The Kentucky Transportation Cabinet is committed to meeting or exceeding the needs and expectations of our customers. Our focus is on people: our customers, our employees, and our partners. We will continually improve both the delivery of our products and services and the processes that support that delivery to provide a safe, efficient, environmentally sound, and fiscally responsible transportation system that delivers economic opportunity and enhances the quality of life in Kentucky.
By joining our Office of Transportation Delivery as a Medicaid/Medicare Services Specialist I in Franklin County, you’ll have the opportunity to perform multi-faceted functions for the Medicaid Non-Emergency Medical Transportation Program (NEMT) providing assistance in determining recipient transportation eligibility.
Holders of the Medicaid/Medicare Services Specialist I position will complete tasks such as:
- Providing assistance to program recipients, medical providers, and/or other agencies and general public in receiving and investigation Non-Emergency Medical Transportation complaints and inquiries.
- Receives statewide calls on the customer service complaint line from recipients, Brokers, medical providers, and other agencies. This position will have much telephone communication work.
- Accurately determines recipient Non-Emergency Medical Transportation eligibility for requested covered services. Works with the Department for Medicaid Service, Vocational Rehabilitation, Blind Services and Department of Correction programs.
- Issues trip denials and/or trip approvals to recipients and Brokers in a timely manner. Forwards denial letters for processing. Files denial letters in appropriate folder.
Holders of this job will obtain the following skills:
- Telephonic customer service skills
- Letter writing.
- Communication skills
- Dispute resolution skills
Desired candidates possess the following requisite skills or experience applicable to the position:
- Good customer service skills.
- Active listening skills.
Required to possess a valid driver’s license, some travel will be required for professional trainings, incumbents in this job title should possess the ability to work sit, stoop and bend. Sitting at a desk and answering the telephone is a major component in the job tasks expected.
Applicants must be currently authorized to work in the United States for any employer.
The Kentucky Transportation Cabinet (KYTC) participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in U.S. KYTC will only use E-Verify once you have accepted a job offer and completed the Form I-9.
For more information on E-Verify, or if you believe that KYTC has violated its E-Verify responsibilities, please contact Department of Homeland Security (DHS) at 888-897-7781 or https://www.e-verify.gov/.
If you are looking for a rewarding career with a culture of employee involvement, where teamwork is the norm and measurement of performance is essential, the Kentucky Transportation Cabinet is for you!
We look forward to reviewing your application.
Minimum Requirements
EDUCATION: Graduate of a college or university with a bachelor’s degree.
EXPERIENCE, TRAINING, OR SKILLS: NONE
Substitute EDUCATION for EXPERIENCE: NONE
Substitute EXPERIENCE for EDUCATION: Experience in Medicaid and/or Medicare program administration, health insurance administration/systems, eligibility systems, health care research, health care planning, health care financial management, health care policy development or human service or health care administration, insurance billing and/or claims will substitute for the required college on a year-for-year basis. Current or prior military experience will substitute for the required college on a year for year basis. Prior military experience will only substitute if the individual received an honorable discharge, discharge under honorable conditions, or a general discharge.
SPECIAL REQUIREMENTS (AGE, LICENSURE, REGULATION, ETC.): NONE
Working Conditions
Incumbents working in this job title primarily perform duties in an office setting.
Probationary Period
This job has an initial and promotional probationary period of 6 months, except as provided in KRS 18A.111.
If you have questions about this advertisement, please contact Jeremy Thompson at Jeremy.Thompson@ky.gov or 502-564-7433.