[Hiring] Medical Assistance Specialist 3 (MAS3/COBCO) - Project @State of Washington

Role Description

This is a project position funded through June 30th, 2028. This position is an excellent opportunity to gain state experience while doing rewarding work by helping provide comprehensive health coverage to more than 2 million Washingtonians. Brush off those customer service skills and join HCA in making a difference! These positions are full time telework Monday thru Friday and may result in the opportunity for a permanent position.

All HCA employees will apply an equity lens to their work, which may include but is not limited to all analyses of core business and processes.

In a customer service environment, this position enrolls providers into the State's Medicaid ProviderOne system to allow providers to bill for services and items for Medicaid clients. The MAS3 also revalidates and reviews updates from enrolled providers to ensure providers continue to meet eligibility requirements and are in good standing. This position uses knowledge of the provider subsystem of ProviderOne, the Core Provider Agreement, and associated documents, processes, and policies to support the mission of Provider Enrollment within the Health Care Authority by working to:

• Ensure only qualified providers are enrolled with HCA and provider eligibility requirements are met for each specialty.
• Ensure Federal, State and other applicable regulations and procedures and policies are followed.
• Ensure applications and related work are approved in a timely manner.

This position is eligible to telework and is typically not required to report on-site. The default assigned work location of all Health Care Authority (HCA) positions – both on-site and telework eligible positions – is within the State of Washington. This position reports to Olympia, WA. Frequency of onsite work will vary based on business and operational needs.

All agency employees are required to report on-site in Olympia on their first and last days of employment to pick up and return state-issued equipment, regardless of telework status or location.

Qualifications

• Qualified candidates will meet one of the following criteria combinations:
• Option 1: Bachelor’s degree and one (1) year of the experience as defined below.
• Option 2: Associate’s degree and three (3) years of the experience as defined below.
• Option 3: Five (5) years of the experience as defined below.
• Option 4: One (1) year as a Medical Assistance Specialist 2.
• The experience required is one or a combination of the following:
• Providing direct client services or counseling of customers in the areas of health insurance, disability, or other related health benefits.
• Public assistance eligibility determination.
• Health insurance premiums/claims processing, adjusting, and investigation.
• Other medical premiums/claims/eligibility related experience.
• Experience researching and analyzing complex rules, regulations, or policies and utilizing research and analysis to make determinations, solve problems, or complete work while providing direct customer service either in person or on the telephone.
• Required competencies:
• The ability to take action to learn and grow.
• The ability to take action to meet the needs of others.

Requirements

• Computer skills that demonstrate the ability to learn and utilize multiple systems and web based tools simultaneously to accomplish tasks.
• Experience that demonstrates knowledge of ProviderOne billing system and Siebel information storage system.
• Experience that demonstrates knowledge of Apple Health or Medicaid programs.
• Experience providing customer service.
• Experience in medical groups and/or facilities.
• Experience utilizing ProviderOne with providers.
• Experience with provider credentialing.
• Ability to manage information arising out of conflicting rules and procedures that are established by other sections over which they have no control.
• Ability to manage stress arising out of diverse conflicts and the demands of customers to provide the correct resolution of issues within a short period.
• Ability to counsel and placate customers’ expectations when they are different from the policy and regulations under WAC.
• Ability to consistently provide excellent customer service during a full shift of continuous phone calls.

Benefits

• Meaningful work with friendly co-workers who care about those we serve.
• A clear agency mission that drives our work and is person-centered.
• A healthy work/life balance, including alternative/flexible schedules and mobile work options.
• A great total compensation and benefit package.
• A safe, pleasant workplace in a convenient location with restaurants and shopping nearby.
• Free parking!