About Us:
Our mission at the Ohio Department of Health (ODH) is advancing the health and well-being of all Ohioans. Our agency is committed to building a modern, vibrant public health system that creates the conditions where all Ohioans flourish.
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.
This position is in the Bureau of Health Improvement and Wellness/Chronic Disease (BHIW). BHIW is comprised of programs which address prevention and improved health outcomes for Ohioans across the lifespan.
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The Ohio Department of Health (ODH), Bureau of Health Improvement and Wellness/Chronic Disease (BHIW) is seeking an Account Examiner 2 (A/E 2) to review the Breast and Cervical Cancer Project’s Med-IT system pending medical claims from
providers for screening and diagnostic services to determine eligibility for payment and processes accordingly.
The ideal candidate will have a call center/customer service background and proficient in using Microsoft systems. Must have strong communication and organizational skills. This position will require collaboration with both internal and external stakeholders.
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Primary Job Duties:
- Makes corrections to claims in accordance with bureau billing policy.
- Enters corrected data on the pending claims file via computer.
- Provides information to providers/billing agents.
Additional Duties:
- Handles telephone, fax, mail and email inquiries from regional enrollment agencies and provides training
and technical assistance regarding claims issues. - Research status of claims upon request of provider.
What’s in it for you:
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.
Dental, Vision and Basic Life Insurance
- Dental, vision, and basic life insurance premiums are free after completed eligibility period . Length of eligibility period is dependent on union representation.
Time Away From Work and Work/Life Balance
- Paid time off, including vacation, personal, and sick leave
- 11 paid holidays per year
- Childbirth/Adoption leave
Employee Development Funds
- The State of Ohio offers a variety of educational and professional development funding that varies based on whether you are a union-exempt employee or a union-represented employee.
Ohio Public Employees Retirement System
- OPERS is the retirement system for State of Ohio employees. The employee contributes 10% of their salary towards their retirement. The employer contributes an amount equal to 14% of the employee’s salary. Visit the OPERS website for more information.
Deferred Compensation
- The Ohio Deferred Compensation program is a 457(b) voluntary retirement savings plan. Visit the Ohio Deferred Compensation website for more information.
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.
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/healthcare claims
- Experience in the field of health insurance
- Experience in coordinating third party benefits
- Experience with Accounts Receivable/Payable
- Experience providing customer service using various media (e.g., phone/fax/e-mail)
- Experience working with spreadsheet software (e.g., Excel)
- Experience working with word processing software (e.g. MS Word)
Qualifications
- 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.