Medical Care Program Associate II (Repost)

State Of Maryland

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profile Job Location:

Baltimore, MD - USA

profile Yearly Salary: $ 54058 - 74722
Posted on: 5 hours ago
Vacancies: 1 Vacancy

Job Summary

GRADE

ASTD11

LOCATION OF POSITION

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

Main Purpose of Job

This position under the direction of MDH Office of Eligibility Services (OES) Eligibility Determination Division (EDD) has the responsibility for reviewing and determining specialized financial and technical eligibility for individuals statewide applying for Home and Community Based Waivers (HCBS) Services Institutions for Mental Disease Employed Individuals with Disabilities (EID) Family Planning and Affordable Care Act (ACA) Modified Adjusted Gross Income (MAGI) Medicaid programs. This position is responsible for completing initial determinations redeterminations and interim changes in accordance with regulations policies and procedures and for maintaining ongoing case management for these programs. Duties for staff assigned to EID include some fiscal responsibilities such as premium calculation creation of invoices and day to day tracking of premium collections.

Examples of work include:
  • Communicate with customers authorized representatives and various agencies and organizations via telephone fax and e-mail to conduct interviews to verify financial and technical information in order to process Medicaid applications and redeterminations.
  • Determine eligibility timely in accordance with policies and procedures. Complete appropriate forms and ensure appropriate notices are mailed.
  • Determine eligibility accurately in accordance with policies and procedures as measured by SRS reviews customer complaints and appeals.
  • Ensure that interim changes are completed timely and accurately in accordance with policies and procedures.
  • Ensure databases and tracking systems have current and accurate information for tracking and reporting purposes.
  • Submit daily productivity reports for compilation of unit production and accountability purposes.

MINIMUM QUALIFICATIONS

Education: Graduation from an accredited high school or possession of a high school equivalency certificate.

Experience: Two 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 experienceon 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.

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 it is essential that you provide complete and accurate information on your report all related education experience dates and hours of 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 submitted after this date will not be added.

Incorrect application forms will not be will not be accepted in lieu of a completed application.

Candidates may remain on thecertified 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

FURTHER INSTRUCTIONS

Online applications are highly recommended. However if you are unable to apply onlinethe paper application (and supplemental questionnaire) may be submitted to MDH Recruitment and Selection Division 201 W. Preston St. Room 114-B Baltimore MD 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 informationto .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 theMDH Recruitment and Selection Division at .

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 or.

Appropriate accommodations for individuals with disabilities are available upon request by calling: or MD TTY Relay Service 1-.

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 States diversity.

MDHMedCare


Required Experience:

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GRADE ASTD11 LOCATION OF POSITION MDH - Office of Eligibility ServicesEligibility Determination Division201 W. Preston StreetBaltimore MD 21201Main Purpose of Job This position under the direction of MDH Office of Eligibility Services (OES) Eligibility Determination Division (EDD) has the...
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