CLAIMS SUPERVISOR

Muskegon County

  • Muskegon, MI
  • $32.53-41.15 per hour
  • Permanent
  • Full-time
  • 13 days ago
Description of WorkA Claims Supervisor, under the general direction of the HealthWest Revenue Cycle Manager, supervises reimbursement and Managed Care Organization (MCO) staff and monitors payments of outside vendor invoices and internal Agency billing. An employee in this class completes billing audits and chart reviews, performs monthly and year-end balancing and trains staff to understand Service Activity Code (SAC) codes use. The Claims Supervisor works with outside agencies/consultants to improve efficiencies for the Agency as a whole and performs other duties as required.Required Minimum Entrance Qualifications1. Be a Certified Professional Coder (CPC), Certified Professional Biller (CPB), or similar certification, and two years of experience in mental health billing/coding.
OR
Possess an Associate's degree from an accredited college or university with a major in accounting or a business-related field AND four (4) years of experience in governmental accounting or working for a mental health or substance use disorder service provider in reimbursement or accounting.
2. Possess a valid Michigan driver's license.
3. Must have reliable transportation that may have to be used to carry out job duties of this classification.Preferred but Not Required:
1. Bilingual candidates highly desired.
2. Lived experiences with mental illness/developmental disabilities/substance use disorders valued.
3. Individuals in Recovery and individuals with experience in Armed Services valued.Physical Conditions / Work LocationPHYSICAL ACTIVITIESAn employee in this class performs generally sedentary work activities requiring the occasional lifting of objects weighing up to thirty-five (35) pounds.ENVIRONMENTAL CONDITIONSThis employee generally works in the offices of HealthWest, although travel to other County and State locations is required.Additional InformationEVALUATION CONTENT
Applicants for County employment may be subject to a post-offer criminal background check, depending on the nature and assignment of the position. When such check is conducted, an offer of employment is contingent upon the results of the criminal background check. Appointees must satisfactorily complete a probationary period before the appointment will be considered permanent.APPLICANT REVIEW PROCEDURE
Any applicant is entitled to a review of any determination or action taken by the County regarding the applicant's employment application. Inquiries should be directed to the County Human Resources Department.PURPOSE
The purpose of this recruitment is to establish an eligible list from which to fill present and future vacancies in this classification in the County system. For each opening, the Department Head has her/his choice of the candidates who meet the required minimum entrance qualifications. This list remains in effect for three months unless exhausted or extended.MUSKEGON COUNTY IS AN EQUAL OPPORTUNITY EMPLOYERMUSKEGON COUNTY HAS ADOPTED A VETERANS PREFERENCE POLICY THATRECOGNIZES QUALIFYING MILITARY SERVICENon-bargaining employees will become eligible for County benefits the first of the month following one (1) full month of continuous employment.**Non-Bargaining new hires have the option of either a County contribution to the Health Savings Account (outlined below) OR a 3% County contribution to the Lincoln Financial (457b) plan.Medical Insurance Health Savings Account (HSA) Plan 1
Single Plan: $2,500 Deductible, **$2,000 Employer HSA Contribution, Out of Pocket Max $4,000
2 People/Family: $5,000 Deductible, **$4,000 HSA Employer Contribution, Out of Pocket Max $8,000, Co-insurance - 10%
Employer Contributions are prorated based on start date of benefits
No Employee Premium Contributions Per Pay
Prescription Drugs: $10/$40/$80 (After deductible)
Health Savings Account (HSA) Plan 2
Single Plan: $1,600 Deductible, $1,280 Employer HSA Contribution, Out of Pocket Max $2,250
2 People/Family: $3,200 Deductible, $2,560 Employer HSA Contribution, Out of Pocket Max $4,500
Employer Contributions are prorated based on start date of benefits
Monthly Employee Premium: Single-$126.90, 2 person- $304.57, Family- $380.71
Prescription Drugs: $10/$40/$80 (After deductible)
High Deductible Plan (HD) * This plan is only optional if the employee is not eligible for the HSA, Single Plan: $750 Deductible, 2 People/Family: $1,500 Deductible, No Employee Premium Contributions Per Pay
Prescription Drugs: $10/$40/$80
Available at 90 days of continuous employment
Lincoln Financial 457b**In lieu of employer HSA contribution you may be eligible for an employer contribution of 3% into the Lincoln Financial 457b plan
Dental Insurance15% employee premium contribution
Available first of the month following one full month of continuous employment
Vision Insurance15% employee premium contribution
Available first of the month following one full month of continuous employment
Benefit Option In lieu of medical coverage you may be eligible to receive a biweekly benefit option payment. Single: $104.16 or 2Person/Family: $187.50
Retirement Defined Contribution (DC) Pension through MERS of Michigan with 3% employer and 4.5% employee contribution. There is a 6 year graduated vesting for the employer contribution.
Retiree Insurance Healthcare Savings Account (HCSP) through MERS of Michigan, employer 3% contribution. Vesting requirement of 6 years.
Life Insurance and AD & DEqual to employee annual salary to next highest $1,000. Max $200,000
Available first of the month following one full month of continuous employment
Long Term Disability No cost to the employee, employer paid at 66 2/3% of salary after 6 month waiting period
Available first of the month following one full month of continuous employment
Sick Leave 10 days per year, accumulated .385 days. per pay period
Accrual begins on first day of employment and is available to use on the 90th day of employment.
Annual Leave 13 days, accumulated .500 days per pay period. Increasing to maximum of 24 days with 20 years of eligible County service, see Personnel Rules for accumulation chart.
Accrual begins on first day of employment and is available for use upon hire.
Sick/Annual Leave Cash PayoutEmployee may elect up to 80 hours of accumulated vacation and/or sick time to be paid as cash. Future accruals only.
Personal Days2 days per fiscal year, unused days will be forfeited
Available upon completion of six months of continuous eligible County service
Holidays13 days
COLA/Longevity COLA only for employees with 0-4 years of eligible service payment based on the CPI and must be in pay status as of 12/1. Payment of $600 at 5 years of continuous service as of 12/1. Each subsequent year of service will add $100 to the payment for an unlimited maximum.
Voluntary Benefits
(100% employee paid)Short term disability, critical illness, hospital indemnity, accident insurance, voluntary life insurance for self/spouse/dependents, 457 Investment options (available immediately upon hire), Section 125 (available for Health and Childcare reimbursement)
Available first of the month following one full month of continuous employment
*Rates and coverage are always subject to change.Public Student Loan ForgivenessCounty employees may be eligible for the Public Service Student Loan Forgiveness (PSLF) & Temporary Expanded PSLF (TEPSLF). Eligibility is determined by the U.S. Department of Education.
Wellness Program Muskegon County offers a holistic wellness program which focuses on the five areas of wellness: physical, financial, social/emotional, community and career wellbeing.

Muskegon County

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