are dedicated to attracting and retaining highly talented individuals who are ready to make a difference in their community today. DHSS is a great place to kick-start your profession.
For more information please visit today!
Summary Statement
Essential Functions
- Reviews Medicaid policies and procedures with service providers and explains billing procedures.
- Authorizes approval for reimbursements for new equipment based on review of previous approval for similar equipment and in accordance with Medicaid guidelines.
- Conducts training to service providers and medical personnel regarding covered equipment billing and coding procedures.
- Reviews claims submitted by service providers to ensure information is valid and in compliance with regulations.
- Confers with other administrative staff medical consultants and community representatives as necessary to resolve policy and payment issues.
- Initiates and develops guidelines/policies for various Medicaid services and recommends program changes.
- Participates with other administrative staff in conducting program analysis and responding to requests for information from providers government officials and other agencies.
- Revises procedure and coding manuals for use by providers.
Job Requirements
JOB REQUIREMENTS for Medicaid Services Specialist
Applicants must have education training and/or experience demonstrating competence in each of the following areas:
- Six months experience in benefits claims processing such as health dental or life.
- Six Months experience in using an automated information system to enter update modify delete retrieve/inquire and report on data.
- Six months experience in interpreting Medicaid laws rules regulations standards policies and procedures.
- Six months experience in narrative report writing.
- Knowledge of medical terminology.
Conditions of Hire
All new hires are required to report to the Statewide New Employee Orientation (SNEO) on their first day of employment. Sessions are held at designated locations in Kent or New Castle County.
Applicants must be legally authorized to work in the United States. The State of Delaware participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. For more information refer to ourJob Seeker Resources.
DHSS does not provide employment-based sponsorship.
Benefits
To learn more about the comprehensive benefit package please visit our website at Process
The application and supplemental questionnaire are evaluated based upon a rating of your education training and experience as they relate to the job requirements of the position. It is essential that you provide complete and accurate information on your application and the supplemental questionnaire to include dates of employment job title and job duties. For education and training list name of educational provider training course titles and summary of course content. Narrative information supplied in response to the questions must be supported by the information supplied on the application including your employment education and training history as it relates to the job requirements.
Once you have submitted your application on-line all future correspondence related to your application will be sent via email. Please keep your contact information current. You may also view all correspondence sent to you by the State of Delaware in the My Applications tab .
Accommodations
Accommodations are available for applicants with disabilities in all phases of the application and employment process. TDD users may request an auxiliary aid or service by calling or by visiting . You may also call or email for additional applicant services support.
The State of Delaware is an Equal Opportunity employer and values a diverse workforce. We strongly encourage and seek out a workforce representative of Delaware including race color religion age sex national origin disability status genetics protected veteran status sexual orientation gender identity or expression.
Required Experience:
IC
Key Skills
- Criminal Justice
- Account Payable
- Economics
- Front End
- Facilities Management
- Domestic
About Company
The official website of the State of Delaware. Find information about state government, programs, and services. The First State is located in the Northeast U.S.
