Claims Examiner 2 (07070)

State of Montana • Helena, MT

9h

About The Position

To be considered for this position you must complete the state application and attach all required documents through the Montana State Careers site at www.statecareers.mt.gov
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 Montana's 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) program. In 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.

Requirements

• Knowledge of general accounting principles.
• General knowledge of medical billing and coding terminology.
• Skill in verifying the accuracy of data.
• Bachelor’s degree in accounting, business administrative, finance, economics, or a closely related field.
• One year of experience in healthcare claims processing.

Nice To Haves

• Medical coding certification preferred.
• Other combinations of related education and experience may be considered on a case-by-case basis.

Responsibilities

• resolution of disputed claims provided to Medicaid recipients by providers
• ensures compliance with state and federal laws concerning the Medicaid claims and any related issues
• responsible for monitoring and verification of staffing/occupancy reports and any deficiencies

Benefits

• healthcare coverage
• retirement plans
• paid vacation
• sick leave
• holidays
• work/life balance
• eligibility to participate in the Public Service Loan Forgiveness (PSLF) program

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level