Accountant/Examiner 3

What will you do?

* Reviews & audits billing system transactions (e.g., cost projections & authorizations of waiver costs, targeted care management billing, nursing services billing) authorized by program offices (e.g., county boards of DD) for compliance with waiver reimbursement department requirements (i.e., Cost Projection Tool (CPT)); reviews projected waiver cost information to authorize payment for waiver services through the MSS, MBS, FI/VUE360 system, or Sandata EVV system; reviews components of cost projections and authorizations, upon request for county boards, providers, DODD Medicaid Staff, Ohio Dept.

of Job and Family Services &/or for fiscal control reviews & audits; reviews patient liability information as necessary * Provides guidance and technical assistance to Account Examiner 2's and Customer Service Assistants; researches difficult inquiries & referrals from AE2's &/or Customer Service Assistants utilizing various Medicaid related systems (e.g., Medicaid Services System (MSS), Electronic Medicaid Billing System (eMBS), Payment Authorization of Waiver Services (PAWS), Individual Data System (IDS/LOC), Waiver Management System (WMS), Provider Services Management System (PSM), Developmental Disability Profile (DDP), Acuity Assessment Instrument (AAI), Monthly Rate Calculator (MRC), Medicaid Financial Intermediary System (FI), Medicaid VUE 360 (Interface with FI), SanData EVV system, Service Now, Ohio Integrated Eligibility System, (OhioBenefits or OIES) * Provides high level technical assistance, program assistance & support by telephone, e-mail, in writing, or in person to DODD Medicaid Home & Community Based Services (HCBS) Waiver providers, DODD staff, County Boards of DD staff, recipients &/or family members & general public concerning federal Medicaid regulations, Ohio Revised & Administrative Codes, policies & procedures, status of claims, claims processing procedures & system access & security.

* Monitors, tracks & takes appropriate action to address help desk response time & other statistics related to customer inquiries; * Identifies potential areas of need for additional training in the field or for internal staff; identifies ineffective or outdated systemic issues & makes recommendations to management for needed changes to systems, procedures &/or policies; creates, evaluates &/or revises materials to be distributed &/or posted to the provider billing section of the DODD website; updates various Medicaid related systems with pertinent provider demographic information received upon certification of provider by DODD and Ohio Department of Medicaid.

* Provides basic technical assistance & guidance to Medicaid Services Systems (MSS) users to meet customer service standards; researches & responds to basic inquiries utilizing Medicaid related systems (e.g., MSS, eMBS, PAWS, IDS/LOC, PSM, DDP, AAI, MRC, Service Now, FI/VUE360, Sandata EVV, OhioBenefits) & ensures that services authorized through MSS or PAWS accurately flow through to the State Medicaid Billing System * Reviews cost authorization in the SPA &/or PAWS systems to ensure accuracy; reviews patient liability information for accuracy as necessary; PAWS plans; coordinates technical assistance & response to inquiries with other Medicaid Operational units (e.g., Provider Certification, Prior Authorization, Waiver Enrollment & other divisions within DODD) * Ensures cases are tracked using appropriate software & volume of open cases remains at a manageable level; provides appropriate customer service; monitors & analyzes various reports related to claims and billing & takes appropriate action to resolve.

To request a reasonable accommodation due to disability, please contact the ADA Coordinator by email at . * Or completion of undergraduate core coursework in accounting or 2 yrs.

exp.

in accounting.

* Or completion of undergraduate core coursework in business administration, economics, computer science or related field; 16 semester or 24 quarter hours in accounting.

* Or 12 mos.

exp.

as Accountant/ Examiner 2, 66112 with state government exp.

commensurate with duties to be assigned.

* Or equivalent of Minimum Class Qualifications for Employment noted above.

Job Skills: Accounting and Finance Professional Skills: Attention to Detail, Customer Focus, Responsiveness