Medical Claims Processor II - Baltimore City Health Department

POSTING DATE : 1 / 3 / 2025

SALARY RANGE : $50,797.00 - $61,402.00 Annually

BACKGROUND CHECK

Eligible candidates under final consideration for appointment to positions identified as positions of trust will be required to complete authorization for a Criminal Background Check and / or Fingerprint screening and must be successfully completed.

PROBATION

All persons, including current City employees, selected for this position must complete a mandatory 6-month probation.

ELIGIBILITY

Qualified candidates will be considered for vacancies as they arise, for a period of at least six months. The decision of the Director of Human Resources with respect to acceptable minimum qualifications is final.

EDUCATION ACCREDITATION

Applicants' education must be obtained from an accredited institution. Education credentials obtained out of the US must be evaluated for US equivalency. Evaluation agencies information may be obtained at www.naces.org.

CLASS DESCRIPTION

A Medical Claims Processor II reviews and evaluates medical charges related to Workers' Compensation claims or emergency ambulance services. Work of this class involves no supervisory duties or responsibilities.

Incumbents receive general supervision from a technical superior. Employees in this class work a conventional workweek. Work is performed in an office where there is no exposure to uncomfortable environmental or hazardous working conditions. Work requires minimal physical exertion.

SELECTION PROCESS

All candidates indicating the minimum qualifications on their applications will be placed on the eligible list without further examination. The training and experience of each candidate will be evaluated for appropriateness and quantity. It is essential, therefore, that you give complete and accurate information on your application. Vagueness or omission may prevent you from being considered for this position. Qualified candidates will not be listed in rank order.

MINIMUM QUALIFICATION

On or before the date of filing the application, each candidate must :

EDUCATION : Have an associate degree from an accredited college or university.

EXPERIENCE : Have three years of experience in medical claims or ambulance services billing and collection work in a workers' compensation unit, ambulance services billing unit, hospital, health maintenance organization or insurance firm.

EQUIVALENCY NOTES : Have Six months of additional experience in medical claims or ambulance services billing and collection work may be substituted for each year of the college education.

KNOWLEDGE, SKILLS AND ABILITIES

• Knowledge of Workers' Compensation Law.
• Knowledge of the principles and practices of medical insurance claims processing or emergency ambulance services billing processing.
• Knowledge of medical terminology.
• Knowledge of medical billing systems.
• Knowledge of basic computer operations.
• Mathematical ability.
• Ability to interpret, explain and apply Workers' Compensation laws, rules, procedures and practices.
• Ability to read and interpret medical reports, charts and treatment plans.
• Ability to maintain records and prepare reports.
• Ability to establish and maintain effective working relationships with coworkers, vendors and patients.
• Ability to communicate effectively, orally and in writing.

EXAMINATION PROCESS

Applicants must provide sufficient information on their application to show that they meet the minimum qualifications for this recruitment. Successful applicants will be placed on the employment certified eligible list for at least six months.

The examination will consist of a rating of your education, training, and experience as presented on your application and as they relate to the requirements of the position. You may be required to complete supplemental questions to further examine specific Knowledge, Skills and Abilities of the position. Therefore, it is important that you provide complete and accurate information on your application.

BENEFITS

The City of Baltimore offers a generous and competitive benefits package. You can learn about our benefits here :

If you have questions regarding this position, please contact Jewel Glenn, HR Specialist I via email at Jewel.Glenn@baltimorecity.gov.

Baltimore City Government is an Equal Employment Opportunity Employer, and we are committed to a workplace that values diversity, equity, and inclusion. The City of Baltimore prohibits discrimination on the basis of race, color, religion, age, sex, ancestry, creed, national origin, disability status, genetics, marital status, military service, sexual orientation, gender identity / expression or any other characteristic protected by federal, state or local laws. Applicants requiring accommodations during the hiring process should contact the Department of Human Resources directly. Do not attach your request for accommodation to the application.

BALTIMORE CITY IS AN EQUAL OPPORTUNITY EMPLOYER

Salary : $50,797 - $61,402