MAXIMUS

Transportation Administrator

US-MA-Boston
5 days ago
Requisition ID
2017-28229
# of Openings
1
Job Function
Administrative/Clerical
Job Schedule
Regular Full-Time

Overview

Review and adjudicate Prescription for Transportation forms (PT-1), requests for Personal Reimbursement (PR) and Transportation Escalations. Outreach members and providers to educate on MassHealth transportation benefits and how to obtain them, if qualified.

Responsibilities

  • Access, read, and interpret client and provider information in a variety of online programs, including MMIS, MA21, and MassServe.
  • Maintain a detailed knowledge of the EOHHS Transportation Regulations and KC materials.
  • Reconciling PT-1 forms with all MassHealth regulations and policies, including: Research for 0.75 miles walking distance (using Mapquest, Google); Research all available public transit resources; Research MassHealth provider participation; Research medical services available locally (using MCO websites/provider directories, MMIS, and other electronic resources);
  • Outreach member and/or provider for clarification, where applicable; Document all actions in MassServe.
  • Review and respond to member and provider Transportation Escalations, including: Explain denial reasons, including transportation regulations and rights to appeal; Complete change of address and forward updates to Regional Transit Authorities (RTAs); Assist with urgent requests or elevated member issues
  • Document all actions in MassServe.
  • Research for public transportation availability for Personal Reimbursements
  • Research and indicate accurate member addresses, receive address verification and determine locality.
  • Process check requests in MA21 (Member Special Payment)
  • Serve as a resource to the CSC on Transportation issues and cover helpdesk line (for CSC Managers only)
  • Assist Manager with projects and tasks as needed.

The Ideal Candidate will Possess the Following Additional Education and Experience

  • High school diploma or GED equivalent required; Associate's Degree preferred.
  • At least one (1) to two (2) years of experience as a MassHealth Member Customer Service Representative required
  • Strong computer skills
  • Overall knowledge of MassHealth program and regulations
  • Proficient written and verbal communication skills
  • Ability to perform comfortably in a fast-paced, deadline and detail-oriented work environment; successfully executing many tasks simultaneously
  • Ability to learn regulations and policies and educate others on the specifics
  • Comfortable with customer service outreach and assistance to members and providers, as well as being an internal resource
  • Ability to work as a team member, as well as independently

EEO Statement

EEO Statement
Active military service members, their spouses, and veteran candidates often embody the core competencies MAXIMUS deems essential, and bring a resiliency and dependability that greatly enhances our workforce. We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a difference for our country. We’re proud of our connections to organizations dedicated to serving veterans and their families. If you are transitioning from military to civilian life, have prior service, are a retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging and rewarding career opportunities available for you

A committed and diverse workforce is our most important resource.

MAXIMUS is an Affirmative Action/Equal Opportunity Employer.

MAXIMUS provides equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disabled status.

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