Job Description

Job Title:  New Options Waiver/Comprehensive Supports Waiver Prior Authorization Billing Specialist- Thomasville

Pay Grade: J

Job Summary:

 Operations Analyst Job Responsibilities
➢ Serves as the customer service contact and subject matter expert to providers, individuals, families, partner
agencies and DBHDD staff regarding billing and approval processes for Medicaid waiver and DBHDD state
funded services.
➢ Authorizes services including Individual Support Plan and version change approvals through IDD Connects and
the IDD Information System
➢ Monitors service utilization and processing of state funds allocations and reviews reports from state funded
providers.
➢ Gathers, compiles and analyzes fiscal and service utilization data
➢ Researches and responds to internal and external inquiries concerning spending and utilization trends, program
issues, billing problems, rules and regulations
➢ Prepares reports of findings and analysis.
➢ Makes recommendations to Regional Field Office leadership and the Director of Field Operations for operational
changes
➢ Under supervision, performs complex administrative duties and statistical, financial, or operational data analysis
and reporting in support of management decision making in functional area.
➢ Identifies trends, discrepancies, and variances to improve the efficiency and effectiveness of operations. May
partner with other departments, divisions, outside agencies, and vendors to address business issues.
➢ Exercises independent judgment based on policy and regulations. May administer or provide high level support
for various projects, grants, contracts, implementation of procedures, and/or any specialized functions.
➢ May be asked to assist in other regions
➢ Additional duties as assigned.

8:00 a.m. – 5:00 p.m. Monday through Friday

Preferred Qualifications:
Bachelor’s degree
Excellent customer service skills
Ability to communicate and write clearly
Proficient with Microsoft WORD and EXCEL (excellent skills managing a database)
Experience working with IDDIS and/or IDD Connects

Benefits

In addition to a competitive salary & benefits, GA Department of Behavioral Health and Developmental Disabilities is part of a statewide initiative called Total Rewards that seeks to attract and retain employees by supplementing their base pay and benefits with programs designed to improve the quality of their work environment and lead to greater job satisfaction and work/life balance. Eligible employees are offered generous benefits, including health and dental insurance; retirement and savings plan options; and paid holidays, vacation and sick leave. For more information, visit https://dbhdd.georgia.gov/benefits

Employment Requirements
To ensure the safety and wellbeing of our employees, individuals and communities we serve, certain positions within DBHDD may require evaluations, vaccinations, professional licensure and certifications. Licenses must be current and enable providers to practice within the State of Georgia.

The following are a listing of evaluations and vaccinations that may be required for employees, including those not involved with direct care:

• Drug Screening
• TB Evaluation
• Annual Influenza*

*Limited exemptions may be made for documented medical contraindications or religious beliefs that object to vaccinations.

DBHDD is an Equal Opportunity Employer
It is the policy of DBHDD to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law.

Due to the volume of applications received, we are unable to provide information on application status by phone or e-mail. All qualified applicants will be considered but may not necessarily receive an interview. Selected applicants will be contacted by the hiring agency for next steps in the selection process.

This position is subject to close at any time once a satisfactory applicant pool has been identified.

FOR THIS TYPE OF EMPLOYMENT, STATE LAW REQUIRES A NATIONAL AND STATE BACKGROUND CHECK AS A CONDITION OF EMPLOYMENT.  

When applying for this position, you will be asked if you meet the minimum qualifications for this position as stated below and may possibly be presented with additional questions to assess preferred qualifications. Preference will be given to applicants who meet one or more of the preferred qualifications and have demonstrated relevant experience clearly indicated in their work history.