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L&I Medical Treatment Adjudicator, Supervisor

Expired Job

Washington State Tumwater , WA 98511

Posted 5 months ago

Description

Open to L&I; employees only

  • This position has been reposted to broaden applicant pool. *

The Medical Treatment Adjudicator 4 (MTA) directs, supervises and provides leadership to a team of MTA 1's, MTA 2's and MTA 3's in ensuring the timely and accurate adjudication of payments for medical bills and other services for the treatment of injured workers.

As the MTA Supervisor, you will maintain the organizational service standard of processing 95% of all bills within 30 days and 100% within 60 days. This includes ensuring the team meets the quality standard of at least 99% accuracy through regular quality assurance tracking, the review of management and production reports, and the regular analysis of individual and team performance.

Some of what you will do:

  • Provide leadership and supervision to a staff of up to 18

  • Meet regularly with staff to set and clarify expectations and provide feedback and coaching.

  • Identify staff development needs and provide meaningful growth and development opportunities.

  • Deal promptly with performance problems by working with staff to diagnose problems, develop solutions, and monitor progress.

  • Monitor unit caseload management, resolving complex bills issues, and actively engaging in process improvements.

  • Assess and facilitate staff training needs, coach and encourage overall team development and actively work to identify and retain talent.

  • Oversee individual and team workload to ensure that established quality and productivity standards are achieved.

  • Promote a positive external customer experiences, communicating with providers and vendors and answer workers bill payment questions.

  • Deliver final decisions to customers on complex billing issues clearly explains the reasons for decisions.

  • Ensure communication between MTA staff and other internal stakeholders is clear and timely to maintain maximum efficiency.

  • Serve as liaison and deliver formal training and presentations for internal and external stakeholders.

  • Act as a liaison within the healthcare community and other state agencies to exchange information and resolve healthcare billing issues.

  • Analyze billing manuals annually to reflect all updates and changes from the yearly Medical Aid Rules and Fee Schedule.

Who should apply
L&I; employees with a bachelor's degree or 3 years of professional experience as a Medical Treatment Adjudicator, Disability Claims Adjudicator, Medical Administrator, Insurance Adjudicator, or closely related field.

(Additional professional experience may substitute for the degree on a year for year basis.)

Here's what we are looking for:

  • Must have expert knowledge in bill payment in accordance to the Medical Aid Rules and Fee Schedule, WACs, RCWs, and department policy.

  • Knowledge of medical terminology and CPT coding.

  • Advanced knowledge of L&l; technology systems that includes MIPS, MPOS, LINIIS, Ask LNI, Hyperion, FAD, ARC and ORION.

  • Ability to research, evaluate and draw conclusions from data, support recommendations with facts and analysis, interpret and apply rules, laws, policies and procedures.

  • Strong communication and consulting skills with the ability to collaborate with clients to identify and resolve complex or sensitive issues.

  • Demonstrated ability to develop positive, productive, respectful working relationships with customers, co-workers and other agency personal.

NOTE: In addition to your application, the process requires that you include the following. Please attach while in the online application process.

  • Cover letter clearly addressing how you meet the above section of job announcement titled: "Who should apply
  • What we are looking for"
  • Resume

Supplemental Information

This job announcement may be used to fill multiple vacancies. Application review starts immediately and the hiring authority reserves the right to offer the job at any time. It's to your advantage to apply quickly.

Employees driving on state business must have a valid driver's license. Employees driving a privately owned vehicle on state business must have liability insurance on the privately owned vehicle.

Prior to any new hire into L&I;, a background check, including criminal record history, will be conducted. Information from the background check will not necessarily preclude employment but will be considered in determining the applicant's suitability and competence to perform in the position.

To apply, follow the "Apply" link above


Jobs advertised as Open Continuous will be closed without notice. Apply quickly!

We're looking for evidence that you have what we're looking for. Your application materials will be used for deciding who'll be selected for interview.

For more information about the Department of Labor & Industries visit:
OR
Contact us at:

L&I; strives to attract and retain a high-performing and diverse workforce in which our differences are respected and valued to better meet the needs of the diverse customers we serve. L&I; fosters an inclusive environment that promotes safety, collaboration, flexibility and fairness so that all employees can participate and contribute to their full potential.

This position is represented by the Washington Federation of State Employees (WFSE).

Persons with a disability, who need assistance in the application process, or those needing this announcement in an alternative format, may call . Applicants that are deaf or hard of hearing may call through the Washington Relay Service at 7-1-1.

The State of Washington is an Equal Opportunity Employer

Salary: $4,065.00 - $5,334.00 Monthly

  • Location:* Thurston County Tumwater, WA

  • Job Type:* Agency Internal

  • Non-Permanent
  • Department:* Dept. of Labor & Industries

  • Job Number:* 2018-07677

Closing: 8/19/2018 11:59 PM Pacific

  • Agency:* State of Washington

  • Address:* View Job Posting for Agency Information View Job Posting for Location, Washington, 98504

Phone: View Posting for Agency Contact

  • Website:*
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L&I Medical Treatment Adjudicator, Supervisor

Expired Job

Washington State