Health Financial Resource Specialist (PN 20014055 & PN 20014054)

What You'll Do:

The Complex Medical Help program is looking to fill 2 Health Finance Resource Specialist positions that will provide critical support to families and providers by evaluating financial eligibility and connecting individuals to essential health care resources and programs.

Duties include:

Review and evaluate financial applications, documentations and eligibility criteria for health assistance programs. Determine financial eligibility and cost share responsibilities for applicants and recipients. Analyze income, insurance, and demographic information to support accurate eligibility decisions. Communicate with families to request additional information, clarify requirements, and guide them through the application process. Coordinate referral to appropriate local, state, and federal assistance programs and community resources. Collaborate with internal staff, healthcare providers, and external agencies to support access to services. Enter and maintain accurate data in automates eligibility and case management systems. Monitor applications compliance and ensure adherence to program policies and guidelines. Review reconsideration requests and provide recommendations to leadership. Educate families, providers, and partner organizations on program eligibility, processes and available resources. Maintain up-to-date knowledge of applicable programs, regulations and resource networks. Why Work for the State of Ohio At the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees•. For a list of all the State of Ohio Benefits, visit our Total Rewards website!

Our benefits package includes:

Medical Coverage Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period Paid time off, including vacation, personal, sick leave and 11 paid holidays per year Childbirth, Adoption, and Foster Care leave Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more) Public Retirement Systems (such as OPERS, STRS, SERS, and HPRS) & Optional Deferred Compensation (Ohio Deferred Compensation) Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.

Qualifications Position Qualifications:

Formal education in arithmetic that includes fractions, decimals & percentages AND 12 mos. trg. or 12 mos. exp. in budgeting AND 12 mos. trg. or 12 mos. exp. in public relations AND 6 mos. trg. or 6 mos. exp. in interviewing. Or Equivalent of Minimum Class Qualifications For Employment noted above. Applications of those who meet the minimum qualifications will be further evaluated against the following criteria: Associate's or advanced degree in Accounting or Finance Experience in determining financial eligibility for government programs (e.g., Medicaid, Title 20, food stamps) Experience providing technical assistance or consultation to customers Experience reviewing medical expense reports, out of pocket payments and determining validity of expense for cost sharing Experience with various categories of Medicaid and providing direct referrals of clients as appropriate Experience working with Provider Network Management (PNM) system Experience coordinating private health insurance and other third-party resources to determine payment responsibility All eligible applications shall be reviewed considering the following criteria: qualifications, experience, education, and active disciplinary record.

Job Skills:

Accounting and Finance Technical Skills:

Clerical & Data Entry, Interpreting Financial Statements, Customer Service Professional Skills:

Analyzations, Interpreting Data, Verbal Communication, Written Communication Educational Transcript Requirements:

Official educational transcripts are required for all post-high school educational accomplishments, coursework or degrees claimed on the application. Applicants will be required to submit an official transcript prior to receiving a formal offer of employment. Failure to provide transcripts within five (5) working days of being requested will cause the applicant to be eliminated from further consideration. Please note that a transcript is considered "official" only if it is an original copy from the educational institution and includes an institutional watermark, ink stamp or embossed stamp. Transcripts printed from the institution's website will not be accepted. ODH reserves the right to assess the academic credibility of an educational entity's award of a putative degree.

Supplemental Information Supplemental Information:

ALL ANSWERS TO THE SUPPLEMENTAL QUESTIONS MUST BE SUPPORTED BY THE WORK EXPERIENCE/EDUCATION PROVIDED ON YOUR CIVIL SERVICE APPLICATION

. Unless required by legislation, the selected candidate will begin at Pay Grade 28, Step 1 of the OCSEA union Pay Range Schedule ($22.96 per hour), with an opportunity for pay increase after six months ($23.56) of satisfactory performance and then a yearly raise thereafter.

APPLICATION PROCEDURES

All applicants must submit a completed Ohio Civil Service Application using the TALEO System. Paper applications will not be considered. Applicants must clearly indicate how they meet the minimum qualifications and/or position specific minimum qualifications. Applicants are also encouraged to document any experience, education and/or training related to the job duties above. An assessment of these criteria may be conducted to determine the applicants who are interviewed.

STATUS OF POSTED POSITION

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BACKGROUND CHECK NOTICE

The final candidate selected for this position will be required to undergo a criminal background check. Criminal convictions do not necessarily preclude an applicant from consideration for a position. An individual assessment of an applicant's prior criminal convictions will be made before excluding an applicant from consideration. ADA Statement Ohio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws. Drug-Free Workplace The State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note, this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting.