OFFICE SERVICES CLERK- **REPOST** (FULL TIME CONTRACTUAL)

RECRUITMENT REPOST, PREVIOUS APPLICANTS NEED NOT REAPPLY.

ASTD8

MDH, Medicaid Provider Services Administration, 201 W. Preston Street, Baltimore, MD

The main purpose of this full time contractual position is to provide general administrative support with data entry, sorting, batching, and logging of span related denial request resulting from claims denials in the Medicaid Provider Services Administration (MAPSA) Problem Resolution Division. Individuals should have knowledge and experience performing diverse clerical duties which support agency operations that require the data entry, review, verification and interpretation of information in order to make determinations and resolve problems in accordance with policies, regulations and laws applicable to agency programs. This position will determine if the appropriate 257 submission, billing methodologies were followed in accordance with Maryland Medicaid and Federal policies and procedures. This position will also perform clerical functions which consist of data entry, sorting, processing, and filing medical claims invoices or other documents pertinent to agency programs, regulations and procedures. This position will be responsible for assisting with the fee for service inpatient and outpatient facility services. Responsibilities include data entry of the claim, the review and interpretation benefits and edit/audit resolution, claim payment and routing claims for review to OHS for resolution. This position will follow all state & federal regulations when determining responsible payer, coding of the claims and ensuring that clean claims are filed to each payer. This employee should have good interpersonal skills, the ability to complete correspondence and applicable forms to obtain information necessary for claim adjudication. This position may review letters from physicians/hospitals to determine payable procedures and or recipient/provider eligibility. This position has many changing procedures in order to meet state and federal requirements while maintaining acceptable performance levels based upon standards for production and quality. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.

Education: Graduation from an accredited high school or possession of a high school equivalency certificate.

Experience: Two years of experience performing clerical duties.

Notes:

1. Additional experience performing clerical duties may be substituted on a year-for-year basis for the required education.

2. Applicants may substitute education from an accredited college or university at the rate of thirty semester credit hours for one year of experience on a year-for-year basis for the required experience.

3. Six months clerical training with three courses in subjects such as keyboarding, clerical math, word processing, spreadsheets, database, graphics presentation, proofreading, or office etiquette may be substituted for six months of the requires experience.

4. Candidates may substitute U.S. Armed Forces military service experience as a non-commissioned officer in Administrative classifications or in Administrative, Clerical, or Office Services specialty codes in the Clerical Support field of work on a year-for-year basis for the required experience.

The desired candidate should have knowledge and experience performing diverse clerical duties consisting of: copying, filing, answering phones, sending & sorting faxes and electronic and written correspondence, retrieving, checking and sending emails, supply inventory, and use of computers and other duties as assigned.

Applicants who meet the minimum (and selective) qualifications will be included in further evaluation. The evaluation may be a rating of your application based on your education, training and experience as they relate to the requirements of the position. Therefore, it is essential that you provide complete and accurate information on your application. Please report all related education, experience, dates and hours of work. Clearly indicate your college degree and major on your application, if applicable. For education obtained outside the U.S., any job offer will be contingent on the candidate providing an evaluation for equivalency by a foreign credential evaluation service prior to starting employment (and may be requested prior to interview).

Complete applications must be submitted by the closing date. Information submitted after this date will not be added.

Incorrect application forms will not be accepted. Resumes will not be accepted in lieu of a completed application.

Candidates may remain on the certified eligible list for a period of at least one year. The resulting certified eligible list for this recruitment may be used for similar positions in this or other State agencies.

Online applications are highly recommended. However, if you are unable to apply online, the paper application (and supplemental questionnaire) may be submitted to MDH, Recruitment and Selection Division, 201 W. Preston St., Room 114-B, Baltimore, MD 21201. Paper application materials must be received by 5 pm, close of business, on the closing date for the recruitment, no postmarks will be accepted.

If additional information is required, the preferred method is to upload. If you are unable to upload, please fax the requested information to 410-333-5689. Only additional materials that are required will be accepted for this recruitment. All additional information must be received by the closing date and time.

For questions regarding this recruitment, please contact the MDH Recruitment and Selection Division at 410-767-1251.

If you are having difficulty with your user account or have general questions about the online application system, please contact the MD Department of Budget and Management, Recruitment and Examination Division at 410-767-4850 or Application.Help@maryland.gov.

Appropriate accommodations for individuals with disabilities are available upon request by calling: 410-767-1251 or MD TTY Relay Service 1-800-735-2258.

We thank our Veterans for their service to our country.

People with disabilities and bilingual candidates are encouraged to apply.

As an equal opportunity employer, Maryland is committed to recruitment, retaining and promoting employees who are reflective of the State's diversity.