Benefit C&R Coordinator

Overview
GENERAL SUMMARY OF POSITION:
The Benefit Coordination and Recovery Unit (BC&R) within the Center for Health Care Financing conducts business services for the Executive Office of Health and Human Services (EOHHS) to maximize revenue for the Commonwealth of Massachusetts. Our services range from program analysis and consultation to hands-on claims preparation. Our consultants have an extensive understanding of government health financing structures and are well versed in the most current developments in federal, state and local legislation and regulations
Responsibilities
MAJOR RESPONSIBILITIES:
Analyze data and resolve discrepancies internally for assigned projects/reports
Review and may perform ,billing, claim generation collection and identification activities
Respond to inquiries from EOHHS and other staff concerning assigned projects
Work on revenue management projects
Develop spreadsheets, data bases and/or systems to track project programs
Perform related duties such as preparing and presenting assigned reports, policy changes, and technical updates to staff frequently an effectively
Work individually as well as being a team member
Research, gather and report upon statistical analysis and data
Assist in cross training opportunities for co-workers and new staff
Participate in quality control measures for both current and future contract obligations with internal and external vendors
Participate in professional training as well as cross training activities to enhance performance and skill set
Participate in continuous quality improvement initiatives and projects
Foster compliance with state and federal regulations
Preserve confidential, protected health and personally identifiable information and files
Performs other duties as assigned
Qualifications
REQUIRED QUALIFICATIONS:
Bachelor's degree in Business/Health related discipline or equivalent experience
3 years experience in accounting, finance or public administration
Knowledge of funding and revenue sources for health and human service programs
Working knowledge of Microsoft Office including Word, Power point, Access and Excel Programs
Ability to communicate effectively in both written and verbal formats
Excellent Customer Service Skills
Knowledge of the federal and Massachusetts state regulations associated with federal entitlement and commercial health insurance programs
Additional Information
Careers - UMASS Medical
PREFERRED QUALIFICATIONS
Extensive knowledge of MassHealth Eligibility and MassHealth Coverage
Extensive knowledge of MassHealth's eligibility systems
Strong quantitative and analytical skills
Exceptional organizational skills
Familiar with the ACA Healthcare changes and how it relates to Medicaid Programs
Previous experience communicating professionally and effectively with public sector personnel, businesses, legal representatives, or private citizens



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