Description

Do you have a spirit to serve? Do you thrive in a dynamic customer focused team? If so, this position may be for you! Please read on and consider joining our team.

In this position, you will work directly with customers who need assistance with their eligibility and enrollment into their Public Employees and/or School Employees Benefits. You will be relied upon to utilize your strong computer and communication skills when explaining complex eligibility and completing enrollments.

Per Governor Inslee’s Directive 22-13.1 , state employees must be fully vaccinated. Your vaccine status will be verified upon acceptance of a contingent job offer. Please note, medical or religious accommodation may be available once an offer of employment is made.

About the division:
The Employees and Retirees Benefits (ERB) Division is responsible for management oversight, structuring, procurement, and administration of the public employees’ insurance benefits program for state employees, retirees, K-12 and ESD entities, school employees’ insurance benefits programs, and other eligible employer groups. This division is responsible for the activities and recommendations put before the Public Employees Benefits Board (PEBB) and the School Employees Benefits Board (SEBB), whose members are appointed by the Governor.

About the position:
This position reports to the Medical Assistance Specialist 5 (MAS5) supervisor and aligns with the HCA mission by providing support in the delivery of quality customer service to PEBB and SEBB Programs’ subscribers and their dependents, including retirees, COBRA/continuation coverage, and K-12 members.

Duties

Some of what you will do:

• 
  Counsel customers and members on PEBB and /or SEBB Program eligibility, policies, procedures, insurance benefits, access to services, rights and responsibilities, and enrollment status via phone, email, secure messaging, and in person.
• Uses excellent communication skills to effectively communicate with customers and peers, utilizing a high degree of verbal and listening skills.
• Independently analyzes complex rules and apply them accurately when processing applications and documents for health benefits eligibility and enrollment.
• Participates in committee and project teams, such as process improvement feedback and activities, employee resource groups, team meetings, or HCA material reviews.

Qualifications

Required qualifications:

Qualified candidates will meet one of the following criteria:

• 
  Bachelor’s degree AND one year of the experience as defined below, OR
• Associate degree AND three years of the experience as defined below, OR
• Certificate of Medical Billing and Coding or closely related certificate program AND three years of the experience as defined below, OR
• Five years of the experience as defined below

The experience required is one or a combination of the following:

• Providing direct client services or counseling of customers in the areas of health insurance, disability, or other related health benefits
• Public assistance eligibility determination
• Health insurance premiums/claims processing, adjusting, and investigation
• Other medical premiums/claims/eligibility related experience
• Experience researching and analyzing complex rules, regulations, or policies and utilizing research and analysis to make determinations, solve problems, or complete work while providing direct customer service either in person or on the telephone.

Notes:

• Additional experience may substitute, year for year, for the required education.
• Completion of a Certificate of Medical Billing and Coding, or closely related certificate program, may substitute for up to two years of education.

Preferred qualifications:

• Ability to understand PEBB and/or SEBB Programs’ information sources, including WACs, policies, and procedures.
• Superior communication, customer service, time management, and interpersonal skills.
• Experience working with computers, and database and software programs.
• Ability to navigate several screens, web-based applications, and forms simultaneously.
• Adept at switching priorities at a moment’s notice and able to complete tasks with multiple deadlines.
• Ability and willingness to work in a high-pressure, customer contact center/production environment.
• Ability to achieve results and stay calm during stressful circumstances.
• Experience using the PAY1 system.
• Excellent mathematical skills.

How to apply:

Only candidates who reflect the minimum qualifications on their NEOGOV profile will be considered. Failure to follow the application instructions below may lead to disqualification. To apply for this position, you will need to complete your profile and attach:

• A cover letter that specifically addresses how you meet the qualifications for this position
• Current resume
• Three professional references

To take advantage of veteran preference, please do the following:

• Attach a copy of your DD214 (Member 4 long-form copy), NGB 22, or USDVA signed verification of service letter.
• Please black out any PII (personally identifiable information) data such as social security numbers. Include your name as it appears on your application in careers.wa.gov.

Supplemental Information

About HCA:
The Washington State Health Care Authority (HCA) is committed to whole-person care, integrating physical health and behavioral health services for better results and healthier residents.

HCA purchases health care for more than 2.5 million Washington residents through Apple Health (Medicaid), the Public Employees Benefits Board (PEBB) Program, and the School Employees Benefits Board (SEBB) Program. As the largest health care purchaser in the state, we lead the effort to transform health care, helping ensure Washington residents have access to better health and better care at a lower cost.

What we have to offer:

• 
  Meaningful work with friendly co-workers who care about those we serve Voices of HCA
• A clear agency mission that drives our work and is person-centered HCA's Mission, Vision & Values
• A healthy work/life balance, including alternative/flexible schedules and mobile work options.
• A great total compensation and benefit package WA State Government Benefits
• A safe, pleasant workplace in a convenient location with restaurants, and shopping nearby.
• Tuition reimbursement
• And free parking!

Notes:
This position is covered by the Washington Federation of State Employees (WFSE). Once the listed position(s) is(are) filled, this recruitment announcement may also be used to fill additional position(s) for up to sixty (60) days.

Prior to a new hire, a background check including criminal record history will be conducted. Information from the background check will not necessarily preclude employment.

HCA is an equal opportunity employer. We value the importance of creating an environment in which all employees can feel respected, included, and empowered to bring unique ideas to the agency. Our diversity and inclusion efforts include embracing different cultures, backgrounds and viewpoints while fostering growth and advancement in the workplace. Women, racial and ethnic minorities, persons of disability, persons over 40 years of age, disabled and Vietnam era veterans, as well as people of all sexual orientations and gender identities are encouraged to apply. Persons with disabilities needing assistance in the application process, or those needing this job announcement in an alternative format may contact Lisa Fleming at (360) 725-1723 or lisa.fleming@hca.wa.gov.