Medicaid Claims Examiner 3 - Grade 17

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Positions

This title exists in Health, Department of and has approximately 5 positions.

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Career Ladder

A listing of titles that are most commonly used as steps for upward mobility for this title series.

Salary Information for Medicaid Claims Examiner 2
Title Grade Hiring Rate/yr Job Rate/yr
Medicaid Claims Examiner 2 14 $54,860 $66,634
Medicaid Claims Examiner 3 17 $61,516 $78,307
Medicaid Claims Examiner 4 21 $75,850 $96,173

All salary grades for trainees titles are non-statutory (NS) equated to the salary grade identified. These grade equations apply to the starting salaries in their respective salary schedule for the traineeship levels.

This title may exist in more than one negotiating unit. This salary schedule represents the most typical salary for this title. Click here to view additional salary information regarding the various bargaining units.

An individual's final salary is determined by the Office of the State Comptroller. This salary schedule does not reflect any Special Salary Treatments

Job Duties

You would perform duties related to the review of claims for payment for health care services provided under the New York State Medical Assistance (Medicaid) Program and the enrollment and participation of both fee for-service practitioners and institutional health care providers in the Medicaid Program. You would supervise subordinate staff in the performance of adjudication and processing of claims for payment, health care provider enrollment in Medicaid, and issues of participation and payment of providers in the Medicaid Program.

As a Medicaid Claims Examiner 3, in addition to the duties above, you would supervise Medicaid Claims Examiners 2; handle non routine claims and involved provider issues; ensure the consistent application of payment and pricing policy and guidelines; and oversee the review and processing of new provider enrollment requests.

The Classification standard for this title illustrates the nature, extend, and scope of duties and responsibilities of the classes they describe. There is no classification standard available currently for this title.

Summary of Minimum Qualifications

Please note: qualifications for this position may be subject to change. If substitutions for education and/or experience are allowed, this information would be available on the announcement.

You must take and pass a Civil Service examination in order to be considered for this position.

On or before the date of the examination, the candidate must be a qualified employee of the New York State Department of Health and have had three months of permanent competitive or 55-b/55-c service as either:

A. a Medicaid Claims Examiner 2;

OR

B. one year in a title allocated to a G-9 or higher.

For informational purposes only, click on the examination number(s) listed below to see the current or previous examination(s) that are used to fill this title.

37-287

Please note: qualifications for this position may be subject to change. Job postings on StateJobsNY will contain the most up-to-date qualifications.

How to Apply

When this examination is scheduled to be held, the announcement can be found on the Department of Civil Service, Examination Announcements web page. If you do not see an examination currently scheduled please check back on a monthly basis or sign up for email notification so that you will automatically be notified when new examinations are being offered.

Mobility Options

Career mobility is not just limited to the titles in the Career Ladder, above. Additional movement may be achieved through transfers opportunities or other examinations.

For additional information or clarification of transfer determinations, current State employees should contact the Career Mobility Office at (518) 485-6199 or (800) 553-1322.

You can also visit ELMS Online to view established open-competitive, promotion, and transition eligible lists.

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