Program Consultant Social Services
Job Location:
Baton Rouge, LA - USA
Monthly Salary:
Posted:
Application Deadline:
Vacancies:
Job Summary
- About this Job
- Department MISSIONDCFS is working to keep children safe helping individuals and families become self-sufficient and providing safe refuge during disasters.Department VISIONWe care for the well-being and safety of Louisianas people.Department VALUESTreating all people with dignity compassion and respect while providing services with integrity.
At The Department of Children and Family Services our mission is to empower communities and improve lives by delivering responsive inclusive and forward-thinking public services. We are proud to serve the people of Louisiana with integrity innovation and a deep commitment to equity.
Join Our Team at DCFS:Program Consultant- Social Services
The incumbent serves as a Medicaid claims and reimbursement program consultant responsible for supporting DCFS efforts to ensure appropriate billing payment and cost allocation across Medicaid and non-Medicaid funding sources. The position evaluates claims processing reimbursement pathways and denial trends and supports system-level improvements to maximize appropriate Medicaid funding and ensure compliance with federal and state requirements.
Candidates with the following skills and experiences are encouraged to apply:
Knowledge of Medicaid managed care claims processing billing systems and reimbursement methodologies
Knowledge of healthcare financing cost allocation and funding streams (e.g. Medicaid IV-E)
If youre driven collaborative and ready to make an impactthis could be the opportunity for you!
This posting may be used to fill multiple vacancies. - Minimum Qualifications
Six years of experience in administrative services public health social services or health services; OR
Six years of full-time experience in any field plus three years of experience in administrative services public health social services or health services; OR
A bachelors degree plus three years of experience in administrative services public health social services or health services; OR
An advanced degree in a social science field public health counseling social work rehabilitation services business public or health administration or Juris Doctorate plus two years of experience in administrative services public health social services or health services.
EXPERIENCE SUBSTITUTION:
Every 30 semester hours earned from an accredited college or university will be credited as one year of experience towards the six years of full-time work experience in any field. The maximum substitution allowed is 120 semester hours which substitutes for a maximum of four years of experience in any field.- Job Specification
The official job specifications for this role as defined by the State Civil Service can be found here.
- Job Duties and Other Information
Job Duties:
- Reviews denied unpaid or disputed medical and behavioral health claims to determine appropriate payment responsibility
- Maintains and supports systems for tracking claims status payments and outstanding issues
- Compiles and analyzes data for reporting to DCFS leadership and partner agencies
- Provides consultation on claims processing Medicaid coverage and billing procedures
- Communicates with DCFS staff providers and partners to clarify billing and payer responsibilities
- Participates in interagency meetings to address claims-related challenges and process improvements
- Identifies trends patterns and areas for financial and operational improvement
Appointment Type: This position may be filled as a probational appointment or a job appointment that may last up to 48 months. Job appointments may convert to probational appointments. Also it may be filled as a detail and promoted within 12 months or by promotion of a permanent classified employee.
Work Schedule: Typically work hours are 8:00 am to 4:30 pm Monday Friday. Flexible work schedules are available after meeting certain criteria and is dependent upon the position you are applying for. Some positions require working shifts.
Work Location:This vacancy is located in Baton Rouge LA.How To Apply:
No Civil Service test score isrequired in order to be considered for this vacancy.
To apply for this vacancy click on the Apply link above and complete an electronic application which can be used for this vacancy as well as future job opportunities. Applicants are responsible for checking the status of their application to determine where they are in the recruitment process. Further status message information is located under the Information section of the Current Job Opportunities page.
* Information to support your eligibility for this job title must be included in this application (i.e. relevant detailed experience/education). Resumes will notbe accepted in lieu of completed education and experience sections on your application. Applications may be rejected if incomplete.
Contact Information:
For additional information about this vacancy please contact:
Eulanda Batiste
DCFS is an Equal Opportunity Employer and Louisiana is a State as a Model Employer (SAME) that supports the recruitment hiring and retention of individuals with disabilities.
Required Experience:
Contract
