Address
Form of workAccountant/Examiner 2
About Us:
The Ohio Department of Health's (ODH) mission is advancing the health and well-being of all Ohioans by transforming the state's public health system through unique partnerships and funding streams; addressing the community conditions and inequities that lead to disparities in health outcomes; and implementing data-driven, evidence-based solutions.
This position is in the Bureau of Child and Family Health's (BCFH) Children with Medical Handicaps program (CMH). CMH links families of children with special health care needs to a network of quality providers and helps families obtain payment for the services their children need. CMH's mission is to assure that children with special health care needs and their families obtain comprehensive care and services that are family centered, community based, and culturally sensitive
The Ohio Department of Health supports a hybrid teleworking model. This position may work a hybrid schedule at the discretion of the manager or supervisor, which will require occasional attendance in the office for training, meetings and other operational needs. Employees must reside within a reasonable distance to their assigned headquarters for compliance with workplace reporting requirements.
What You'll Do:
The Accountant/Examiner 2 will review and adjudicate pending medical, dental, and hospital claims using the Case Management Application Computers System (CMACS). Additional duties may include:
At the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees. For a list of all the State of Ohio Benefits, visit our Total Rewards website ! Our benefits package includes:
Medical Coverage
Qualifications
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
12 mos. exp. as Accountant/ Examiner 1, 66111, with state government exp. commensurate with duties to be assigned.
OR
Equivalent of Minimum Class Qualifications for Employment noted above.
Applications of those who meet the minimum qualifications will be further evaluated against the following criteria:
Job Skills: Accounting and Finance
Technical Skills: Accounting and Finance, Claims Examination, Medical Terminology
Professional Skills: Analyzation, Time Management, Written Communication
About Us:
The Ohio Department of Health's (ODH) mission is advancing the health and well-being of all Ohioans by transforming the state's public health system through unique partnerships and funding streams; addressing the community conditions and inequities that lead to disparities in health outcomes; and implementing data-driven, evidence-based solutions.
This position is in the Bureau of Child and Family Health's (BCFH) Children with Medical Handicaps program (CMH). CMH links families of children with special health care needs to a network of quality providers and helps families obtain payment for the services their children need. CMH's mission is to assure that children with special health care needs and their families obtain comprehensive care and services that are family centered, community based, and culturally sensitive
The Ohio Department of Health supports a hybrid teleworking model. This position may work a hybrid schedule at the discretion of the manager or supervisor, which will require occasional attendance in the office for training, meetings and other operational needs. Employees must reside within a reasonable distance to their assigned headquarters for compliance with workplace reporting requirements.
What You'll Do:
The Accountant/Examiner 2 will review and adjudicate pending medical, dental, and hospital claims using the Case Management Application Computers System (CMACS). Additional duties may include:
- Make corrections to claims in accordance with bureau billing policy.
- Provide information to providers/billing agents regarding necessary actions/corrections regarding claims.
- Handle inquiries from parents and providers.
- Review incoming high-cost claims for appropriate authorization and possible other payment resources.
At the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees. For a list of all the State of Ohio Benefits, visit our Total Rewards website ! Our benefits package includes:
Medical Coverage
- Quality, affordable, and competitive medical benefits are offered through the available Ohio Med plans.
- For more information about our plans, visit: State of Ohio Medical Plans or our MyBenefits Guide.
- Dental, vision, and basic life insurance premiums are free after completed eligibility period . Length of eligibility period is dependent on union representation.
- Paid time off, including vacation, personal, and sick leave.
- 11 paid holidays per year.
- Childbirth/Adoption leave.
- For more information, visit our Total Rewards website !
Qualifications
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
12 mos. exp. as Accountant/ Examiner 1, 66111, with state government exp. commensurate with duties to be assigned.
OR
Equivalent of Minimum Class Qualifications for Employment noted above.
Applications of those who meet the minimum qualifications will be further evaluated against the following criteria:
- Associates or advanced degree in accounting or business
- Experience with medical/health care claims
- Experience in the field of insurance
- Experience in coordinating third party benefits
- Experience with Accounts Payable/Receivable
- Experience providing customer service via phone/fax/e-mail
- Experience working with spreadsheet software (e.g., Excel)
- Experience working with word processing software (e.g. MS Word)
Job Skills: Accounting and Finance
Technical Skills: Accounting and Finance, Claims Examination, Medical Terminology
Professional Skills: Analyzation, Time Management, Written Communication
