Washington State ESD
Medical Assistance Specialist 3 (MAS3/AHSO) – Facility Based
Washington State ESD, Seattle, Washington, us, 98127
Medical Assistance Specialist 3 (MAS3/AHSO) – Facility Based
71036615
This position is based at the Federal Way Public Health Center where it helps patients navigate Medicaid eligibility and usage. It is an excellent opportunity to gain state experience while helping provide comprehensive health coverage to more than 2 million Washingtonians.
About the Division The Apple Health Services and Operations (AHSO) Division works across the Health Care Authority (HCA) and in partnership with the health care community at local, state and federal levels to develop, manage, and provide high quality, evidence-based health care programs and purchase services that enhance Washington State’s citizens’ ability to access appropriate, quality health care.
About the Position This Medical Assistance Specialist 3 (MAS3) supports the HCA mission to provide access to medical care for all eligible Washington citizens. The position determines initial and/or ongoing individual and family medical eligibility for Medicaid Title XIX, Children’s Health Insurance Program (CHIP) Title XXI program, and other Medicaid and state funded medical assistance programs available in Washington State.
This position may be eligible to telework part time but is regularly required to report on site to meet business need.
The default assigned work location of all Health Care Authority (HCA) positions – both on site and telework eligible positions – is within the State of Washington.
HCA has currently suspended the ability to support out-of-state telework.
Some of What You Will Do
Independently determine initial and/or ongoing eligibility for Health Care Authority Medicaid Title XIX, CHIP Title XXI, and other Medicaid and state funded medical assistance programs administered by the MEDS office.
Apply complex federal and state eligibility regulations published in WAC and RCW to specific household circumstances resulting in accurate eligibility decisions.
Use and manage multiple interdependent electronic systems including but not limited to the Automated Client Eligibility System (ACES), HealthPlanFinder, ProviderOne, Audit Plus, Microsoft Office, SOLQ, Document Management System (DMS) and Employment Security Department (ESD).
Answer inquiries, resolve questions, update eligibility records and otherwise maintain and expand access to medical care for eligible Washington citizens.
Work in partnership with advocates, providers, Heath Benefit Exchange, other state agencies, community-based organizations and other units within HCA to provide clarification, resolve disputes, solve problems, coordinate referrals and/or answer inquiries.
Participate in committees and project teams as requested. Participate in process improvement, team meetings, and employee problem solving to review office procedures and processes to streamline operations to improve performance and customer service in the MEDS office.
Required Qualifications Qualified candidates will meet
one
of the following criteria:
Option 1:
A bachelor’s degree.
One (1) year of experience as defined below.
Option 2:
An associate degree.
Three (3) years of experience as defined below.
Option 3:
A Certificate of Medical Billing and Coding or closely related certificate program.
Three (3) years of experience as defined below.
Option 5:
Five (5) years of experience as defined below.
The experience required is one or a combination of the following:
Providing direct client services or counseling of customers in the areas of health insurance, disability, or other related health benefits.
Public assistance eligibility determination.
Health insurance premiums/claims processing, adjusting, and investigation; or other medical premiums/claims/eligibility related experience.
Experience researching and analyzing complex rules, regulations, or policies and utilizing research and analysis to make determinations, solve problems, or complete work while providing direct customer service either in person or on the telephone.
Preferred Qualifications
Experience performing conflict resolution with customers.
Knowledge of Medicaid programs and eligibility.
Experience utilizing Microsoft Office programs such as Outlook, Word, and SharePoint.
How to Apply Only candidates who reflect the minimum qualifications on their NEOGOV profile will be considered. Failure to follow the application instructions below may lead to disqualification.
To apply for this position, you will need to complete your profile which includes three professional references and attach in separate files:
A cover letter that specifically addresses how you meet the qualifications for this position.
Current resume.
To take advantage of veteran preference, please do the following:
Attach a copy of your DD214 (Member 4 long-form copy), NGB 22, or USDVA signed verification of service letter.
Please black out any PII data such as social security numbers. Include your name as it appears on your application in careers.wa.gov.
About HCA Functioning as both the state’s largest health care purchaser and its behavioral health authority, the Washington State Health Care Authority (HCA) is a leader in ensuring Washington residents have the opportunity to be as healthy as possible.
There are three pillars of our work: Apple Health (Medicaid); the Public Employees Benefits Board (PEBB) and School Employees Benefits Board (SEBB) programs; and behavioral health and recovery. Under these pillars, HCA purchases health care, including behavioral health treatment for more than 2.7 million Washington residents and provides behavioral health prevention, crisis, and recovery supports to all Washington residents.
What We Have to Offer
Meaningful work with friendly co-workers who care about those we serve.
A clear agency mission that drives our work and is person‑centered.
A healthy work/life balance, including alternative/flexible schedules and mobile work options.
A great total compensation and benefit package.
A safe, pleasant workplace in a convenient location with restaurants and shopping nearby.
And free parking.
Notes This position is covered by the Washington Federation of State Employees (WFSE). Once the listed position(s) is(are) filled, this recruitment announcement may also be used to fill additional position(s) for up to sixty (60) days.
Prior to a new hire, a background check including criminal record history will be conducted. Information from the background check will not necessarily preclude employment.
EEO Statement HCA is an equal opportunity employer. HCA has five employee resource groups (ERGs). ERGs are voluntary, employee‑led groups whose aim is to foster a diverse, inclusive workplace aligned with HCA’s mission. Our diversity and inclusion efforts include embracing different cultures, backgrounds and viewpoints while fostering growth and advancement in the workplace. If you have any questions about the required qualifications or how your experience relates to them, please contact us at HCAjobs@hca.wa.gov. Persons with disabilities needing assistance in the application process, or those needing this job announcement in an alternative format may contact Angelic Matthews at Angel.Matthews@HCA.WA.GOV. The Washington State Health Care Authority (HCA) is an E‑Verify employer. All applicants with a legal right to work in the United States are encouraged to apply.
#J-18808-Ljbffr
This position is based at the Federal Way Public Health Center where it helps patients navigate Medicaid eligibility and usage. It is an excellent opportunity to gain state experience while helping provide comprehensive health coverage to more than 2 million Washingtonians.
About the Division The Apple Health Services and Operations (AHSO) Division works across the Health Care Authority (HCA) and in partnership with the health care community at local, state and federal levels to develop, manage, and provide high quality, evidence-based health care programs and purchase services that enhance Washington State’s citizens’ ability to access appropriate, quality health care.
About the Position This Medical Assistance Specialist 3 (MAS3) supports the HCA mission to provide access to medical care for all eligible Washington citizens. The position determines initial and/or ongoing individual and family medical eligibility for Medicaid Title XIX, Children’s Health Insurance Program (CHIP) Title XXI program, and other Medicaid and state funded medical assistance programs available in Washington State.
This position may be eligible to telework part time but is regularly required to report on site to meet business need.
The default assigned work location of all Health Care Authority (HCA) positions – both on site and telework eligible positions – is within the State of Washington.
HCA has currently suspended the ability to support out-of-state telework.
Some of What You Will Do
Independently determine initial and/or ongoing eligibility for Health Care Authority Medicaid Title XIX, CHIP Title XXI, and other Medicaid and state funded medical assistance programs administered by the MEDS office.
Apply complex federal and state eligibility regulations published in WAC and RCW to specific household circumstances resulting in accurate eligibility decisions.
Use and manage multiple interdependent electronic systems including but not limited to the Automated Client Eligibility System (ACES), HealthPlanFinder, ProviderOne, Audit Plus, Microsoft Office, SOLQ, Document Management System (DMS) and Employment Security Department (ESD).
Answer inquiries, resolve questions, update eligibility records and otherwise maintain and expand access to medical care for eligible Washington citizens.
Work in partnership with advocates, providers, Heath Benefit Exchange, other state agencies, community-based organizations and other units within HCA to provide clarification, resolve disputes, solve problems, coordinate referrals and/or answer inquiries.
Participate in committees and project teams as requested. Participate in process improvement, team meetings, and employee problem solving to review office procedures and processes to streamline operations to improve performance and customer service in the MEDS office.
Required Qualifications Qualified candidates will meet
one
of the following criteria:
Option 1:
A bachelor’s degree.
One (1) year of experience as defined below.
Option 2:
An associate degree.
Three (3) years of experience as defined below.
Option 3:
A Certificate of Medical Billing and Coding or closely related certificate program.
Three (3) years of experience as defined below.
Option 5:
Five (5) years of experience as defined below.
The experience required is one or a combination of the following:
Providing direct client services or counseling of customers in the areas of health insurance, disability, or other related health benefits.
Public assistance eligibility determination.
Health insurance premiums/claims processing, adjusting, and investigation; or other medical premiums/claims/eligibility related experience.
Experience researching and analyzing complex rules, regulations, or policies and utilizing research and analysis to make determinations, solve problems, or complete work while providing direct customer service either in person or on the telephone.
Preferred Qualifications
Experience performing conflict resolution with customers.
Knowledge of Medicaid programs and eligibility.
Experience utilizing Microsoft Office programs such as Outlook, Word, and SharePoint.
How to Apply Only candidates who reflect the minimum qualifications on their NEOGOV profile will be considered. Failure to follow the application instructions below may lead to disqualification.
To apply for this position, you will need to complete your profile which includes three professional references and attach in separate files:
A cover letter that specifically addresses how you meet the qualifications for this position.
Current resume.
To take advantage of veteran preference, please do the following:
Attach a copy of your DD214 (Member 4 long-form copy), NGB 22, or USDVA signed verification of service letter.
Please black out any PII data such as social security numbers. Include your name as it appears on your application in careers.wa.gov.
About HCA Functioning as both the state’s largest health care purchaser and its behavioral health authority, the Washington State Health Care Authority (HCA) is a leader in ensuring Washington residents have the opportunity to be as healthy as possible.
There are three pillars of our work: Apple Health (Medicaid); the Public Employees Benefits Board (PEBB) and School Employees Benefits Board (SEBB) programs; and behavioral health and recovery. Under these pillars, HCA purchases health care, including behavioral health treatment for more than 2.7 million Washington residents and provides behavioral health prevention, crisis, and recovery supports to all Washington residents.
What We Have to Offer
Meaningful work with friendly co-workers who care about those we serve.
A clear agency mission that drives our work and is person‑centered.
A healthy work/life balance, including alternative/flexible schedules and mobile work options.
A great total compensation and benefit package.
A safe, pleasant workplace in a convenient location with restaurants and shopping nearby.
And free parking.
Notes This position is covered by the Washington Federation of State Employees (WFSE). Once the listed position(s) is(are) filled, this recruitment announcement may also be used to fill additional position(s) for up to sixty (60) days.
Prior to a new hire, a background check including criminal record history will be conducted. Information from the background check will not necessarily preclude employment.
EEO Statement HCA is an equal opportunity employer. HCA has five employee resource groups (ERGs). ERGs are voluntary, employee‑led groups whose aim is to foster a diverse, inclusive workplace aligned with HCA’s mission. Our diversity and inclusion efforts include embracing different cultures, backgrounds and viewpoints while fostering growth and advancement in the workplace. If you have any questions about the required qualifications or how your experience relates to them, please contact us at HCAjobs@hca.wa.gov. Persons with disabilities needing assistance in the application process, or those needing this job announcement in an alternative format may contact Angelic Matthews at Angel.Matthews@HCA.WA.GOV. The Washington State Health Care Authority (HCA) is an E‑Verify employer. All applicants with a legal right to work in the United States are encouraged to apply.
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