ADMINISTRATIVE SPECIALIST II **REPOST**

RECRUITMENT REPOST. PREVIOUS APPLICANTS NEED NOT REAPPLY.

11

MDH Division of Recoveries and Financial Services, Baltimore MD

The main purpose of this full-time contractual position will be to validate insurance coverage for Medical Assistance recipients based on referrals received from various sources. Once the referrals are received contacts are made to insurance carriers, Federal and State agencies, employers, Managed Care Organizations (MCO) etc. to verify insurance coverage. This position will also review and analyze paid Medicaid claims, initiate new claims (where applicable) to various insurance carriers, handle all follow-up contact with insurance carriers, medical assistance providers of service and recipients through the resolution of filed claims; make recommendations regarding regulatory changes to the standard TPL collection procedures. In addition, this position will interpret and apply Federal and State regulations daily relating to third party recovery of health insurance.

Experience:  Three years of experience in administrative staff or professional work.

Notes:

1. Candidates may substitute the completion of 60 credit hours at an accredited college or university and one year of experience in administrative staff or professional work for the required experience.

2. Candidates may substitute U.S. Armed Forces military service experience as a non-commissioned officer involving staff work requiring regular use of independent judgment and analysis in applying and interpreting rules and regulations in accordance with agency laws and policies on a year-for-year basis for the required experience.

Candidates may be responsible for providing their own transportation as needed to access meetings, remote locations, and job destinations as assigned.

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.

Online applications are highly recommended. However, if you are unable to apply online, the paper application (and supplemental questionnaire) may be submitted to MDH, Recruitment and Selection Division, 201 W. Preston St., Room 114-B, Baltimore, MD 21201. Paper application materials must be received by 5 pm, close of business, on the closing date for the recruitment, no postmarks will be accepted.

If additional information is required, the preferred method is to upload.  If you are unable to upload, please fax the requested information to 410-333-5689. Only additional materials that are required will be accepted for this recruitment. All additional information must be received by the closing date and time.

For questions regarding this recruitment, please contact the MDH Recruitment and Selection Division at 410-767-1251.

If you are having difficulty with your user account or have general questions about the online application system, please contact the MD Department of Budget and Management, Recruitment and Examination Division at 410-767-4850 or Application.Help@maryland.gov. 

Appropriate accommodations for individuals with disabilities are available upon request by calling: 410-767-1251 or MD TTY Relay Service 1-800-735-2258.

We thank our Veterans for their service to our country.

People with disabilities and bilingual candidates are encouraged to apply.

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