Join Our Team!
Accepting applications for Accountant/Examiner 2
Who Are We?
The Department of Developmental Disabilities (DODD) is a trauma informed care agency focused on implementing our core values and providing support to people with developmental disabilities. We oversee a statewide system of supportive services that focus on ensuring the health and safety, supporting access to community participation, and increasing opportunities for meaningful employment. To learn more about DODD click here .
What will you do?
Assists DODD Medicaid Home & Community Based Waiver providers & County Boards of DD personnel with processing eligible Medicare &/or Medicaid claims for reimbursements for patients housed in DODD facilities or from service providers &/or county boards; provides technical assistance & guidance to Medicaid Services System (MSS) users: researches & responds to basic inquiries utilizing Medicaid related systems (e.g., MSS, Medicaid Billing System (MBS), Payment Authorization for Waiver Services (PAWS), Individual Data Systems (IDS), Waiver Management System (WMS), Provider Services Management (PSM), Developmental Disability Profile (DDP), Acuity Assessment Instrument (AAI), Daily Rate Application (DRA)/Monthly Rate Calculator (MRC)) & provides technical assistance, program assistance & training by telephone, in writing, email or in person to Department of Developmental Disabilities (DODD) Medicaid Home & Community Based Services Waiver providers, other DODD personnel, County Boards of DD personnel, 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; 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 & billing & takes appropriate action to resolve.
Accesses Ohio Department of Medicaid (ODM) Medicaid Information Technology System (MITS) or replacement system &/or ODM’s Ohio Benefits Eligibility System to investigate & resolve non-adjudicated claims transactions or claims denied for reimbursement by ODM; monitors & reviews claims submissions through MBS to ODM for adjudication & through Ohio Administrative Knowledge System (OAKS) for appropriate reimbursement; updates MBS with pertinent provider demographic information received upon certification of provider by DODD & ODM; ensures that services authorized through MSS or PAWS accurately flow through to State MBS; reviews cost authorization in Service Payment Authorization (SPA) &/or PAWS systems to ensure accuracy.
**This position is telework eligible under the agency’s current telework agreement.**
What’s in it for you:
At the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees. For a list of all the State of Ohio Benefits, visit our Total Rewards website ! Our benefits package includes:
Medical Coverage
- Quality, affordable, and competitive medical benefits are offered through the Ohio Med PPO plan.
Dental, Vision and Basic Life Insurance
- Dental, vision and basic life insurance premiums are free after one year of continuous service.
Time Away from Work and Work/Life Balance
- Paid time off, including vacation, personal, and sick leave
- 11 paid holidays per year
- Childbirth/Adoption leave
Ohio Public Employees Retirement System
- OPERS is the retirement system for State of Ohio employees. The employee contributes 10% of their salary towards their retirement. The employer contributes an amount equal to 14% of the employee’s salary. Visit the OPERS website for more information.
Deferred Compensation
- The Ohio Deferred Compensation program is a 457(b) voluntary retirement savings plan. Visit the Ohio Deferred Compensation website for more information.
Ohio is a Disability Inclusion State and strives to be a Model Employer of Individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws. To request a reasonable accommodation due to disability, please contact ADA Coordinator Tamara Hairston at 614-466-2508 or by email at EEO-DiversityAffairs@dodd.ohio.gov .
Qualifications
12 mos. exp. as Accountant/ Examiner 1, 66111, with state government exp. commensurate with duties to be assigned.
-Or 24 mos. exp. in position involving review & processing of claims, collections, billings, payments or review of documents for accuracy, completeness &/or compliance with reporting guidelines, laws or rules with exp. commensurate to duties to be assigned.
-Or 16 semester or 24 quarter hours in accounting; 12 mos. exp. in accounting or other fiscal/financial activity.
-Or equivalent of Minimum Class Qualifications for Employment noted above.