Financial Recovery Analyst

Financial Recovery Analyst

The Department of Medical Assistance Services (DMAS) is excited to offer a competitive opportunity to serve as the Financial Recovery Analyst. The selected competitive candidate will provide exceptional delivery of services to the Fiscal Division. Job responsibilities will include, but are not limited to, investigating, identifying, and recovering Third Party Liability (TPL) related receivables due to the Department of Medical Assistance Services (DMAS). The purpose of this position is to ensure the timely and accurate recovery of funds in accordance with both state and federal regulations related to Medicaid recoveries. The above activities are to ensure that Virginia Medicaid remains the payor of last resort.

The business needs for this position may be completed virtually. Located in beautiful Central Virginia, the Richmond area puts you just 2 hours from the Blue Ridge Mountains, Virginia Beach and Washington DC. To learn more about the Richmond, VA area visit : https : / / www.virginia.org

The Department of Medical Assistance Services (DMAS) is working to improve the health and well-being of Virginians through access to high quality health care coverage. DMAS wants talented individuals who can align their experience with the mission of the agency and its core values service, collaboration, trust, problem solving and adaptability. At the Department of Medical Assistance Services (DMAS) we encourage and promote that you Come as you are | Become who you want to be | That is our promise.

Competitive candidates will meet these minimum qualifications : Knowledge / experience of health coverage entities and related partners including insurance companies, law firms, courts, and outside agencies such as the Department of Social Services (DSS) and the Office of the Attorney General (OAG). Knowledge / experience performing work requiring analysis of data and application of applicable professional principles and standards required. Knowledge / experience of the interplay of financial recovery processes and accounts receivable. Knowledge / experience handling multiple time sensitive deliverables. Knowledge / experience utilizing personal computer and related software applications including Microsoft (MS) Outlook, MS Teams, MS SharePoint, MS Dynamics, MS Word, MS Excel, MS PowerPoint, APEX applications, and Oracle Finance required. Knowledge / experience and / or experience analyzing, interpreting, and applying federal, state laws / regulations related to Virginia Medicaid and Third Party Liability (TPL) recoveries. Knowledge / experience meeting deadlines. Knowledge / experience effectively communicating with internal and external stakeholders. Knowledge / experience of medical terminology and claims information.

Competitive candidates should meet these additional considerations : Knowledge / experience with accounting practices specific to Virginia Medicaid. Knowledge / experience with queries from complex automated computer systems including Virginia Medicaid's Fiscal Agent Services (FAS) system, Claims Inquiry Request for Information (CIRI) system, and the TPL Case Management System (TPL CMS).

The Virginia Department of Medical Assistance Services (DMAS) does not offer employment-based Sponsorship. Selected candidates will have their work authorization completed using the E?Verify Program. The Department of Medical Assistance Services (DMAS) is an Executive Branch agency that will adhere to all policies and procedures, to include the Commonwealth's Department of Human Resource Management Policy 1.61 Teleworking. This position could be expected to work in the office as driven by business needs. This position requires a fingerprint based Criminal History Background Check, Education Checks if applicable, Work History Verification with references.

In support of the Commonwealth's commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS / DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at 800-552-5019.