Office Specialist

The Nebraska Department of Health and Human Services is seeking an Office Specialist to join their Medicaid and Long-Term Care Claims Division. The role involves reviewing and processing Medicaid claims accurately, ensuring compliance with policies, and providing excellent customer service to providers and clients.

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

Skills

• 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
• Applying criteria/regulations
• 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 Overview