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Job Details
HEALTH CARE ANALYST
Agency: Arkansas Department of Human Services
Office:
Section:
Date Posted: 05/19/2017
Posting Expires: 05/25/2017
Summary
The Health Care Analyst is responsible for examining provider and recipient insurance claims and records, identifying and resolving payment problems under the Medicaid system, and coordinating staff and program activities. This position is governed by state and federal laws and agency/institution policy.
Typical Functions
Examines claim forms, computer files, and other records to ensure compliance with claim requirements, determine eligibility status, and/or identify and resolve problems with claim payments. Reports irregularities of insurance claim payments to supervisor and prepares correspondence regarding findings to notify involved parties. Interviews involved parties to obtain additional or clarifying information and documents interview and paperwork or medical records. Approves or denies claim based on information, initiates changes to computer files, maintains log of corrections, and notifies involved parties of corrections or status of claim. Provides technical assistance to requesting parties by researching claim, disseminating eligibility and policy and procedure information, answering questions regarding claim status, and updating provider pricing schedules. Conducts regular or special surveys and studies, compiles data, analyzes information, and prepares related reports. Performs other duties as assigned
Special Job Dimensions
Knowledge, Abilities, and Skills
Knowledge of state and federal laws and regulations and agency policy governing health care. Knowledge of medical insurance claims procedures. Knowledge of medical terminology and records. Ability to analyze medical claims and reports in accordance with established criteria. Ability to interpret and apply state and federal laws and agency policy governing health care. Ability to prepare and present verbal and written information, correspondence, and reports.
Minimum Education and/or Experience
The formal education equivalent of a bachelor's degree in general business, business education, office management systems, management, or a related field; plus one year of experience in documents examination, claims examination, or a related field. OR The formal education equivalent of an associate degree in office occupations, business education, business management, or a related field; plus three years of experience in documents or claims examination or a related field. Additional requirements determined by the agency for recruiting purposes require review and approval by the Office of Personnel Management. OTHER JOB RELATED EDUCATION AND/OR EXPERIENCE MAY BE SUBSTITUTED FOR ALL OR PART OF THESE BASIC REQUIREMENTS, EXCEPT FOR CERTIFICATION OR LICENSURE REQUIREMENTS, UPON APPROVAL OF THE QUALIFICATIONS REVIEW COMMITTEE.
Preferred Qualifications
Well organized
Keen attention to detail
2 years of administrative skills
1 year of accounting experience
1 year of Excel database experience
Grammar and writing skills are essential
Certificates, Licenses, Registrations
Agency Specific Information
Division Name
Division of Medical Services

Hiring Official
Alicia Langston

Special Work Condition
**THE STARTING SALARY IS: $26,531. This position is located in Little Rock, AR**

Some local travel between area offices

Special Application Information
GENERAL INFORMATION:
All DHS applicants must complete drug screening, as outlined in DHS Policy 1087, prior to being hired.
Applications are prescreened according to the state application, addenda, résumé, transcript, licenses and any other information that is submitted. Only transcripts should be submitted at the time of applications; reference letters, certificates, and licenses should be brought at the time of interview. Failure to complete the application form according to instructions with complete and accurate information will adversely impact your comparison to other candidates. List all prior work experience, including military service, with most recent employment first. You may include volunteer or unpaid work as part of your work history; however, you should include the number of hours per week which you performed these duties.
False, misleading, or incomplete statements may result in disciplinary action and possible termination.
Benefits package may include: health & life insurance, vacation & sick time, paid holidays, credit union membership, retirement, career bonus, and deferred compensation.
CONTINUOUSLY ADVERTISED POSITIONS:
Submitting an application for a continuously advertised position does not guarantee that a job is available for that position title; e-mails stating that the applicant meets the minimum qualifications for a position are for future reference. Applications submitted for continuously advertised positions are kept on file for 60 days. As jobs for that position title become available, eligible applications in that file that match the county and division criteria will be considered. On your application you should have designated in which counties and divisions you are willing to work. Please keep in mind that you will not appear on hiring lists for counties you do not designate. Do not select “statewide” from this county list.
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FOR ALL FAMILY SERVICE WORKER POSITIONS ONLY:
Applicants must submit an official transcript by mail in addition to applications for all levels of Family Service Worker positions except for Family Services Assistant positions. Transcripts will remain on file for future applications. The following Bachelor’s, Master’s, and Doctorate degrees are valid for such Family Service Worker-type positions:
Behavior Science
Child and Family Development
Child Development
Counseling (any field)
Criminal Justice
Education: Early Childhood, Elementary, Middle Level, Secondary, or Special
Family & Consumer Science
Family Development
Family Services
Home Economics
Human Development & Family Studies
Human Services
Psychology
Rehabilitation Science
Social Welfare
Sociology
Social Work
Mail your transcript to the following address:
Arkansas Department of Human Services
Attn: Recruitment
P.O. Box 1437, Slot W301
Little Rock, AR 72203
The transcript must be an official transcript sent from the university or college you attended. The transcript must still have the envelope sealed with the security seal affixed. Once the seal is broken, the transcript is considered void.
Job Details
Position No.: 22102805
Class Code: L070C
Grade: C113
Salary Range: $26,531.00 - $45,064.00 per year
Background
check required?
Yes
Job Type: Full Time
Location Information
Job City: Little Rock
Job County/Region: Pulaski
Contact Information
Contact name: DHS Recruitment
Phone: 501-682-1001
Email: DHS.Recruiting@arkansas.gov
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