MEDICAL SERVICES REPRESENTATIVE Date: Oct 8, 2024 Req ID: 43872 Location: Little Rock, AR, US, 72201 Category: AR DEPT OF HUMAN SERVICES Anticipated Starting Salary: $36,155.00 Position Number: 22104220 County: Pulaski Posting End Date: 10/13/2024 Anticipated Starting Salary: $36,155.00 DPSQA HIRING OFFICIAL: Pamela (Allen) Lambert Preferred Qualifications: Knowledge of state and federal laws and regulations and agency policy governing health care. Familiarity of medical insurance claim procedures. Understanding of medical terminology and records. Must have: Working knowledge of Microsoft office products Ability to multi-task Experience with HIPAA regulations, Aptitude to interpret Medicaid policies. Dental or vision experience in an office setting. The Department of Human Services is a place for people passionate about serving others and changing lives for the better. We care for Arkansans of all ages and ensure places like child care centers and nursing homes are safe. We are the safety net for the most vulnerable Arkansans. Whether you answer the phones, take applications, protect children, or help care for residents or patients at one of our facilities, you make a difference by working at DHS. Plus, working for the State has great perks, including a pension, maternity leave, paid state holidays, and much more. At DHS, we take care of our employees so you can help care for others. Position Information Class Code: C013C Grade: GS06 FLSA Status: NON-EXEMPT Salary Range: $36,155.00 - $57,668.00 Summary The Medical Services Representative is responsible for applying regulations and procedures to determine applicants' eligibility under the Medicaid Eligibility Program. This position is governed by state and federal laws and agency/institution policy. Functions Interviews and screens people of diverse socio-economic backgrounds and temperaments for eligibility under the Medicaid Eligibility Program. Elicits information from applicants, regarding their financial status, resources, and obligations. Determines eligibility for the program, in accordance with department policies and procedures. Verifies and records eligibility data in case files using a computer equipped with program software, and reviews documentation for accuracy, completeness, and consistency. Determines share of cost responsibility of applicants based on their income and explains this responsibility, as well as ways to meet these obligations. Explains program requirements and regulations to applicants, health care providers, staff of community agencies, and the public. Evaluates patients for Medicaid eligibility and refers them, when appropriate, to the Division of Medical Services. Works closely with utilization review and social services staff to ensure that patients are appropriately directed to other assistance programs for which they are eligible. Screens non-Medicaid eligible patients referred by clinic or reception staff for potential eligibility for other assistance programs and makes referrals as appropriate. Performs other duties as assigned. Dimensions None Knowledge, Skills and Abilities Knowledge of Medicaid program policies, procedures, and operations. Knowledge of state and federal laws governing Medicaid programs. Knowledge of medical terminology and medical professional coding Knowledge of the principles and practices of human resources and organizational management. Ability to manage and organize program activities and direct operations through subordinates. Ability to and prepare oral and written reports. Minimum Qualifications The formal education equivalent of a bachelor's degree in business administration, human services, or related field; plus one year of experience in social service programs or a related area. Additional requirements determined by the agency for recruiting purposes require review and approval by the Office of Personnel Management. OTHER JOB RELATED EDUCATION AND/OR EXPERIENCE MAY BE SUBSTITUTED FOR ALL OR PART OF THESE BASIC REQUIREMENTS, EXCEPT FOR CERTIFICATION OR LICENSURE REQUIREMENTS, UPON APPROVAL OF THE QUALIFICATIONS REVIEW COMMITTEE. Licenses None The State of Arkansas is committed to providing equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, pregnancy, age, disability, citizenship, national origin, genetic information, military or veteran status, or any other status or characteristic protected by law. Nearest Major Market:Little Rock