Technical Records Specialist 2 - MED - State of Idaho

Description

DEDICATED TO STRENGTHENING THE HEALTH, SAFETY, AND INDEPENDENCE OF IDAHOANS

***THIS ANNOUNCEMENT WILL BE OPEN UNTIL FILLED. APPLICANTS ARE ENCOURAGED TO APPLY AS SOON AS POSSIBLE TO BE CONSIDERED.

If you thrive in a fast-paced environment and are passionate about providing exceptional customer service, we want to hear from you!

Idaho Medicaid Healthy Connections is seeking a highly organized and detail-oriented Technical Records Specialist 2 to join our Healthy Connections Consolidated Unit. This position can be located at any of our DHW offices statewide. This team consists of 3 staff who handle an average of 170 calls per day and provides customer service for the Division of Idaho Medicaid. The successful candidate will be the first point of contact for handling sensitive information and will be responsible for processing enrollment requests, managing communications, and ensuring compliance with Medicaid regulations. This role requires a high-level understanding of various divisions and programs within the Department of Health and Welfare to effectively refer customers to the appropriate staff.

At Healthy Connections, you will be part of a dedicated team committed to improving the health and well-being of Idaho's Medicaid members. We offer a supportive work environment, and the chance to make a meaningful impact in the community.

This position may be eligible for telework after successful completion of probation.

BENEFITS:

BEST RETIREMENT AVAILABLE IN THE NATION 

We have one of the Nation's best state retirement systems (PERSI) that offers a lifetime benefit. 

OTHER EXCELLENT BENEFITS

• 11 paid holidays
• Generous vacation and sick leave accrual beginning as soon as you start 
• Paid parental leave
• Medical, dental, vision insurance - incredible rates!(full-time/30+ hours per week)
• PERSI Choice 401(k)
• Deferred compensation plan
• Life insurance
• Short and long-term disability insurance
• Student Loan Forgiveness
• Wellness programs
• Employee Assistance Program (EAP)
• Flexible Spending Accounts (FSA) 
• Wide variety of training opportunities
• Some positions offer flexible hours and/or telecommuting

EXAMPLE OF DUTIES:

• Serve as the primary contact for incoming inquiries, providing accurate customer service information to assist members and clinics. 
• Ability to manage multiple tasks effectively with a strong attention to detail. 
• Process an average of 12,000 enrollments and changes monthly, ensuring accuracy and compliance with Medicaid guidelines. 
• Monitor and manage the phone line, enrollment fax folder, program email box, and website portal primary care provider submissions. 
• Attend weekly TRS 2 meetings and bi-weekly Healthy Connections staff meetings, contributing to team discussions and initiatives. 
• Upload the provider network list to the website enrollment portal daily.
• Conduct thorough research on primary care provider initial enrollments and change requests, ensuring compliance with grace periods and clinic panel limitations. 
• Collaborate with team members to ensure all enrollment forms are accurately uploaded to member records. 
  

MINIMUM QUALIFICATIONS:

You must possess all the minimum qualifications below to pass the exam for this position. Please make sure your resume or work history supports your meeting the minimum qualifications for this position. Failure to do this may disqualify you from being considered for this position. It is highly recommended to attach a one-page cover letter to your application to demonstrate how you meet the requirements below.

• Experience monitoring record systems to identify and correct errors. Typically gained by at least one year of related experience.
• Experience interpreting, explaining, and applying laws, regulations, and complex policies for multiple or highly specialized programs. Typically gained by at least one year of experience which frequently required interpreting and applying a variety of difficult rules, regulations, or policies to determine compliance or eligibility and explaining decisions to others. Decisions are complex and can affect the social or economic well being of others or will result in a service or action being denied.
• Experience  analyzing information and researching a variety of sources to identify and resolve problems or issues. Typically gained by at least one year of extensive research and analysis of highly complex or technical material requiring in-depth program knowledge in order to determine if requirements were met and if they complied with established laws and/or policies. Research must have included contacting a variety of sources both inside and outside the organization to collect, obtain, and verify information and determine the appropriate course of action.
• Experience dealing with individuals from varying cultural and socio-economic backgrounds in stressful situations. Typically gained by at least one year experience dealing with individuals from varying cultural and socioeconomic backgrounds in stressful situations which dealt with personal, sensitive, or confidential information such as eligibility requirements, health issues, or financial matters.
• Experience entering and retrieving data using a computerized record system. Typically gained by at least six months of experience in a work setting where it was required to enter and retrieve data in a database records system or other computer records system.
• Experience composing and proofreading business correspondence. Typically gained by at least one year of office experience which required composing and proofreading a variety of business documents on a regular basis OR successful completion of at least one college-level English composition or business English class AND six months of experience composing business documents.

Below is preferred experience. It is not required for the position but applicants with this experience may receive consideration over other applicants.

• Call center experience. Typically gained by at least 1 year working in a call center.

 Learn About a Career with DHW

***PLEASE NOTE: application assistance is not available after the business hours listed below, on the weekends, or on holidays and you must apply before 4:59 pm on the closing date. When applying, use CHROME as your browser to avoid complications.

 If you have questions, please contact us at:

 Email is the quickest way to get an answer to your questions.

(answered Monday through Friday during business hours MST)

EMAIL: dhwjobs@dhw.idaho.gov 

PHONE: (208) 334-0681

EEO/ADA/Veteran:

The State of Idaho is committed to providing equal employment opportunities and prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on their race, color, religion, political affiliation or belief, sex, national origin, genetics, or any other status protected under applicable federal, state, or local laws.

The State of Idaho is committed to access and reasonable accommodations for individuals with disabilities, auxiliary aids and services are available upon request. If you require an accommodation at any step in our recruitment process, you are encouraged to contact (208) 334-2263 (TTY/TTD: 711), or email ada.coordinator@dhr.idaho.gov.

Preference may be given to veterans who qualify under state and federal laws and regulations.