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Administrative Assistant III
Ref No.: 17-06077
Location: Mercerville, New Jersey
Position Type:Contract
Experience Level: 3 Years
Start Date: 01/02/2018
Description: Description: 1. Receives requests (both verbal and written) from various sources, including but not limited to attorneys, County welfare agencies; Medical Assistance Customer Centers, managed care organizations, Division of Law, Office of Public Client; insurance agencies; title companies, and deceased beneficiaries' families. 2. Determines applicable categories of recovery 3. Advises attorneys, courts, estates, counties and estate representatives of the federal and state Medicaid statutory and regulatory reimbursement requirements 4. Determines if additional information is required in order to initiate recovery process and does follow-up as needed 5. Accesses data on claims history and eligibility status for determination of claimilien amount, utilizing the following data information systems: ESP+; Treasury; microfiche; HMO claims; Shared Data Warehouse 6. Accesses Lexis-Nexis or Clear to verify property ownership and locate deceased beneficiary's relatives 7. Prepares clear, accurate and informative correspondence regarding claimilien amounts, and upon reimbursement, prepares necessary correspondence to appropriate parties 8. Develops tracking system for cases/contacts with HMOs and estate representatives 9. Suppresses Medicaid estate recovery questionnaires, which are mailings by Molina on a 90-day schedule-approx. 9,000-10,000 letters