The DHHS Medicaid and Long-Term Care (MLTC) division is seeking an Office Specialist to join the Medicaid Claims Screening team as a payment reviewer. This role plays a critical role in support of the Medicaid Claims Screening unit.
Successful candidates will be organized, have excellent customer service skills, and demonstrate support of the team.
What we can offer you:
Stable Employment Opportunity and Hours
Career Development and Learning
156% match of first 4.8% contribution to Retirement Plan
13 Paid Holidays
Generous Leave Accruals and benefits
Opportunity to make a difference
Respect as a valued team member
Location: NSOB 301 Centennial Mall South Lincoln, NE
Schedule: 8-5, M-F
Examples of Work
Job duties are inclusive of the following:
Under immediate supervision, works with the Medicaid Claims team.
Perform office support work involving receiving clients, entering data, filing, sorting and opening mail, completing forms, copying, searching records, and answering phones.
Enters, retrieves, and researches information via computer systems inquiry and input
Educate providers on the complete billing process and on-going assistance to answer questions regarding claims and payments.
Review Medicaid Claims for completeness and accuracy and ensure documentation meets agency requirements; proper coding methods and completion of claim forms; return documents with missing or incorrect information to the originator.
Documents must be reviewed, verified and then scanned within the OnBase System and then entered into the MMIS System for claims processing and adjudication.
Must be able to lift and move boxes weighing 30-35 pounds.
Qualifications / Requirements
Coursework/training and experience in public contact, customer service, working in a human services setting
Experience using computer systems or office applications or performing office/secretarial support functions.
Must be highly organized, detail oriented and able to perform repetitive work in a high-volume, fast paced work environment.
Predictable and reliable attendance.
At least one year of customer service experience, experience with Enterprise One, NFOCUS, OnBase, and Microsoft Excel, word;
Internal and external customer service experience.
Knowledge, Skills and Abilities
A successful candidate would have
Listening to and understanding information and/or instructions received to perform assigned tasks;
Entering data into spreadsheets or data bases. Basic knowledge of Microsoft Outlook, Microsoft Word, and Excel is preferred, general office practices and procedures;
computer office applications, systems, and programs;
maintain records and files; scanning, multi-function copy machines, telephones and other office equipment;
Perform repetitive task in a fast-paced environment.
Effective communication; English grammar and usage;
understand human services, practices, and procedures;
accommodate new methods; maintain confidentiality;
sharp attention to detail;
accurate keyboarding skills
DHHS State of Nebraska values our employees as well as a supportive environment that strives to promote Diversity, Inclusion, and Belonging. We recruit, hire, train, and promote in all job qualifications and at all levels without regard to race, color, religion, sex, age, national origin, disability, marital status, sexual orientation, or genetics.
For more information about the Nebraska Department of Health and Human Services, please visit our website, http://dhhs.ne.gov.
State Of Nebraska