Provider Enrollment Specialist - Human Services Program Specialist 1

State Of Minnesota Saint Paul , MN 55102

Posted 1 week ago

Job Details

Job Class: Human Services Program Specialist 1Working Title: Provider Enrollment Specialist

Who May Apply: Open to all qualified job seekers

Date Posted: 04/12/2019

Closing Date: 04/18/2019

Hiring Agency/Seniority Unit: Department of Human Services / Central Office

Division/Unit: Health Care Administration / Member & Provider Services Provider Enrollment HCBS

Work Shift/Work Hours: Day Shift / 8:00 a.m. to 4:30 p.m.

Days of Work: Monday - Friday

Travel Required: No

Salary Range: $19.46 - $28.15/hourly; $40,632 - $58,777/annually

Classified Status: Classified

Connect 700 Program Eligible: Yes

Job Summary

Job Summary

The Minnesota Health Care Programs (MHCP) Provider Enrollment Specialist in the provider enrollment unit interprets and applies federal and state requirements for determining the eligibility of and enrolling counties, health care providers, provider groups and other health care entities into Minnesota Health Care Programs (MHCP). The incumbent will report to the Unit Supervisor and team leads. This position may interact with the breadth of provider types and entities that give information relating to and/or verify provider credentials, e.g., Department of Commerce or may interact with the Attorney General's Office.

Main responsibilities:

  • Interpret and apply federal and state requirements for determining the eligibility of and enrolling counties, health care providers, provider groups, and other health care entities into Minnesota Health Care Programs (MHCP).

  • Review and verify changed provider status information to determine continued provider eligibility. Determine when providers are ineligible in order to prevent the delivery of health care services to MHCP clients by a provider not eligible for reimbursement.

  • Enter and verify enrollment data into the MMIS II Provider File subsystem to ensure that accurate, updated enrollee information is available for claims processing and compliance reporting purposes.

  • As needed, make recommendations for modifications, changes and/or edits to the MMIS II subsystems, operations and/or procedures.

Qualifications

Minimum Qualifications:

  • Two (2) years advanced administrative support, paraprofessional, or technical experience in a healthcare or social services setting.

  • Bachelor's Degree or higher in health care administration, business administration, social services or related field may substitute for one (1) year of experience.

Preferred Qualifications:

  • Familiarity with MN Healthcare systems and or programs.

Additional Requirements

To facilitate proper crediting, please ensure that your resume clearly describes your experience in the areas listed and indicates the beginning and ending month and year for each job held.

REFERENCE/BACKGROUND CHECKS - The Department of Human Services will conduct reference checks to verify job-related credentials and criminal background check prior to appointment.

Application Details

Why Work For Us

GREAT BENEFITS PACKAGE! The State of Minnesota offers a comprehensive benefits package including low cost medical and dental insurance.

This position is located in Minnesota's great capital city, St. Paul. The State of Minnesota offers employees subsidies for public transportation allowing for convenient and easy access to commute to work.

Ride the new METRO "Green Line" Light Rail Train to work! The 10th Street Station is located close by.

Our mission as an employer is to actively recruit, welcome and support a workforce, which is diverse and inclusive of people who are underrepresented in the development of state policies, programs and practices, so that we can support the success and growth of all people who call Minnesota home.

How to Apply

Click "Apply" at the bottom of this page. If you have questions about applying for jobs, contact the job information line at 651-259-3637.

For additional information about the application process, go to http://www.mn.gov/careers.

Contact

If you have questions about the position, contact Alex Bolinske at Alexandra.Bolinske@state.mn.us.

If you are a Connect 700 applicant, please email your certificate and the Job posting ID number to Daniel Thorp at daniel.thorp@state.mn.us by the position close date.

If you are an individual with a disability and need an ADA accommodation for an interview, you may contact the Department of Human Services' ADA Coordinator at 651-431-4945 for assistance.

AN EQUAL OPPORTUNITY EMPLOYER

The State of Minnesota is an equal opportunity, affirmative action, and veteran-friendly employer. We are committed to providing culturally responsive services to all Minnesotans. The State of Minnesota recognizes that a diverse workforce is essential and strongly encourages qualified women, minorities, individuals with disabilities, and veterans to apply.

We will make reasonable accommodations to all qualified applicants with disabilities. If you are an individual with a disability who needs assistance or cannot access the online job application system, please contact the job information line at 651-259-3637 or email careers@state.mn.us. Please indicate what assistance you need.

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Provider Enrollment Specialist - Human Services Program Specialist 1

State Of Minnesota