Office Specialist - Medicaid NFOCUS Billing at State of Nebraska in Lincoln, Nebraska

Job Description:

The work we do matters!




Hiring Agency:

Health & Human Services - Agency 25



Location:

Lincoln, NE



Hiring Rate:

$16.277



Job Posting:

JR2024-00012337 Office Specialist - Medicaid NFOCUS Billing (Open)



Applications No Longer Accepted On (If no date is displayed, job is posted as open until closed):



Job Description:

The State of Nebraska's Department of Health and Human Services, Division is looking for an Office Specialist within the Medicaid Claims NFOCUS Billing Team.
Become a part of a team that not only values its members but also knows how to have a good time while achieving excellence!


What We Offer:
We value our employees' hard work and offer a supportive and friendly work environment along with a comprehensive benefits package that includes:


State-matched retirement contribution of 156%!


13 paid holidays!


Generous leave accruals that begin immediately - includes 12 paid Vacation days and 12 paid Sick days!


Tuition reimbursement program!


Public Service Loan Forgiveness Program (PSLF) through the Federal government.


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.


If you're ready to get your career started with the State of Nebraska and be part of a team that makes a difference in the community, apply today!


Wage: $16.277
Hours: Monday - Friday 8-5
Dress Attire: Business Casual



What you will do as an Office Specialist for the Medicaid Claims NFOCUS Billing Team:

• Verify and process NFOCUS paper billing documents for accuracy and completeness.


• Audit provider claims to ensure compliance with Medicaid billing guidelines and regulations.


• Draft and send overbilling letters to providers to address discrepancies.


• Adjust claims based on findings from audits and provider communications.


• Assist providers with Electronic Visit Verification (EVV) claim submissions and troubleshooting.


• Maintain up-to-date knowledge of Medicaid billing processes and NFOCUS system updates.


• Collaborate with team members to meet departmental goals and deadlines.


• Provide customer service to Medicaid providers, addressing their inquiries and assisting with claim issues.


• Ensure that all claims are processed in compliance with Medicaid policies and regulations.


• Maintain confidentiality of all billing and provider-related information.


• Exhibit a sharp attention to detail and strong proofreading skills to ensure the accuracy of documents and reports.


• Maintain regular and predictable attendance.

Requirements/ Qualifications




Minimum Qualifications: 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. OR 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.



Preferred Qualifications: At least one year of customer service experience, experience with Medicaid Billing, familiarity with NFOCUS and Electronic Visit Verification (EVV) and Microsoft Office including Excel.



Knowledge, Skills, and Abilities



The ideal candidate will have a strong understanding of secretarial and clerical support tasks, including recordkeeping, database management, and preparing reports. They will be familiar with customer service practices and the policies and procedures related to their work. Knowledge of specialized terminology and processes specific to their role is important, as well as proficiency in grammar, punctuation, spelling, and composition for business and specialized writing. The candidate should also be skilled in using word processing and data software for managing documents.


The candidate must be able to communicate clearly and professionally, both in writing and verbally. They will need to summarize technical data and research into easy-to-understand reports and proofread documents for accuracy. The ability to follow instructions, apply relevant policies, and carry out tasks effectively is essential. They should be able to take action based on decisions made by others to meet goals and priorities. The candidate must also be able to learn about the organization's structure, mission, and activities and apply policies and procedures to their work.






Benefits



We offer a comprehensive package of pay, benefits, paid time off, retirement and professional development opportunities to help you get the most out of your career and life. Your paycheck is just part of your total compensation.


Check out all that the State of Nebraska has to offer! Benefit eligibility may vary by position, agency and employment status. For more information on benefits, please visit: https://statejobs.nebraska.gov/index.html#benefits



Equal Opportunity Statement



The State of Nebraska values our teammates as well as a supportive environment that strives to promote diversity, inclusion, and belonging. We recruit, hire, train, and promote in all job classifications and at all levels without regard to race, color, religion, sex. age, national origin, disability, marital status or genetics.



Current employees of the State of Nebraska should NOT apply on this external career. Instead go to Workday and access the Jobs Hub - Internal Apply app from your home landing page. Apply Now