Medicaid Provider Liaison

Job Description 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 . Click here to see how we compare with other employers or offers by using our Total Compensation Calculator.

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 visit www.e-verify.gov . All work performed on behalf of Iowa Health and Human Services must occur in the State of Iowa. Minimum Qualification Requirements Applicants 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 .

Why Choose the State of Iowa? At the heart of our commitment to excellence is a dedication to our most valuable asset - our employees. Discover the outstanding benefits that set us apart as an employer of choice.

Our Robust Benefits Package Includes: Competitive

Compensation: Enjoy a competitive salary that reflects directly on your skills and expertise. Keep in mind, your wage is just one part of your total compensation. Unlock the complete value of your employment with the State of Iowa by using our user-friendly Total Compensation Calculator .

Gain insights into your comprehensive annual compensation, including salary and State-provided benefits. Health and Wellness: Prioritize your well-being with our comprehensive health plans, including medical, dental, and vision coverage. Enjoy the peace of mind knowing that the State of Iowa covers 90% of the premiums, providing you and your loved ones with excellent coverage at a remarkably low cost.

Retirement Planning: We are proud to offer the Iowa Public Employees Retirement System (IPERS). A defined benefit plan, IPERS benefits are guaranteed for life, meaning once you retire, you will receive the same monthly benefit for the remainder of your life (once vested). We invest in your long-term financial well-being, so you can retire with peace of mind.

Click here to learn more about IPERS . Paid Time Off: Life is unpredictable, and at the State of Iowa, we understand the importance of work-life balance. Our leave policies, including paid holidays, vacation, and sick leave with unlimited accrual, ensure you have the flexibility you need for personal and family matters.

Professional Development: Elevate your career with continuous learning opportunities. We support your growth through training programs, workshops, and tuition reimbursement. Employee Assistance Program (EAP): We care about your well-being beyond the workplace.

Access confidential counseling, resources, and support through our Employee Assistance Program. Diversity and Inclusion: Be part of a diverse and inclusive workplace that embraces all backgrounds and perspectives. We believe diversity is a strength that drives innovation.

Join Us - Elevate Your Career: Ready to elevate your career with the State of Iowa? Click here to explore more about our unparalleled benefits and discover what makes us unique. Your success is our priority!

01 Do you understand that the answers to all of the following questions must be truthful, honest, and accurate to the best of your ability? Please read all questions and answers thoroughly and make sure you understand them completely. Ensure the answers to your questions match the information filled out on your application and the attachments you have uploaded.

If the answers to your questions are inconsistent with your application information or uploaded attachments, you will be given zero points for the question. Knowingly misrepresenting the facts when submitting any information related to an application, examination, certification, appeal, or any other facet of the selection process will result in your disqualification from this application and future employment with the state of Iowa.

Yes - I understand and agree. No 02 PLEASE READ CAREFULLY Have you filed a registration statement pursuant to the federal Foreign Agents Registration Act of 1938, as amended, 22 U.S.C. §611 et seq? No - I have NOT filed a registration statement pursuant to the federal Foreign Agents Registration Act of 1938, as amended, 22 U.S.C. §611 et seq Yes - I HAVE filed a registration statement pursuant to the federal Foreign Agents Registration Act of 1938, as amended, 22 U.S.C. §611 et seq 03 How many years do you have of full-time work experience performing 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)?

No experience Less than seven years' in the specified areas Seven years' or more in the specified areas 04 Are you a current State of Iowa employee (executive branch)? IF YES - How many months of experience do you have in the classification of Program Planner 1 for the State of Iowa? I am not a State of Iowa employee I do not have any experience in the classification of Program Planner 1 for the State of Iowa Less than 24 months of experience in the classification of Program Planner 1 for the State of Iowa 24 to less than 27 months of experience in the classification of Program Planner 1 for the State of Iowa 27 months or more of experience in the classification of Program Planner 1 for the State of Iowa 05 Have you graduated from an accredited school of law?

Yes No 06 Are you a current State of Iowa employee (executive branch)? IF YES - How many months of experience do you have in the classification of Program Planner 2 for the State of Iowa? I am not a State of Iowa employee I do not have any experience in the classification of Program Planner 2 for the State of Iowa Less than six months of experience in the classification of Program Planner 2 for the State of Iowa Six months to less than nine months of experience in the classification of Program Planner 2 for the State of Iowa Nine months or more of experience in the classification of Program Planner 2 for the State of Iowa 07 Do you have ALL of the following:: 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 post high school/college education and full-time experience (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 (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? ***The experience used to count for A, B and C must be separate and unique experience.

The same experience CANNOT be counted for A, B and C. Yes No Required Question Employer State of Iowa Agency 400 Health & Human Services - Medicaid Address Lucas State Office Building 321 E. 12th Street Des Moines, iowa, 50319 Website https://hhs.iowa.gov Apply Please verify your email address Verify Email CURRENT OPENINGS Account Privacy Policy Terms Of Use Accessibility Statement Privacy Settings Copyright