Medicaid Specialist (Project Designated) - 165095, 165096, 165097, 165100

Medicaid Specialist (Project Designated) - 165095, 165096, 165097, 165100Print (https://www.governmentjobs.com/careers/adams/jobs/newprint/4503423) ApplyMedicaid Specialist (Project Designated) - 165095, 165096, 165097, 165100Salary $47,068.95 AnnuallyLocation Westminster, COJob TypeProject-Designated Full-timeJob Number06498DepartmentHuman ServicesDivisionHS Self SufficiencyOpening Date05/10/2024Closing Date5/17/2024 4:30 PM MountainOur MissionAt Adams County, our team members engage in top-notch opportunities to grow and expand their impact. We cultivate an inclusive and innovative culture where diversity matters! Diversity, Equity & Inclusion (DEI) is a core cultural competency at Adams County, and we actively seek and welcome applicants that bring diverse experiences and value inclusion.Cultural Competencies/EEOAdams County is an equal opportunity employer. We strive to have a workforce that reflects the community we serve. No person is unlawfully excluded from employment opportunities based on race, color, national origin, ancestry, religion, creed, sex, sexual orientation, gender expression, gender identity, age, disability, genetic information, veteran status,marital status or any other legally protected characteristic.Position classificationRemote First Job duties and expectations require very limited to no time in the office. There may be scheduled infrequent exceptions which require the employee to be onsite.

Description

Benefits

Questions

What Success Looks Like In This JobThis position determines eligibility for Health First Colorado (formerly Medicaid), including Long Term Care and CHP+. Examples of Duties for Success

Examines applications to determine applicants/participants income, resources, household composition and employment status to assess their eligibility for medical assistance.

Reviews applications for accuracy and completeness and makes requests for information regarding incomplete forms and missing documentation. Verifies required information by appropriate methods: e.g., phone calls to employers; applicants; computer database inquiries (interfaces); statistical reports from the State and/or change or status reports turned in by clients to determine program eligibility.

Explains program eligibility requirements and outcomes[AMA1]to applicants, including all rules and regulations, his/her rights and responsibilities, available benefit dates, reason for approval or denial and the right to appeal.

Interface daily with statewide computer system requiring accurate and complete data entry of information. Interprets and evaluates computer generated data to determine application to individual case processing for approvals, changes, denials, and discontinuations.

Utilizes computer daily for inquiry and data entry for preparation of complex correspondence, spreadsheet development and record maintenance and research. Maintain client records within the Colorado Benefit Management System (CBMS) and electronic case file in the Department's electronic document management system. Document all actions taken on applications and cases within CBMS.

Completes monthly reports that are instrumental in discovering discrepancies that could affect participant's eligibility.

Participates along with supervisor in the dispute resolution process with applicants/participants when requested. Prepares evidence, attends, and testifies in state level hearings on applicant/participant appeals.

Performs other related duties and responsibilities as required.

Qualifications for SuccessTo be successful, our ideal candidate should have the following knowledge, skills, and abilities

Knowledge of medical public assistance programs, as applicable.

Knowledge of CBMS.

Apply basic math and read, interpret, and apply rules and regulations.

Communicates clearly and concisely, both orally and in writing.

Differentiate between relevant and non-relevant information when making eligibility decisions.

Input data accurately and detect errors/make corrections.

Skills related to customer service.

Ability to establish, maintain, and foster positive and harmonious working relationships with those contacted in the course of work.

More Qualifications for SuccessThe Medicaid Specialist is responsible for processing Medicaid benefits.Experience: This position requires at least one year experience in an office/clerical setting or with extensive public contact. Prior experience determining eligibility for CBMS for Medicaid preferred. Education and Training:

High School Diploma or GED equivalent.

Satisfactory completion of an associate or bachelor’s degree in business, behavioral science, or another appropriately related field may substitute for experience on a year for year basis.

License or Certificate: None. Background Check:Must pass a criminal background check.Other:

Bilingual applicants are preferred.

Ability to work in a standard office environment.

Adams County provides a comprehensive benefits package to employees that goes above and beyond what is offered at most organizations.Clickhere (https://youtu.be/ILAvllPaGb4) to watch our video about why Adams County is an Employer of Choice!Benefits You Expect:

AFLAC Supplemental Medical Insurance

Basic Term Life & Optional Term Life Insurance

Deferred Compensation Plan

Dental/Vision/Medical Plans

Generous Vacation/Sick leave

Long-Term Disability

Short-Term Disability

Plus some you might not expect:

Employee Assistance Program

Employee Fitness Center

Employee Health Clinics

Flexible Work Schedules

Recreation Center Discounts

Training & Tuition Reimbursement Programs

Wellness programs

Lactation friendly certified workplace

01

Please be aware that your cover letter and resume will not be accessed in the initial screening process, so you must complete your application and supplemental questions with as much detail as possible. Any personally identifiable information (PII) such as name and address will be redacted from applications that meet the minimum screening requirements and are forwarded to the hiring manager. If the hiring manager selects you to advance in the hiring process, your cover letter and resume will then be accessible to the hiring team. Information provided on the application is used to determine if a candidate meets minimum qualifications. Only information provided at the time of the application being completed will be considered and additional information that is not listed on the application will not be considered when deciding if a candidate meets or does not meet the qualifications. Applicants are STRONGLY encouraged to include all information and details on their application. I understand and agree that only information provided at the time of my application will be used to determine if I meet the minimum requirements for this position.

Yes, I understand and agree

Yes, I understand but disagree.

02

Please select how you meet the minimum qualifications.

At least one year experience in an office/clerical setting or with extensive public contact.

No experience, but satisfactory completion of an associate or bachelor's degree in business, behavioral science, or another appropriately related field

None of the above

03

Please select your highest level of education.

Master's Degree or higher

Bachelor's Degree

Associate's Degree

High School Diploma or GED equivalent

None of the above

04

What three characteristics make you a good fit for this role?

05

This position works in a high volume, fast paced environment. Please describe how you handle multiple, competing priorities.

Required Question

AgencyAdams CountyAddress4430 S. Adams County Parkway, Suite C4000BBrighton, Colorado, 80601-8213Websitehttp://www.adcogov.org/current-career-opportunitiesApplyPlease verify your email addressVerify Email