Health Financial Resource Specialist (PN 20014055 & PN 20014054)

State of Ohio•Columbus, OH

About The Position

The Complex Medical Help program is seeking to fill two Health Finance Resource Specialist positions. These roles are crucial for providing support to families and providers by evaluating financial eligibility and connecting individuals to essential health care resources and programs. The Ohio Department of Health (ODH) is dedicated to advancing the health and well-being of all Ohioans, striving to build a modern, vibrant public health system where all Ohioans can flourish. The Bureau of Maternal, Child, and Family Health (BMCFH) is structured to support families by enhancing birth outcomes and improving the health status of women, infants, children, and youth, including those with complex health care needs. The bureau's programs leverage data and proven practices to facilitate direct services, linkages and referrals, population-based supports, program evaluation, education, monitoring and quality oversight, and policy and systems development.

Requirements

Formal education in arithmetic that includes fractions, decimals & percentages
12 months training or 12 months experience in budgeting
12 months training or 12 months experience in public relations
6 months training or 6 months experience in interviewing
Official educational transcripts are required for all post-high school educational accomplishments, coursework or degrees claimed on the application. Applicants will be required to submit an official transcript prior to receiving a formal offer of employment. Failure to provide transcripts within five (5) working days of being requested will cause the applicant to be eliminated from further consideration.

Nice To Haves

Associate's or advanced degree in Accounting or Finance
Experience in determining financial eligibility for government programs (e.g., Medicaid, Title 20, food stamps)
Experience providing technical assistance or consultation to customers
Experience reviewing medical expense reports, out of pocket payments and determining validity of expense for cost sharing
Experience with various categories of Medicaid and providing direct referrals of clients as appropriate
Experience working with Provider Network Management (PNM) system
Experience coordinating private health insurance and other third-party resources to determine payment responsibility

Responsibilities

Review and evaluate financial applications, documentations and eligibility criteria for health assistance programs.
Determine financial eligibility and cost share responsibilities for applicants and recipients.
Analyze income, insurance, and demographic information to support accurate eligibility decisions.
Communicate with families to request additional information, clarify requirements, and guide them through the application process.
Coordinate referral to appropriate local, state, and federal assistance programs and community resources.
Collaborate with internal staff, healthcare providers, and external agencies to support access to services.
Enter and maintain accurate data in automates eligibility and case management systems.
Monitor applications compliance and ensure adherence to program policies and guidelines.
Review reconsideration requests and provide recommendations to leadership.
Educate families, providers, and partner organizations on program eligibility, processes and available resources.
Maintain up-to-date knowledge of applicable programs, regulations and resource networks.

Benefits

Medical Coverage
Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period
Paid time off, including vacation, personal, sick leave and 11 paid holidays per year
Childbirth, Adoption, and Foster Care leave
Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more)
Public Retirement Systems ( such as OPERS, STRS, SERS, and HPRS ) & Optional Deferred Compensation ( Ohio Deferred Compensation )

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