Medical Assistance Consultant III – Sangamon County, IL

Description of Duties/Essential Functions

Under general direction, conducts highly complex and specialized reviews of medical claims submitted by medical providers for care and services extended to medical assistance recipients; interprets medical treatment, medical equipment, pharmaceuticals and billings to ensure medical procedures meet the State/Federal guidelines; confers with Department Supervisors and represents the Department in meetings.

Minimum Requirements

Requires knowledge, skill and mental development equivalent to completion of four years of college with licensure in one of the following specialties: Registered Nurse, Licensed Practical Nurse, Speech/Language Pathologist, Respiratory Therapist, Physical Therapist, or Occupational Therapist. Requires three years professional experience in field related medical (mental and Physical) treatment and care. Requires extensive knowledge of medical treatment casework principles and techniques, federal, state and local legislation and agency requirements pertinent to public assistance, medical care and rehabilitation assistance. Requires working knowledge of social and medical social work literature, individual, health, rehabilitation and educational needs and community and state resources. Requires ability to direct and give effective consultation and instruction related to professional medical services.

Work Hours & Location/Agency Contact

Work Hours: 8:30 a.m. – 5:00 p.m.

Location:
Bureau of Professional and Ancillary Services
607 East Adams
Springfield, IL 62704
(Sangamon County)

Agency Contact:
Robert Fehrholz
Bureau of Medical Administrative Support
201 South Grand Avenue East, 3rd Floor
Springfield, IL 62763

Work Telephone # (217) 524-7326
Fax # (217) 557-2565

How to Apply

Click Here for Applicant Information and Grading Procedures
This position may require a current grade from Central Management Services (CMS), Division of Examining and Counseling, to be deemed qualified and available for employment consideration. For more information, please refer to the Work4Illinois website at Work.Illinois.Gov and select ‘Application Procedures’. Additional information may also be obtained from the Agency Contact listed above or by contacting CMS, Division of Examining and Counseling at [email protected] or (217) 782-7100, (217) 785-3979 (TDD/TTY), (800) 526-0844 (TTY Only).

Additional Documentation for Medical Assistance Consultant III:

Class Specification (Download PDF reader)
Additional Title and Exam Information (Download PDF reader)

These documents are in PDF format and can be viewed using Adobe Reader.

NOTE: Salary amounts shown are only to be used as a guide; actual salary will be determined at the time of hire based on current salary plans and/or collective bargaining agreements, if applicable.

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