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State of Minnesota Health Insurance Recovery Specialist - Human Services Program Specialist 2 in St. Paul, Minnesota

Job Summary Job Summary This position is responsible for assuring that Medicaid is the payer of last resort in cases where a third party such as medical/dental/vision/pharmacy/long term care insurance exists. The position administers the Third Party Liability (TPL) program, which is the Medicaid program responsible for cost avoidance and recovery as required by federal and state law. Responsibilities include: * Audit, review and analyze daily and monthly reports containing third party liability information to ensure accuracy, flag anomalies and resolve discrepancies. * Coordinate and account for the daily activities associated with the payment or denial of Medicaid benefits. * Submit medical/dental/vision/pharmacy claims to insurance carriers for recoveries owed to Medicaid. * Correspond in writing and by phone with providers and clients to ensure the proper coordination of benefits. * Formally communicate policy and procedure and respond to inquiries from internal and external stakeholders regarding TPL and the cost effective health insurance (CEHI) program. * Track, receive, document and process payments from third party payers. * Coordinate with the lead worker and supervisor to address and communicate ongoing business needs. Qualifications Minimum Qualifications One (1) year professional Third Party Liability or health care claims experience. OR Three (3) years advanced technical experience requiring knowledge of Third Party Liability and claims processing. Experience must clearly demonstrate: * Database management skills sufficient to navigate databases and systems, multiple software applications and screens. * Ability to efficiently manage time and apply logic in a work environment requiring fast and accurate response to time sensitive work load. * Excellent customer relations skills to provide information in a professional and courteous manner to consumers, communication includes phone calls, email and letter correspondence. Bachelor's degree in Healthcare Administration, Business Administration, Social Services or related field may substitute for two (2) years of advanced technical experience Preferred Qualifications * Familiarity with Minnesota Health Care Programs * Experience using MMIS, MAXIS or METS * Ability to examine program costs, services and impacts to analyze and interpret program information * Variety of experiences working effectively with others from different backgrounds and cultures Additional Requirements To facilitate proper crediting, please ensure that your resume clearly describes your experience in the areas listed and indicates the beginning and ending month and year for each job held. REFERENCE/BACKGROUND CHECKS - The Department of Human Services will conduct reference checks to verify job-related credentials and criminal background check prior to appointment. Application Details Why Work For Us GREAT BENEFITS PACKAGE! The State of Minnesota offers a comprehensive benefits package including low cost medical and dental insurance, employer paid life insurance, short and long term disability, pre-tax flexible spending accounts, retirement plan, tax-deferred compensation, generous vacation and sick leave, and 11 paid holidays each year. Our differences make us stronger and leveraging them helps us create a workforce where everyone can thrive. The Department of Human Services is an equal opportunity employer. We are committed to embedding diversity, equity, inclusion, and accessibility at our workplace. We do this by developing strong leaders and advocates, increasing cultural competence and understanding among all employees, and removing institutional barriers and attitudes that prevent employees from advancing as far as their talents will take them. We prohibit discrimination and harassment of any kind based on race, color, creed, religion, national origin, sex (including pregnancy, childbirth and related medical conditions), marital status, familial status, receipt of public assistance, membership or activity in a local human rights commission, disability, genetic information, sexual orientation, gender expression, gender identity, or age . How to Apply Click "Apply" at the bottom of the page. If you have questions about applying for jobs, contact the job information line at 651-259-3637. For additional information about the application process, go to http://www.mn.gov/careers. Contact If you have questions about the position, contact Mary Smunk at mary.smunk@state.mn.us. If you are a Connect 700 applicant, please email your certificate and job posting ID# to Dan Thorp at daniel.thorp@state.mn.us by the position close date. If you are an individual with a disability and need an ADA accommodation for an interview, you may contact the Department of Human Services’ ADA Coordinator at 651-431-4945 or DHS_ADA@state.mn.us for assistance. * * * AN EQUAL OPPORTUNITY EMPLOYER The State of Minnesota is an equal opportunity, affirmative action, and veteran-friendly employer. We are committed to providing culturally responsive services to all Minnesotans. The State of Minnesota recognizes that a diverse workforce is essential and strongly encourages qualified women, minorities, individuals with disabilities, and veterans to apply. We will make reasonable accommodations to all qualified applicants with disabilities. If you are an individual with a disability who needs assistance or cannot access the online job application system, please contact the job information line at 651-259-3637 or email careers@state.mn.us. Please indicate what assistance you need. Job Title: Health Insurance Recovery Specialist - Human Services Program Specialist 2 Location: St. Paul Job ID: 47376 Regular/Temporary: Unlimited Full/Part Time: Full-Time Who May Apply: Open to all qualified job seekers Date Posted: 07/21/2021 Closing Date: 08/3/2021 Hiring Agency/Seniority Unit: Department of Human Services / Central Office Hiring Agency: Department of Human Services / Central Office Division/Unit: Health Care Administration / Health Care Integrity & Accountability Work Shift: Day Shift Work Hours: 8:00 a.m. to 4:30 p.m. Days of Work: Monday - Friday Travel Required: No Salary Range: $22.48 - $32.79/hourly; $46,938 - $68,465/annually Classified Status: Classified Job Class: Human Services Program Specialist 2 Working Title: Health Insurance Recovery Specialist

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