Under the direction of the Manager of Medicaid Recovery, the Medicaid Program Technician is responsible for coordinating and maintaining an efficient operating system for Medicaid cost recovery.  The incumbent is responsible for providing and interpreting accurate information and guidance in support of program evaluation, strategic planning, policy development and decision-making.  Success of work is measured in terms of effectiveness in accomplishing objectives.    

 

 

Coordinating all technical aspects relating to the Medicaid cost recovery program;

Maintaining and implementing a regular schedule for transmittal of billing claims from the State Medicaid Office;

Maintaining and implementing a regular schedule for downloading adjudicated files of paid claims from the Medicaid Office;

Maintaining and implementing a regular schedule for following up on unpaid claims;

Researching and resubmitting any applicable rejected claims;

Generating reports with regard to billing amounts, paid/unpaid claims, monthly audit reports by discipline and monthly audit reports for IEP coordination management;

Coordinating the utilization of the Purchase Order Tracking software, generating a monthly report showing the amounts earned/spent and the balance broken down by area/school; and providing a report for all participating disciplines;

Interfacing with software contractor for technical support;

Acting as liaison with data management office on all aspects of EXCENT, mainframe data exchange; and

Performing related duties as required.

 

 

Good technical knowledge of program related software and software applications and equipment;

Working knowledge of computer applications for developing spreadsheets, project schedules, expenditures analyses and written documents;

Some knowledge of other networking and operating systems;

Knowledge of various database engines in the areas of use and maintenance;

Good oral and written communication skills;

Ability to troubleshoot;

Effective human relation skills; and

Ability to exercise independent judgment. 

 

 

Associate's degree in Information Technology/Systems with knowledge of Microsoft Windows operating systems preferred; or any equivalent combination of experience and training, which provides the required knowledge, skills and abilities.

 

 

None Required.



No direct supervisory responsibilities.



The physical demands are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to stand, talk, hear, walk, sit, and use fingers, tools or controls. The employee is occasionally required to reach with hands and arms and stoop, kneel, crouch, or crawl. Specific vision abilities required by this job include close vision such as to read handwritten or typed material, the ability to adjust focus, and depth perception. While performing the duties of this job, the employee may occasionally push or lift up to 25 lbs.




The work environment characteristics are representative of those an employee encounters while performing the essential functions of the job.




None.