Claims Examiner 2 (37787)

State of Montana • Helena, MT

1d • Hybrid

About The Position

The Montana Department of Public Health and Human Services (DPHHS) has a career opportunity within the Public Health and Services Division in Helena. This position is with the Chronic Disease Prevention and Health Promotion Bureau working in the Cancer Control Programs. This position is a Claims Examiner and is responsible for paying authorized and approved breast and cervical cancer screening medical claims. This position ensures compliance with federal and state laws concerning these payments and ensuring enrolled medical providers are properly licensed and enrolled in our program.

Requirements

• Knowledge of general accounting principles.
• General knowledge of medical billing and coding terminology.
• Skill in verifying the accuracy of data.
• Ability to plan, organize, gather information, and conduct research.
• Associate’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.

Responsibilities

• Paying authorized and approved breast and cervical cancer screening medical claims.
• Ensuring compliance with federal and state laws concerning these payments.
• Ensuring enrolled medical providers are properly licensed and enrolled in our program.

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: Mid Level
• Education Level: Associate degree
• Number of Employees: 501-1,000 employees