Nebraska Department of Health and Human Services · 1 day ago
Office Specialist
Lincoln, NE
Full-time
Onsite
New Grad, Entry Level
$17.25/hr - $17.25/hrThe Nebraska Department of Health and Human Services is seeking an Office Specialist to join their Medicaid and Long-Term Care Claims Division. This role involves reviewing and processing Medicaid claims, ensuring accuracy and compliance, and providing excellent customer service to providers and clients.
GovernmentHealth CareSocialWellness
Responsibilities
Review Medicaid claims and associated provider documents required for claims processing, payments, or denials
Determine that payment amounts for services are correct and generate computerized payments
Answer questions and resolve problems involving non-routine handling of forms and documents submitted for updating claims
Make adjustments authorized by established policies and procedures
Respond to telephone and written inquiries from providers regarding the status of suspended or deleted claims, including electronic claims submitted by trading partners
Perform related work as assigned
Ensure compliance with department policies, procedures, and guidelines, as well as state and federal regulations
Provide excellent customer service and consistently demonstrate DHHS values and core competencies
Periodically support the EDI (Electronic Data Interchange) Help Desk, assisting with user access, resolving communication issues, maintaining external user databases, and processing trading partner authorizations
Periodically assist the Claims Customer Service Call Center, helping providers and clients with claim status, client eligibility, and provider-related inquiries
Qualification
Required
Coursework/training in administrative/office support functions, procedures, and methods including the operation of personal computers and office equipment; or areas related to the programs and functions of the employing agency
Experience in customer service or public contact; or applying criteria/regulations; and/or performing administrative/office/secretarial support work including use of personal computers and office equipment
Customer Service Skills – Ability to communicate clearly, listen actively, and handle questions or complaints with professionalism
Attention to Detail – Able to review forms and data accurately to catch errors or missing information
Computer Proficiency – Comfortable using Microsoft Office (Word, Excel, Outlook) and navigating multiple computer systems
Time Management – Capable of handling a high volume of work, staying organized, and meeting deadlines
Problem-Solving – Able to identify issues, think critically, and find practical solutions for customers or internal processes
Communication Skills – Strong written and verbal communication to explain processes, respond to inquiries, and document work
Teamwork – Willing to work cooperatively with others and assist team members when needed
Adaptability – Able to learn new systems, take on different tasks, and adjust to changes in a fast-paced environment
Confidentiality Awareness – Understands and follows privacy regulations like HIPAA when handling sensitive information
Basic Office Skills – Experience with filing, data entry, email communication, and working with forms or documents
Benefits
State-matched retirement contribution of 156%!
13 paid holidays
Generous leave accruals that begin immediately
Tuition reimbursement program
79% employer-paid health insurance plans
Dental and vision insurance plans
Employer-paid $20,000 life insurance policy
Career advancement opportunities as the largest and most diverse employer in the state
Training and development based on your career goals
Employee Assistance Program
Company
Nebraska Department of Health and Human Services
The Department of Health and Human Services team contributes to the lives and health of Nebraskans every day.
Founded in 1997
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Larry Kahl, FACHE
Chief Operating Officer
Amy McKeighan
Talent Acquisition Partner
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