Medical Care Program Associate I (Repost

Introduction

RECRUITMENT REPOST. PREVIOUS APPLICANTS NEED NOT REAPPLY.

ASTD
10

MDH - Office of Eligibility Services
Eligibility Determination Division
201 W. Preston Street
Baltimore, MD 21201

This position, under the direction of MDH Office of Eligibility Services (OES) Eligibility Determination Division (EDD), has the responsibility for reviewing and determining specialized financial and technical eligibility for individuals statewide applying for Home and Community Based Waivers (HCBS) Services, Institutions for Mental Disease, Employed Individuals with Disabilities (EID), Family Planning and Affordable Care Act (ACA), Modified Adjusted Gross Income (MAGI) Medicaid programs.

This position completes initial determinations, redeterminations and interim changes in accordance with regulations, policies and procedures and maintains ongoing case management for these programs. Duties for staff assigned to EID include some fiscal responsibilities such as premium calculation, creation of invoices and day to day tracking of premium collections.

Examples of work include:

• Communicate with customers, authorized representatives, and various agencies and organizations via telephone, fax, and e-mail to conduct interviews to verify financial and technical information in order to process Medicaid applications and redeterminations.
• Determine eligibility timely in accordance with policies and procedures. Complete appropriate forms and ensure appropriate notices are mailed.
• Determine eligibility accurately, in accordance with policies and procedures as measured by SRS reviews, customer complaints and appeals.
• Ensure that interim changes are completed timely and accurately, in accordance with policies and procedures.
• Ensure databases and tracking systems have current and accurate information for tracking and reporting purposes.
• Submit daily productivity reports for compilation of unit production and accountability purposes.

MINIMUM QUALIFICATIONS

Education:

Graduation from an accredited high school or possession of a high school equivalency certificate.

Experience:

Six months of clerical experience applying policies in a medical care, health insurance or federal or State entitlement program.

-OR-

Six months of general clerical or administrative experience in one or more of the following: data entry and record keeping, intake and interviewing, responding to inquiries, explaining information, writing correspondence, maintaining policies, procedures, rules, and regulations, and completing general clerical tasks.

Notes:

SELECTION PROCESS

Applicants who meet the minimum (and selective) qualifications will be included in further evaluation. The evaluation may be a rating of your application based on your education, training and experience as they relate to the requirements of the position. Therefore, it is essential that you provide complete and accurate information on your application. Please report all related education, experience, dates and hours of work.

Clearly indicate your college degree and major on your application, if applicable. For education obtained outside the U.S., any job offer will be contingent on the candidate providing an evaluation for equivalency by a foreign credential evaluation service prior to starting employment (and may be requested prior to interview).

Complete applications must be submitted by the closing date. Information submitted after this date will not be added. Incorrect application forms will not be accepted. Resumes will not be accepted in lieu of a completed application. Candidates may remain on the certified eligible list for a period of at least one year. The resulting certified eligible list for this recruitment may be used for similar positions in this or other State agencies.

BENEFITS

STATE OF MARYLAND BENEFITS

We are an equal opportunity employer. Maryland is committed to recruitment, retaining and promoting employees who are reflective of the State's diversity.

Accessibility and accommodation requests:
Appropriate accommodations for individuals with disabilities are available upon request by calling  or MD TTY Relay Service