Claims Examiner 2 (37787)
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Overview
Job Description
To be considered for this position you must complete the state application and attach all required documents through the Montana State Careers site at www.statecareers.mt.gov.
The Montana Department of Public Health and Human Services (DPHHS) has a career opportunity within the Public Health and Services Division in Helena.
This position is with the Chronic Disease Prevention and Health Promotion Bureau working in the Cancer Control Programs. This position is a Claims Examiner and is responsible for paying authorized and approved breast and cervical cancer screening medical claims. This position ensures compliance with federal and state laws concerning these payments and ensuring enrolled medical providers are properly licensed and enrolled in our program.
Why Join DPHHS
Our mission at DPHHS is serving Montanans in their communities to improve health, safety, well-being, and empower independence. By joining our department, you will have the opportunity to perform meaningful work in public service to our state and its residents.
The State of Montana's comprehensive benefits package includes healthcare coverage, retirement plans, paid vacation, sick leave, and holidays, work/life balance, and eligibility to participate in the Public Service Loan Forgiveness (PSLF) program. In addition, DPHHS is the largest state agency with a wide range of advancement opportunities whether you are joining the workforce or have several years of experience.
Qualifications for this Career Opportunity
Knowledge of general accounting principles.
General knowledge of medical billing and coding terminology.
Skill in verifying the accuracy of data.
Ability to plan, organize, gather information, and conduct research.
Meet minimum qualifications:
Associate's degree in accounting, business administrative, finance, economics, or a closely related field.
Medical coding certification preferred.
One year of experience in healthcare claims processing.
Other combinations of related education and experience may be considered on a case-by-case basis.
How to Apply
To be considered for a DPHHS position, submit the following required documents with your application on the State of Montana Careers website. When submitting the required documents, you must check the "relevant document" box to ensure your attachments are uploaded correctly to your application for this position.
Cover Letter
Resume
References
Successful applicants will be subject to background checks relevant to the position and must pass reference checks before an offer will be extended. DPHHS is an equal opportunity employer. Women, minorities, and people with disabilities are encouraged to apply. For a copy of the full job description or if you need a reasonable accommodation in the application or hiring process, contact DPHHS Human Resources listed below.
Additional Information
This position may be eligible for partial telework within the state of Montana. Specific conditions will be provided by the supervisor and must adhere to state policy.
This position may be eligible for a statutory $1.00 an hour base pay increase effective July 1, 2026.
This position is grant funded through June 30, 2027, with anticipated 5-year reapproval.
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