<p>The Manager of Benefits and Claims will be responsible for the day to day operations of client enrollment and claims services in the Board's Claims Processing Software. The position will serve as the point of contact with provider agency billing and intake departments regarding these processes and support accounting functions as assigned. The manager will support the development and implementation of business rules related to the Board's Claims Processing Software and provides accounting support for payroll and accounts payable functions.</p> <ul> <li>Ensures the accurate and timely processing of client enrollments. Document any denied enrollments through the establishment of appropriate work standards and procedures. </li><li>Provides oversight for the accurate and timely processing of agency claim files. </li><li>Provide guidance to provider agencies regarding claims corrections in the Board's Claims Processing Software. </li><li>Coordinates trend analysis process; recommend and/or initiate corrective action, or policies and procedures as required. </li><li>Audits and reconciles the Board's Claims Processing Software with payments for compliance with established benefit rules and to recapture Board funds. Process claims vouchers and remittances as appropriate. </li><li>Supports the development and implementation of business rules related to the Board's Claims Processing Software. </li><li>Provide technical assistance to providers on Claims Processing Software enrollment and claim processing issues. </li><li>Reviews and takes appropriate action on outliers, retroactive Medicaid eligibility and benefit limitations. </li><li>May interface with state and local Departments, Agencies, and Boards on behalf of the MHRSBLC regarding enrollment, claims and billing issues. </li><li>Serve as a support for accounting functions; functions to include processing accounts payable vouchers and staff expense reports in accounting system. Duties also include processing payroll by receiving staff timesheets, following up on discrepancies, entering payroll into the county payroll system and MHRSB payroll records, and reconciling payroll reports every other week after processing is complete. </li><li>Position serves as backup to Accounting Specialist in invoice preparation and Oracle supplier setup. </li><li>Provides approved claims and negative claims information by agency to the Assistant Director of Finance on a weekly basis for payment processing. </li><li>Coordinates and submits appropriate management reports as required. </li><li>Other duties as required. </li></ul> <p>Associate's or Bachelor's degree in a health, behavioral health, business, or financial field; five years of claims processing experience. Demonstrated knowledge of claims, Ohio Medicaid coding regarding Behavioral Health, plus familiarity with the national standard 837 Professional and 835 Remittance forms and 270/271Medicaid eligibility inquiry and response files. Working knowledge of Microsoft Word and Excel. Ability to work without the direct supervision of others and to report results in a timely and accurate manner. Excellent written, oral, and analytical skills required.</p>