Description

Pay Grade: H

The Georgia Department of Community Health (DCH) is one of Georgia's four health agencies serving the state's growing population of over 10 million people. DCH serves as the lead agency for Medicaid, oversees the State Health Benefit Plan (SHBP), and Healthcare Facility Regulation, impacting one in four Georgians.

Through effective planning, purchasing, and oversight, DCH provides access to affordable, quality health care to millions of Georgians, including some of the state's most vulnerable and under-served populations. Six enterprise offices support the work of the agency’s three program divisions. DCH employees are based in Atlanta, Cordele, and across the state.

DCH is committed to providing superior Customer Service and Communication, embracing Teamwork, and fostering Accountability to ensure that our internal and external customers and stakeholders feel included, respected, engaged, and secure.

Job Responsibilities

Responsible for reaching out to providers, doctor offices, hospitals, nursing homes, and dialysis facilities to collect payment for outstanding balances owed to the State (Georgia Medicaid) due to claims adjustments, incentive payments, audits, re-establishment of voided checks, and various other reasons. Acts as the liaison between DCH and providers/provider facilities and manages overdue accounts.

Performs job responsibilities with minimal supervision
Collect payments on outstanding balances.
Create a list of people who have not made payments.
Organize list according to severity of delinquency and amount owed.
Locate providers using MMIS database, the Internet, assistance from the Provider Enrollment Department, and/or CMOs.
Call providers using telephone.
Status account according to the step you are on.
Inform providers of overdue accounts and amount currently owed.
Attempt to collect payment.
Ensure all provider information is correct, including phone numbers and addresses.
Set up repayment plans if provider is approved.
Offer advice or refer providers to Hewlett Packard Enterprise.
Record all providers’ comments.
Send Demand letter to provider.
Initiate proceedings or turn over account to legal department/Assistant Attorney General for collection.
Close account/update status to reflect balance paid off.

Experience and Required Skills

Ability to review financial reports
Possess strong analytical, critical thinking, and problem-solving skills
Ability to provide support and respond to requests from management and team members
Demonstrates effective verbal and written communication skills
Proficient in Excel – knowledge of working with queries, importing and exporting data, and performing VLOOKUP

Minimum Qualifications

Associate degree in a related area from an accredited college or university and one (1) year of job-related experience in accounting, billing, collection systems, or claims; or one (1) year of professional job-related experience in general accounting, billing, and collection systems and/or claims.

Additional Information

EARN MORE THAN A SALARY! In addition to a competitive salary, the Georgia Department of Community Health offers a generous benefits package, which includes employee retirement plan; paid holidays annually; vacation and sick leave; health, dental, vision, legal, disability, accidental death and dismemberment, health, and child care spending account.

Due to the volume of applications received, we are unable to provide information on application status by phone or e-mail. All qualified applicants will be considered, but may not necessarily receive an interview. Selected applicants will be contacted by the hiring agency for next steps in the selection process. Applicants who are not selected will not receive notification.

THIS POSITION IS SUBJECT TO CLOSE AT ANY TIME ONCE A SATISFACTORY APPLICANT POOL HAS BEEN IDENTIFIED. APPLICATIONS WITHOUT WORK EXPERIENCE LISTED WILL NOT BE CONSIDERED. CURRENT GEORGIA STATE GOVERNMENT EMPLOYEES WILL BE SUBJECT TO STATE PERSONNEL BOARD (SPB) RULE PROVISIONS. THE POSITION MAY BE FILLED AT A LOWER OR HIGHER POSITION LEVEL.

This position is unclassified and employment is at-will. Candidates for this position are subject to a background history, reference check, and credit check. For more information about this job, contact: dch.ga.gov

Job Type: Full-time

Pay: $34,248.75 - $54,685.32 per year

Benefits:

401(k)
401(k) matching
Dental insurance
Flexible schedule
Health insurance
Paid time off
Professional development assistance
Vision insurance

Shift:

8 hour shift

Weekly day range:

Monday to Friday

Work setting:

In-person

Experience:

Pharmacy technician experience: 1 year (Preferred)
Customer service: 1 year (Preferred)

License/Certification:

Pharmacy Technician License (Preferred)
Pharmacy Technician Certification (Preferred)

Work Location: In person

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Georgia Department of Community Health

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