New job Accountant/Examiner 2 (P.N. 20079745) in Ohio
Accountant/Examiner 2 (P.N. 20079745)
Company : State of Ohio Jobs
Salary : $19.15 an hour
Location : Ohio
Full Description
Primary Location: United States of America-OHIO-Franklin County-Columbus
Work Locations: James A Rhodes Office Tower 13 30 East Broad Street 13th Floor Columbus 43215
Organization: Developmental Disabilities - Central Office
Classified Indicator: Classified
Bargaining Unit / Exempt: Bargaining Unit
Schedule: Full-time
Work Hours: 8:00 a.m. - 5:00 p.m.
Compensation: $19.15
Unposting Date: Jun 21, 2021, 10:59:00 PM
Job Function: Customer Service
Job Level: Individual Contributor
Agency Contact Name: Ohio Department of Developmental Disabilities/Division of Human Resources
Agency Contact Information: (614) 466-2508
Accountant/Examiner 2 (P.N. 20079745)
(210003XW)
Job Duties
Current Department of Developmental Disabilities OCSEA employees shall receive first consideration pursuant to Article 17 of the collective bargaining agreement.
Hourly wage will be paid at step 1, unless otherwise specified by collective bargaining agreement or rules outlined in the ORC/OAC.
Assists DODD Medicaid Home & Community Based Waiver providers & County Boards of DD personnel with processing eligible Medicare &/or Medicaid claims for reimbursements for patients housed in DODD facilities or from service providers &/or county boards; provides technical assistance & guidance to Medicaid Services System (MSS) users: researches & responds to basic inquiries utilizing Medicaid related systems (e.g., MSS, Medicaid Billing System (MBS), Payment Authorization for Waiver Services (PAWS), Individual Data Systems (IDS), Waiver Management System (WMS), Provider Services Management (PSM), Developmental Disability Profile (DDP), Acuity Assessment Instrument (AAI), Daily Rate Application (DRA)/Monthly Rate Calculator (MRC)) & provides technical assistance, program assistance & training by telephone, in writing, email or in person to Department of Developmental Disabilities (DODD) Medicaid Home & Community Based Services Waiver providers, other DODD personnel, County Boards of DD personnel, recipients &/or family members & general public concerning federal Medicaid regulations, Ohio Revised & Administrative Codes, policies & procedures, status of claims, claims processing procedures & system access & security; coordinates technical assistance & response to inquiries with other Medicaid Operational units (e.g., Provider Certification, Prior Authorization, Waiver Enrollment & other divisions within DODD); ensures cases are tracked using appropriate software & volume of open cases remains at a manageable level; provides appropriate customer service; monitors & analyzes various reports related to claims & billing & takes appropriate action to resolve.
Accesses Ohio Department of Medicaid (ODM) Medicaid Information Technology System (MITS) or replacement system &/or ODM’s Ohio Benefits Eligibility System to investigate & resolve non-adjudicated claims transactions or claims denied for reimbursement by ODM; monitors & reviews claims submissions through MBS to ODM for adjudication & through Ohio Administrative Knowledge System (OAKS) for appropriate reimbursement; updates MBS with pertinent provider demographic information received upon certification of provider by DODD & ODM; ensures that services authorized through MSS or PAWS accurately flow through to State MBS; reviews cost authorization in Service Payment Authorization (SPA) &/or PAWS systems to ensure accuracy.
Current Department of Developmental Disabilities OCSEA employees shall receive first consideration pursuant to Article 17 of the collective bargaining agreement.
Hourly wage will be paid at step 1, unless otherwise specified by collective bargaining agreement or rules outlined in the ORC/OAC.
Assists DODD Medicaid Home & Community Based Waiver providers & County Boards of DD personnel with processing eligible Medicare &/or Medicaid claims for reimbursements for patients housed in DODD facilities or from service providers &/or county boards; provides technical assistance & guidance to Medicaid Services System (MSS) users: researches & responds to basic inquiries utilizing Medicaid related systems (e.g., MSS, Medicaid Billing System (MBS), Payment Authorization for Waiver Services (PAWS), Individual Data Systems (IDS), Waiver Management System (WMS), Provider Services Management (PSM), Developmental Disability Profile (DDP), Acuity Assessment Instrument (AAI), Daily Rate Application (DRA)/Monthly Rate Calculator (MRC)) & provides technical assistance, program assistance & training by telephone, in writing, email or in person to Department of Developmental Disabilities (DODD) Medicaid Home & Community Based Services Waiver providers, other DODD personnel, County Boards of DD personnel, recipients &/or family members & general public concerning federal Medicaid regulations, Ohio Revised & Administrative Codes, policies & procedures, status of claims, claims processing procedures & system access & security; coordinates technical assistance & response to inquiries with other Medicaid Operational units (e.g., Provider Certification, Prior Authorization, Waiver Enrollment & other divisions within DODD); ensures cases are tracked using appropriate software & volume of open cases remains at a manageable level; provides appropriate customer service; monitors & analyzes various reports related to claims & billing & takes appropriate action to resolve.
Accesses Ohio Department of Medicaid (ODM) Medicaid Information Technology System (MITS) or replacement system &/or ODM’s Ohio Benefits Eligibility System to investigate & resolve non-adjudicated claims transactions or claims denied for reimbursement by ODM; monitors & reviews claims submissions through MBS to ODM for adjudication & through Ohio Administrative Knowledge System (OAKS) for appropriate reimbursement; updates MBS with pertinent provider demographic information received upon certification of provider by DODD & ODM; ensures that services authorized through MSS or PAWS accurately flow through to State MBS; reviews cost authorization in Service Payment Authorization (SPA) &/or PAWS systems to ensure accuracy.
Qualifications
12 mos. exp. as Accountant/ Examiner 1, 66111, with state government exp. commensurate with duties to be assigned.
Knowledge of accounting; applicable state &/or federal regulations governing documents processed, reviewed &/or prepared*; public relations*. Skill in use of calculator/adding machine, typewriter, video display terminal or personal computer & photocopier*. Ability to apply principles to solve practical, everyday problems; gather, collate & classify information about data, people or things; complete routine forms & prepare standard reports & business correspondence; handle routine & sensitive inquiries from & contacts with other government officials, general public, claimants &/or providers.
(*)Developed after employment.
Background Check Information
- Or 24 mos. exp. in position involving review & processing of claims, collections, billings, payments or review of documents for accuracy, completeness &/or compliance with reporting guidelines, laws or rules with exp. commensurate to duties to be assigned.
- Or 16 semester or 24 quarter hours in accounting; 12 mos. exp. in accounting or other fiscal/financial activity.
- Or equivalent of Minimum Class Qualifications for Employment noted above.
No additional materials will be accepted after the closing date; in addition, you must clearly demonstrate how you meet minimum qualifications.
The final candidate selected for the position will be required to undergo a criminal background check. Rule 5123-2-02, “Background Investigations for Employment,” outlines disqualifying offenses that will preclude an applicant from being employed by the Department of Developmental Disabilities.