Departmental Technician 7-E9 - HSA Other Insurance Claims Unit

Full Job Description

This position is responsible for conducting studies and research on primary resources coverage and analyzing available components to determine the Primary Payer of medical claims submitted to Medicaid for payment. The required interpretation of commercial insurance policies, Medicare policies and regulations, and Medicaid policies is complex in nature as there are no exact written instructions that assist the technician with making the decision to pay, reject, or refer Medicaid claims. The technician will review changes with the State of Michigan health policies and federal initiatives and revise business processes to accommodate changes. This position will assist the monitoring and maintenance of the Medicaid Management Information System (CHAMPS) by identifying system errors and participating in User Acceptance Testing of system defects and enhancements related to edit logic changes.

Position Description
Job Specification

To be considered for this position you must:

• apply for this position online via NEOGOV; click on "Apply" in the job posting for instructions on submitting your electronic application. Hard copy applications are not accepted.
• relevant experience and/or education referred to in supplemental questions must be documented in resume, transcript and/or application to allow for accurate screening.
• attach a resume identifying specific experience and dates of employment. Dates of employment should include month and year and hours per week.
• attach a cover letter.

if applicable, attach a copy of an official transcript(s). We accept scanned copies of official transcripts. We do not accept web-based, internet, or copies of unofficial transcripts.

Official transcripts provide the name of the institution, confirmation that a degree was awarded and on what date, and the registrar's signature.

• attach a response to the following: Please describe your knowledge and/or experience in Medicaid, commercial insurance policies, your understanding of medical documentation and current procedural terminology procedure codes.

Failure to complete any of the above items may result in your application not being considered. See instructions for attaching files here: Instructions

Requirements

Education

Education typically acquired through the completion of high school.

Experience
Departmental Technician 7

One year of experience performing experienced-level administrative support activities equivalent to the 7-level in state service.

Departmental Technician 8

One year of experience as a technician or paraprofessional equivalent to the entry level in state service.

OR

One year of experience performing administrative support activities equivalent to the 8-level in state service.

Departmental Technician E9

Two years of experience as a technician or paraprofessional, including one year of experience equivalent to the intermediate level in state service.

OR

One year of experience performing advanced secretarial or supervisory administrative support activities equivalent to the 9-level in state service.

Qualifications

Departmental Technician 7

Additional Information

The physical location of this position is 400 S. Pine St., Lansing, MI. Based on operational needs and within established limits, remote work and alternate or hybrid work schedule requests for this position may be considered.

Selected candidates who have been approved to work remotely or a hybrid schedule must complete that work within Michigan. Candidates should confirm work location and schedule at the time of interview.

Employees will be provided computers to perform state work. Phones may also be provided for necessary communications. If working remotely, employees will be responsible for providing other components of a remote office at their own expense, including:

• A secure work location that allows privacy and prevents distractions.
• A high-speed internet connection of at least 25 Mbps download and 5 Mbps upload.
• Suitable lighting, furniture, and utilities.

The use of artificial intelligence (AI) software of any kind is prohibited in all areas of the selection process; including, but not limited to, responses to application questions, and responses to interview questions or exercises.

If you previously held status in this classification and departed within the last three (3) years, please contact Human Resources regarding your interest in a potential reinstatement. Reinstatement is not guaranteed or required.

Your application for any position does not guarantee you will be contacted by the Department/Agency for further consideration. Only those applicants interviewed will be notified of the results.

As a Condition of Employment: this position requires successful completion of a background investigation and a criminal records check.

The Department of Health & Human Services reserves the right to close this posting prior to its original end date once a sufficient number of applications have been received.

For information about this specific position, please email MDHHSVacancies@michigan.gov. Please reference the job posting number in subject line.

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