DSHS DDS Examiner Support Specialist Details

DSHS DDS Examiner Support Specialist

State of Washington Dept. of Social and Health Services - Tumwater, WA

Employment Type : Full-Time

Description

DSHS ESA DDS Examiner Support Specialist 2

If you are highly organized and able to prioritize work to meet deadlines, consider this exciting opportunity to join our supportive team with the Department of Social and Health Services (DSHS) and Economic Services Administration (ESA).

The Disability Determination Services (DDS) is currently seeking 2 Examiner Support Specialists to join our Medical Claims Unit (MCU) in Tumwater.

In this role, you will provide consultative services for medical billing with vendors, Social Security disability and medically needy claimants. Your work will help Transform Lives!

Some of what you'll do

• Provide expert consultative consultative service for medical billing with vendors, Social Security disability and medically needy claimants seeking reimbursement
• Solely determine proper authorizations have been met and calculate authorized fees
• Send out requests for W-9 information for the provider
• Verify daily payment reports to ensure that it is complete and accurate
• Complete research for MER and CE vendors when they call regarding missing payments
• Process returned checks
• Responsible for covering the Medical Claims Unit billing phone line
• Research and analyze Electronic File sheets for records to determine payment authorizations

Our ideal applicant is a self-motivated, reliable and collaborative individual who is experienced, detail-oriented, and able to maintain confidentiality. They are customer and process oriented specialist must be comfortable using multiple database systems and have strong verbal and written communication skills. They should be able to multitask, prioritize, and interact with internal staff and external entities as needed, accepting responsibility for the quality and timeliness of work to meet or exceed predetermined goals and objectives, all with little need for oversight.

Who should apply

• Professionals with a bachelor's degree and at least one year of experience working with disability, medical or health insurance claims adjudication or investigation, or closely related field,

Or, at least one year of professional experience handling claims in a Disability Determination Services office or Social Security Administration,
Or, additional years of qualifying experience may substitute year for year for education.

Preferred knowledge, skills, & abilities

• Ability to analyze and interpret Social Security Administration rules and regulations
• Ability to use multiple database systems
• Experience with understanding and utilizing Current Procedural Technology (CPT) and ICD-9 coding in scheduling

To Apply-

• Completed application
• Resume
• Cover letter

Questions? Please contact sean.brauner@dshs.wa.gov and reference #13538

NOTE:
Per Governor Inslees’ Proclamation 21-14 (Download PDF reader) state employees must be fully vaccinated no later than October 18, 2021. Your vaccine status will be verified at New Employee Orientation. Please note medical or religious accommodation may be available, once an offer of employment is made

Supplemental Information

Prior to a new hire, a background check including criminal record history may 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 job. This announcement may be used to fill multiple vacancies. 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.

Washington State Department of Social and Health Services is an equal opportunity employer and does not discriminate in any area of employment, its programs or services on the basis of age, sex, sexual orientation, gender, gender identity/expression, marital status, race, creed, color, national origin, religion or beliefs, political affiliation, military status, honorably discharged veteran, Vietnam Era, recently separated or other protected veteran status, the presence of any sensory, mental, physical disability or the use of a trained dog guide or service animal by a person with a disability, equal pay or genetic information. Persons requiring accommodation in the application process or this job announcement in an alternative format may contact the Recruiter at (360) 725-5810. Applicants who are deaf or hard of hearing may call through Washington Relay Service by dialing 7-1-1 or 1-800-833-6384.

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