Technical Records Specialist 2 - MED
Posting Begin Date: 2025/04/18
Posting End Date: 2025/05/18
Category: Administration
Sub Category: Administrative Assistant
Work Type: Full Time
Remote: Flexible Hybrid
Location: Boise, ID, United States
Minimum Salary: 17.85
Maximum Salary: 19.04
Pay Rate Type: Hourly
Description
DEDICATED TO STRENGTHENING THE HEALTH, SAFETY, AND INDEPENDENCE OF IDAHOANS
THIS ANNOUNCEMENT WILL BE OPEN UNTIL FILLED. APPLICANTS ARE ENCOURAGED TO APPLY AS SOON AS POSSIBLE TO BE CONSIDERED.
The Idaho Department of Health and Welfare has an exciting opportunity for aTechnical Record Specialist IIto support coordination of appeals within the Division of Medicaid.
We are seeking a candidate who excels in a fast-paced team environment and can balance a workload while coordinating multiple priorities. This position will support large and complex statewide programs and operations requiring compliance at the state and federal level. Successful candidates will have a comprehensive understanding of health care systems and medical terminology, appeals processes, excellent customer service, and public relations skills. The candidate must display reliability, excellent communication skills, attention to detail, a high level of professionalism, and an ability to successfully coordinate and complete multiple tasks. Punctuality and dependability are key for this position.
This is a statewide position and will report to their nearest DHW location.
This position may be eligible for telework after successful completion of probation and necessary training. Approval to telecommute is not guaranteed and subject to termination at any time.
BENEFITS:
BEST RETIREMENT AVAILABLE IN THE NATION
We have one of the Nation's best state retirement systems (https://www.persi.idaho.gov/members-1/) (PERSI) that offers a lifetime benefit.
OTHER EXCELLENT BENEFITS
11 paid holidays
Generous vacation and sick leave accrual beginning as soon as you start
Paid parental leave (https://dhr.idaho.gov/information-for-state-employees/)
Medical, dental, vision insurance - incredible rates! (full-time/30+ hours per week)
PERSI Choice 401(k)
Deferred compensation plan
Life insurance
Short and long-term disability insurance
Student Loan Forgiveness (https://studentaid.gov/manage-loans/forgiveness-cancellation/public-service)
Wellness programs
Employee Assistance Program (EAP)
Flexible Spending Accounts (FSA)
Wide variety of training opportunities
Some positions offer flexible hours and/or telecommuting
EXAMPLE OF DUTIES:
Perform complex and difficult program support functions for Medicaid appeals.
Support streamlining the Medicaid Appeals process across all bureaus and programs.
Identify and support management of automated solutions in alignment with current business rules and priorities, such as current timeliness issues, litigation regarding contractor business practices across all bureaus and programs.
Collaborate with program leadership and support staff.
Recommend process measures to evaluate appeals system performance.
Collaborate with IT staff, program staff and outside contractors to support evaluation of existing systems and plan enhancements.
Assist with the development and maintenance of appeals process materials and coordinate training and technical assistance.
MINIMUM QUALIFICATIONS:
You must possess all the minimum qualifications below to pass the exam for this position. Please make sure your resume or work history supports your meeting the minimum qualifications for this position. Failure to do this may disqualify you from being considered for this position. It is highly recommended to attach a one-page cover letter to your application to demonstrate how you meet the requirements below.
Experience monitoring record systems to identify and correct errors. Typically gained by at least one year of related experience.
Experience interpreting, explaining, and applying laws, regulations, and complex policies for multiple or highly specialized programs. Typically gained by at least one year of experience which frequently required interpreting and applying a variety of difficult rules, regulations, or policies to determine compliance or eligibility and explaining decisions to others. Decisions are complex and can affect the social or economic well being of others or will result in a service or action being denied.
Experience analyzing information and researching a variety of sources to identify and resolve problems or issues. Typically gained by at least one year of extensive research and analysis of highly complex or technical material requiring in-depth program knowledge in order to determine if requirements were met and if they complied with established laws and/or policies. Research must have included contacting a variety of sources both inside and outside the organization to collect, obtain, and verify information and determine the appropriate course of action.
Experience dealing with individuals from varying cultural and socio-economic backgrounds in stressful situations. Typically gained by at least one year experience dealing with individuals from varying cultural and socioeconomic backgrounds in stressful situations which dealt with personal, sensitive, or confidential information such as eligibility requirements, health issues, or financial matters.
Experience entering and retrieving data using a computerized record system. Typically gained by at least six months of experience in a work setting where it was required to enter and retrieve data in a database records system or other computer records system.
Experience composing and proofreading business correspondence. Typically gained by at least one year of office experience which required composing and proofreading a variety of business documents on a regular basis OR successful completion of at least one college-level English composition or business English class AND six months of experience composing business documents.
Learn About a Career with DHW
If you have questions, please contact us at:
Email is the quickest way to get an answer to your questions.
(answered Monday through Friday during business hours MST)
EMAIL: [email protected]
PHONE: (208) 334-0681
EEO/ADA/Veteran:
The State of Idaho is committed to providing equal employment opportunities and prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on their race, color, religion, political affiliation or belief, sex, national origin, genetics, or any other status protected under applicable federal, state, or local laws.
The State of Idaho is committed to access and reasonable accommodations for individuals with disabilities, auxiliary aids and services are available upon request. If you require an accommodation at any step in our recruitment process, you are encouraged to contact (208) 334-2263 (TTY/TTD: 711), or email[email protected].
Preference may be given to veterans who qualify under state and federal laws and regulations.
