Revenue Enhancement Specialist na Olmsted County, MN

About the Department

Expected starting salary is $26.23 to $35.02. Full salary range is $26.23 - $43.81. 

Associate’s degree from an accredited college or university in business, administrative assistant, accounting, or related field and one (1) year of experience in a similar position as listed in the work functions.

OR

Combination of education and experience equivalent to three (3) years of experience in a customer-focused position.

Regular and reliable attendance is a necessary component of job/position. Individuals required to use County vehicles and equipment must have a valid driver’s license and be free of any major traffic violations for the last three (3) years.  

Position Duties

Under direct supervision, gathers documentation, verifies client eligibility, enters information from assessors, and case managers for waiver and state plan services.  Uses several county and state computer programs to process client eligibility; systems include but are not limited to SSIS, MAXIS, MnCHOICES, and MMIS.  Develops and maintains knowledge of state plan and waiver systems to provide ongoing support for the Social Workers in the Disability Services Unit.   Monitors changes in program standards and expectations and uses that to ensure data compliance. 

Identifies, reviews, and submits billable services to capture revenue from various funding sources. Verifies and processes billing claims and ensures the accuracy of data.  This position is part of a team that collaborates with various positions within all levels of the department and works across multiple county and state service areas.  Supports a diverse, respectful, and inclusive workplace.

Minimum Qualifications

• Participate in the development of workflow processes to improve efficiency.
• Collects and verifies information to ensure accurate billing and capturing of revenue. 
• Participates in the development of a healthy culture of collaboration and communication within the team and across the agency.
• Completes and submits documents, reports, and billing documentation.  
• Tracks Medical Assistance and public assistance eligibility through MAXIS and tracks disability certification through the SMRT process (State Medical Review Team).
• Uses Waiver Management System (WMS) to manage waiver budgets.
• Enters screening documents and service agreements into MMIS (Medicaid Management Information System).
• Processes MnCHOICES assessment screening paperwork for initial assessments and reassessments.
• Process claims, reviews reports and updates information to submit for reimbursement.  Provides quality control measures. Serves as resource for fiscal and data entry.
• Creates and maintains databases, including Excel spreadsheets, and enters and updates data on a daily basis.  
• Ensures data integrity by reviewing and managing the data/statistics. Communicates data to the leadership team and to staff.
• Communicates regularly with providers of community and waiver services.
• Collaborates in training and supporting social services staff in the Adult & Family Services department.     
• Initiates collaboration with the Department of Human Services and to stay informed of changes to waivers and state plan services.

Other Qualifications

• Knowledge of social service programs and policies.  
• Skill in the use of business math.
• Skill in the use of a variety of technology programs including Microsoft Office products.  Preference: familiar with job specific programs such as MAXIS, SSIS, and MMIS. 
• Skill in frequent and timely communication with supervisors and team members.
• Ability to analyze information/data.
• Ability to work collaboratively within a team by supporting others and be a productive positive member of a team.
• Ability to work independently on regulatory tasks.
• Ability to learn new systems and workflow processes.
• Ability to adapt to a consistently changing work environment.  
• Ability to support team members and provide training.   
• Ability to establish and maintain effective and productive working relationships with staff, clients, and the community.
• Ability to accept and integrate knowledge through supervision. 
• Ability to organize and coordinate job activities.
• Ability to process detailed information accurately and rapidly.
• Ability to establish and maintain accurate and systematic records and reports.
• Ability to express ideas clearly and ability to comprehend and follow written and verbal instructions. 
• Ability to work independently, take initiative, and be proactive while maintaining team cohesion. 
• Ability to communicate in a professional verbal and written manner.
• Ability to actively collaborate with others.

Persons with disabilities: the above is a general listing of job duties. Essential and non-essential functions may vary by individual position. Reasonable accommodations may be available for both essential and non-essential job duties.

Physical Demands and Work Environment: In compliance with Americans with Disabilities Act, the following represents the Physical and Environmental Demands: