Administrative Specialist - Compliance

WHAT YOU WILL DO AS ADMINISTRATIVE SPECIALIST I

You'll provide a wide range of mid-level administrative and office support activities for the Compliance program. We are looking for someone who is extremely organized and attentive to detail because this position's key element is monitoring and reviewing data to ensure accuracy and timeliness. The ideal candidate will be a team player who is adaptable and dependable.

• Monitors and reviews case notes, ensuring accuracy of documentation and quality assurance for billing.
• Completes utilization reviews of files and communicates log entries to appropriate personnel for case management.
• Participates in program audits and reviews, providing data and information requested. Audits files to ensure paperwork is completed and correct for billing purposes.
• Maintains several databases by accurately performing computer data entry, including maintaining master directories such as client lists and consumer medications lists.
• Sets up, organizes, and maintains files, which may include opening and closing files as well as ensuring proper documents are included in the file.
• Maintains knowledge of Administrative Rules, Medicaid Handbook, and OIG findings, interpreting and applying information when tracking status of cases.
• In our team-oriented environment, the Compliance department actively collaborates with multiple divisions across the agency to support unified goals and regulatory consistency.

• High school diploma or equivalent with one to two years related experience and/or training required; or Associate degree; or equivalent combination of education and experience.

• Three years related experience and/or training; or an Associate degree and one year experience; or an equivalent combination of education and experience.