Medical Assistance Specialist 2 (Non-Permanent) 05960
Location: Spokane, Washington
Description: State of Washington is employing Medical Assistance Specialist 2 (Non-Permanent) 05960 right now, this position will be dwelled in Washington. Further informations about this position opportunity kindly read the description below. Our Vision is:
Safe, healthy individuals, families and communities
Our Mission is:
The Department of So! cial and Health Services will improve the safety and health of individuals, families and communities by providing leadership and establishing and participating in partnerships.
Our Values are:
Excellence in Service
Respect
Collaboration and Partnership
Diversity
Accountability The Department of Social and Health Services, Economic Services Administration (ESA) is recruiting for one (1) non-permanent position located in the Spokane, WA.
In the Division of Disability Determination Services, the primary purpose of the MAS 2 position is to facilitate case processing for Social Security Disability programs and Non-Grant Medical Assistance claims for Washington State. This position works to coordinate and schedule examinations with Consultative Examiners who perform disability evaluations for the DDDS. It also includes working with State interpreter and transportation brokers to coordinate services for claimants. This position also det! ermines and authorizes payment for services rendered.
! Duties:
Duties include, but are not limited to:
Coordinates and schedules physical and/or mental Consultative Examinations (CE) that have been ordered by adjudicators and/or Administrative Law Judges.
Evaluates to ensure appropriate tests are ordered for claimant’s allegations.
Reviews claimant’s allegations and determines if test is applicable to examination order.
May make changes to the exam order based upon knowledge and judgment of medical providers and tests. Contacts the adjudicator or ALJ if unable to schedule the ordered tests/examinations and recommend alternatives.
Must know which tests/exams are performed by medical specialists and understand and utilize CPT and ICD-9 coding in scheduling.
Communicates, resolves discrepancies and/or obtain additional information daily with claimants, physicians, clinics, hospitals, psychologists, interpreters and transportation providers to schedule appointments for examinations nee! ded for SSA claims.
Analyzes and interprets the SSA Program Operations Manual System (POMS) when scheduling consultative examinations.
Ensures reports are submitted on time per DSHS Contract and contacts medical provider if report is overdue.
Ensures contents of CE reports adheres to examination guidelines and confirms all components of medical tests are included in the report and approves payment authorization.
Must have knowledge of CPT codes and knowledge of multiple types of medical and psychological tests (and subtests) are included in the narrative report.
Verifies the CE provider is billing correctly for services rendered and makes adjustments to the payment authorization, if necessary.
Verifies requested testing is completed and contacts the medical provider to obtain any missing information.
Forwards CE reports to third parties per the claimant’s request, after verifying the appropriate disclosure forms are accurate and complete prior ! to disclosing confidential information and protecting Personally Identi! fiable Information (PII).
Arranges for interpreters and transportation as appropriate with State contracted brokers.
Utilizes a third party website to request and modify interpreter requests as well as DDDS system.
Processes payment for travel and/or interpreter reimbursements.
Qualifications:
REQUIRED EDUCATION, EXPERIENCE, SKILLS AND ABILITIES:
A Bachelor's degree.
OR
One year of experience as a Medical Assistance Specialist 1
OR
Experience providing direct client services or counseling of customers in the areas of health insurance, disability, or other related health benefits; public assistance eligibility determination; staff support for medical assistance; health insurance premiums/claims processing, adjusting, and investigation; or other medical premiums/claims related experience will substitute, year for year, for the required education.
DESIRABLE EDUCATION, EXPERIENCE, SKILLS AND ABILITIES:
Knowledge of medical and psychiatric tests to determine validity and appropriateness when scheduling with each medical specialty.
Knowledge of the appropriate tests for each allegation entered by the adjudicative staff.
Knowledge of CPT and specialty codes unique to the DDDS.
Supplemental Information:
SPECIAL NOTE: A background check is required .
Background checks, which may include finger printing, are required for employees and applicants considered for selected positions within DSHS. Employees/applicants will be required to sign a release authorizing the background check. Failure to do so shall disqualify the applicant from employment in these positions. Information obtained from background checks will not necessarily preclude employment.
NOTE: This position is covered by a union se! curity provision. Therefore, as a condition of employment, candidates w! ho are appointed are required to become members of the Washington Federation of State Employees, or pay other representational fees within the first 30 days of employment.
SPECIAL NOTE: Attention to detail is important to the successful completion of your application for this position.
You may NOT reapply to this posting for 30 days
HOW TO APPLY:
Please note that initial screening will be solely based on the contents and completeness of the “work experience†section of your application in NeoGov. In order to be considered for this position you MUST apply online and complete the entire Application. A resume mailed, emailed, attached to or embedded within the application will not substitute for the “work experience†section of the application.
The information provided in your Application must support your selected answers in the application q! uestionnaire. All answers are verified and documentation may be required. Responses not supported in your application will disqualify you for consideration of employment from this requisition. A thorough reference check will be conducted for final applicants.
The Washington State Department of Social and Health Services is an equal opportunity employer and does not discriminate on the basis of age, sex, marital status, sexual orientation, race, creed, color, national origin, honorably discharged veteran or military status, or the presence of any sensory, mental, or physical disability or the use of a trained dog guide or service animal by a person with a disability. Persons requiring accommodation in the application process or this job announcement in an alternative format may contact the recruiter at (253) 983-6575. Applicants who are deaf or hard of hearing may call through the Washington Relay Service by dialing 7-1-1 or 1-800-833-6388. If you have questions on how t! o apply or application issues, BEFORE you submit your application, cont! act Angel Correa at 253.983.6575 or angel.correa@dshs.wa.gov
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If you were eligible to this position, please send us your resume, with salary requirements and a resume to State of Washington.
Interested on this position, just click on the Apply button, you will be redirected to the official website
This position will be opened on: Thu, 06 Jun 2013 02:45:53 GMT
Apply Medical Assistance Specialist 2 (Non-Permanent) 05960 Here