Medicaid Provider Liaison

Posting number: 27-00368

Department: 400 Health & Human Services - Medicaid

Job classification: Program Planner 3

Posting type: Open

Categories: Administration, Human Services, Program Management

Summary

The Iowa Department of Health and Human Services (HHS), Division of Medicaid, Bureau of Program Integrity is seeking a Provider Liaison to join our team!

The Medicaid Provider Liaison serves as a resource for Medicaid providers by providing technical assistance and support related to provider enrollment, billing, claims processing, reimbursement, and Medicaid policies. This position works closely with providers, Managed Care Plans (MCOs and Dental Plans), and internal Iowa Medicaid staff to resolve provider issues, improve communication, and support the efficient administration of the Medicaid program. 

The Medicaid Provider Liaison assists providers with understanding Medicaid billing requirements and serves as a point of contact for escalated provider concerns. This position requires knowledge of Medicaid billing and reimbursement processes, medical coding, and claims processing, including HCFA-1500 and UB-04 claim forms. 

Provider Support and Technical Assistance: 

• Provide technical assistance and consultation to Medicaid providers regarding billing, claims processing, reimbursement, and enrollment requirements. 
• Assist providers in understanding Medicaid policies, procedures, and billing requirements. 
• Review provider education materials and recommend updates to improve clarity and usability. 
• Respond to provider inquiries and assist in resolving billing and claims-related concerns. 
• Serve as a resource for providers regarding the use of CPT, HCPCS, ICD-10, and DRG coding.

Benefits

Working for the State of Iowa comes with its perks. In addition to a competitive salary, you'll enjoy a comprehensive benefits package designed to support your well-being and professional growth:

• Health, Dental, and Vision Coverage: Health and dental insurance packages to keep you and your family healthy at a low cost with outstanding coverage!
• Paid Time Off: Take time to recharge with paid time off, including vacation (96 hours/year to begin, increasing with years of service), sick leave (144 hours/year), and paid holidays (9 days/year).
• Retirement Plans: Participate in retirement plans such as IPERS (employees contribute 6.29% and the State of Iowa contributes 9.44%) as well as our Retirement Investors Club (RIC), Employer Sponsored Retirement Plan (the State of Iowa matches dollar for dollar up to $75/month).
• Flexible Spending Accounts: Take advantage of flexible spending accounts for medical and dependent care expenses.
• Insurance Coverage: Benefit from life insurance and free long-term disability insurance for added peace of mind.
• Employee Assistance Program: Access resources and support through our Employee Assistance Program for personal and professional challenges.
• Employee Discount Programs: Enjoy discounts on a variety of goods and services through our employee discount programs. 

For additional information on benefits click here.

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Background Checks

Applicants will be required to complete a background check to be considered for this position. 

The State of Iowa is an EEO/AA Employer

HHS values those with “lived experience” and encourages adults who were fostered as youth, foster parents, and/or parents who were in the DHS system to apply. Minorities, women, persons with disabilities and veterans are encouraged to apply (Hearing and Speech Impaired – Relay Iowa 1-800-735-2942 TDD).

E-Verify and Right to Work

The State of Iowa participates in E-Verify, a federal program that helps employers confirm the employment eligibility of all newly hired employees. Within the required timeframe, new hires will be verified through the E-Verify system to ensure authorization to work in the United States. The State of Iowa also complies with the federal Right to Work laws, which protect employees’ rights to work without being required to join a labor organization. For more information, please visitwww.e-verify.gov.

All work performed on behalf of Iowa Health and Human Services must occur in the State of Iowa.

QualificationsApplicants must meet at least one of the following minimum requirements to qualify for positions in this job classification:

1) Seven years of full-time work experience in the administration or operation/execution (i.e., providing consultation and/or technical assistance to stakeholders, research and analysis, or enforcement of program guidelines/policies/procedures) of a program (i.e., the provision of a service or an administrative oversight/enforcement responsibility).
2) All of the following (a, b, and c):
a. One year of full-time work experience in the administration or operation/execution (i.e., providing consultation and/or technical assistance to stakeholders, research and analysis, or enforcement of program guidelines/policies/procedures) of a program (i.e., the provision of a service or an administrative oversight/enforcement responsibility); and
b. A total of four years of education and full-time experience (as described in part a), where thirty semester hours of accredited college or university course work in any field equals one year of full-time experience; and
c. A total of two years of graduate-level education and full-time experience (as described in part a), where twenty-four semester hours of accredited graduate college or university course work in any field equals one year of full-time experience.
3) Graduation from an accredited school of law.
4) Current, continuous experience in the state executive branch that includes nine months of full-time work as a Program Planner 2 or twenty-seven months of full-time work as a Program Planner 1.

For additional information, please click on this link to view the job description.