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Medical Assistance Specialist 3 (MEDS Bellevue)
OLYMPIA WA 98507
Category: Other
  • Your pay will be discussed at your interview

Job code: lhw-e0-89771808

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Summary

  Job posted:   Thu May 17, 2018
  Distance to work:   ? miles
       
  1 Views, 0 Applications  
 
Medical Assistance Specialist 3 (MEDS Bellevue)
Description
This position supports the HCA mission to provide access to medical care for all eligible Washington citizens.
Working out of Eastgate Public Health Center, Bellevue WA. The MAS3 determines initial eligibility and/or ongoing individual and family medical eligibility for Medicaid Title XIX, Children's Health Insurance Program (CHIP) Title XXI program, and other Medicaid and state funded medical assistance programs available in Washington State.
**Your tasks:**
Independently determine initial and/or ongoing eligibility for Health Care Authority Medicaid Title XIX, CHIP Title XXI, and other Medicaid and state funded medical assistance programs administered by the MEDS office.
Apply complex federal and state eligibility regulations published in WAC and RCW to specific household circumstances resulting in accurate eligibility decisions.
Use and manage multiple interdependent electronic systems including but not limited to the Automated Client Eligibility System (ACES), HealthPlanFinder, ProviderOne, Barcode, WebAx, Audit Plus, SharePoint, Microsoft Office, SOLQ, Document Management System (DMS) and Employment Security Department (ESD).
Analyze, research and resolve complex eligibility issues applying proper rules and procedures with a high degree of independence. Work on programs such as but not limited to:
* Post Eligibility Reviews (PER's)
* Complex Error Codes
* Alien Emergency Medical (AEM)
* Citizenship/ Immigration
* Retro's
* Spendowns
* Appeals
* Chip Acuity
* Pends
* Take Charge
Conduct interviews over the telephone, in person, and/or through written correspondence with clients, providers and/or third parties to obtain information for required documentation and verification to support program eligibility. Establish effective working relationships with clients and their advocates and manage difficult interactions with tact and diplomacy. Educate clients on qualified health plans.
Work in partnership with advocates, providers, Heath Benefit Exchange, other state agencies, community based organizations and other units within HCA to provide clarification, resolve disputes, solve problems, coordinate referrals and/or answer inquiries.
Using excellent written and oral communication skills, apply effective customer service techniques and principles to all interactions with customers, their advocates and other stakeholders. Maintain current and thorough knowledge of rules of eligibility for Medicaid programs, managed care and other areas in the Health Care Authority to provide comprehensive responses to questions or concerns from the public and our customers.
Take part in trainings and other development opportunities to enhance communication skills.
**You're Duties:**
Working out of a community partner facility, within the Medicaid Eligibility & Community Support division, independently analyze applications, determine initial and/or ongoing eligibility and authorize benefits for Medicaid programs administered by the Medical Eligibility Determination Services (MEDS) office.
Answer inquiries, resolve questions, update eligibility records and otherwise maintain and expand access to medical care for eligible Washington citizens.
**Preferred/Desired Qualifications:**
A Bachelor's degree
OR
Three years of experience performing the following duties:
* researching and analyzing complex rules, regulations or policies
* utilizing research and analysis to make determinations, solve problems or complete work
* providing direct customer service either in person or via the telephone
Candidates must have three years' experience performing each of the duties, but experience may be gained concurrently.
Other desired qualifications include:
* experience performing conflict resolution with customers
* knowledge of Medicaid programs and eligibility
* Proficiency at computer keyboarding, Outlook and Word.
**Who We Are:**
The Health Care Authority (HCA) is Washington's largest health care purchaser, responsible for providing comprehensive health coverage to more than 2 million residents through the Public Employees Benefits and Medicaid programs. The agency provides health purchasing leadership, benefiting both public and private sectors with a focus on moving the health delivery system away from volume toward higher value and better outcomes.
**How to Apply:**
Only candidates who reflect the minimum qualifications on their State application will be considered. Failure to follow the application instructions below may lead to disqualification. To apply for this position you will need to complete your profile and attach:
* A cover letter
* Current resume
* Three professional references
If you have questions about the process, or need reasonable accommodation, please contact the recruiter before the posting closes. **The candidate pool certified for this recruitment may be used to fill future similar vacancies for up to the next six months.**
*Washington State is an equal opportunity employer. Persons with disabilities needing assistance in the application process, or those needing this job announcement in an alternative format may call the Human Resources Office at 360.725.0945 or email*_Sidra.Fields@hca.wa.gov_
**Please Note the Following:**
To work in the Eastgate Public Health Center, the incumbent must comply with the conditions of employment that are as follows:
**REQUIRED IMMUNIZATIONS OR PROVIDE MEDICAL RECORDS WITH PROOF OF:**
2 Valid MMR Vaccines (Measles, Mumps, and Rubella), or positive titers
2 Valid Varicella Vaccines (Chickenpox), or positive titer
1 Tdap (Tetanus, Diptheria, and Acellular Pertussis) within the last 10 years
Tuberculousis Screening- within the last 12 months.
This position is covered by the Washington Federation of State Employees (WFSE). As a condition of employment, candidates who are appointed are required to either become members of the Union and pay membership dues or, as non-members pay a non-association or a representation fee.
**_*Persons under final consideration for initial appointment with HCA are subject to a background check*_**
*Salary:* $2,984.00 - $3,883.00 Monthly
*Location:* Thurston County - Olympia, WA
*Job Type:* Full Time - Permanent
*Department:* Health Care Authority
*Job Number:* 2018-04576R
*Closing:* 5/21/2018 11:59 PM Pacific
*Agency:* State of Washington
*Address:* View Job Posting for Agency Information View Job Posting for Location, Washington, 98504
*Phone:* View Posting for Agency Contact
*Website:*

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