Address
Form of work
SalaryAdvertisement Closes
3/14/2024 (7:00 PM EST)
24-01452
Resource Management Analyst III
Pay Grade
15
Salary
$62,033.52 Annually
Employment Type
EXECUTIVE BRANCH | FULL TIME | ELIGIBLE FOR OVERTIME PAY | 18A | 37.5 HR/WK
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Hiring Agency
Cabinet for Health & Family Services | Department for Public Health
Location
Location Varies, USA
The agency may authorize the selected candidate to telecommute. The agency may terminate or modify the telecommuting arrangement at any time.
The agency may authorize the selected candidate to telecommute. The agency may terminate or modify the telecommuting arrangement at any time.
Description
The Department for Public Health (DPH), Division of Administration and Financial Management (AFM), is seeking a Resource Management Analyst III for our Local Health Operations (LHO) branch. This position will research, provide support and problem solve on a daily basis. It will also interact with all 120 counties in the state of Kentucky and build relationships with those that work in in the Local Health Departments (LHDs) in the state. This position will provide assistance and support to the LHDs with their Third-Party Billing and Medical Coding, and research billing denials and improper payment of medical claims. You will gain knowledge of Managed Care Organizations (MCOs), become a liaison between the department and their software vendors, and assist with working and creating reports for the department.
Responsibilities and Duties:
Responsibilities and Duties:
- Third Party Medicaid/Managed Care Organizations (MCO) billing.
- Liaison between department and system/software vendors.
- Back up Coding Specialist.
- Assist with Onsite Coding Compliance Reviews.
- Update DPH Administrative Reference (AR).
- Prepare reports.
- Perform Other Duties as Assigned.
- Experience in Medical Billing and Coding.
- Good Customer Service Skills.
- Experience in training.
- Proficient in Microsoft products, including Teams and Excel.
- Interpret statutes and regulations as it pertains to the Department and LHD.
Minimum Requirements
EDUCATION: Graduate of a college or university with a bachelor's degree.
EXPERIENCE, TRAINING, OR SKILLS: Four years of systems analysis, business administration, or public administration experience.
Substitute EDUCATION for EXPERIENCE: Related technical or vocational training will substitute for the bachelor's degree requirement on a year-for-year basis. A master's degree in computer science, business or public administration will substitute for one year of the experience requirement.
Substitute EXPERIENCE for EDUCATION: Experience in computer programming, systems analysis, information services, research and statistics, business administration, or public administration will substitute for the bachelor's degree requirement on a year-for-year basis.
SPECIAL REQUIREMENTS (AGE, LICENSURE, REGULATION, ETC.): NONE
Working Conditions
Incumbents working in this job title typically perform duties in an office setting.
Probationary Period
This job has an initial and promotional probationary period of 6 months, except as provided in KRS 18A.111.
If you have questions about this advertisement, please contact Amy Dunn at amy.dunn1@ky.gov or 502-564-0216.
An Equal Opportunity Employer M/F/D
