This is a Temporary Assignment.

Who Are We?

The Department of Developmental Disabilities (DODD) is a trauma informed care agency focused on implementing our core values and providing support to people with developmental disabilities. We oversee a statewide system of supportive services that focus on ensuring the health and safety, supporting access to community participation, and increasing opportunities for meaningful employment. To learn more about DODD click here.

What will you do?

* Provides technical assistance & guidance to Medicaid Services System (MSS) users: researches & responds to basic inquiries utilizing Medicaid related systems (e.g., MSS, Medicaid Billing System (MBS), Payment Authorization for Waiver Services (PAWS), Individual Data Systems (IDS), Waiver Management System (WMS), Provider Services Management (PSM), Developmental Disability Profile (DDP), Acuity Assessment Instrument (AAI), Monthly Rate Calculator (MRC)) & provides technical assistance, program assistance & training by telephone, in writing, email or in person to Department of Developmental Disabilities (DODD) Medicaid Home & Community Based Services Waiver providers, other DODD personnel, County Boards of DD personnel, recipients &/or family members & general public concerning federal Medicaid regulations, Ohio Revised & Administrative Codes, policies & procedures, status of claims, claims processing procedures & system access & security; coordinates technical assistance & response to inquiries with other Medicaid Operational units (e.g., Provider Certification, Prior Authorization, Waiver Enrollment & other divisions within DODD); ensures cases are tracked using appropriate software & volume of open cases remains at a manageable level; provides appropriate customer service; monitors & analyzes various reports related to claims & billing & takes appropriate action to resolve.

* Assists DODD Medicaid Home & Community Based Waiver providers & County Boards of DD personnel with processing eligible Medicare &/or Medicaid claims for reimbursements for patients housed in DODD facilities or from service providers &/or county boards. Accesses Ohio Department of Medicaid (ODM) Medicaid Information Technology System (MITS) or replacement system &/or ODM's Ohio Benefits Eligibility System to investigate & resolve non-adjudicated claims transactions or claims denied for reimbursement by ODM; monitors & reviews claims submissions through MBS to ODM for adjudication & through Ohio Administrative Knowledge System (OAKS) for appropriate reimbursement; updates MBS with pertinent provider demographic information received upon certification of provider by DODD & ODM; ensures that services authorized through MSS or PAWS accurately flow through to State MBS; reviews cost authorization in Service Payment Authorization (SPA) &/or PAWS systems to ensure accuracy.

The State of Ohio is an Equal Employment Opportunity Employer and prohibits discrimination and harassment of applicants or employees as defined in applicable federal law, state law, and any effective executive order.

Ohio is a Disability Inclusion State and strives to be a Model Employer of Individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws. To request a reasonable accommodation due to disability, please contact ADA Coordinator Tamara Hairston at 614-###-#### or by email at ...@dodd.ohio.gov

The State of Ohio is a drug-free Workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note, positions may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting.

* 12 mos. exp. as Accountant/ Examiner 1, 66111, with state government exp. commensurate with duties to be assigned.

* Or 24 mos. exp. in position involving review & processing of claims, collections, billings, payments or review of documents for accuracy, completeness &/or compliance with reporting guidelines, laws or rules with exp. commensurate to duties to be assigned.

* Or 16 semester or 24 quarter hours in accounting; 12 mos. exp. in accounting or other fiscal/financial activity.

* Or equivalent of Minimum Class Qualifications for Employment noted above.

Technical Skills

Administrative support/services

Professional Skills

Attention to Detail