Administrative Specialist I
State of North CarolinaAbout the role
Agency
Dept of Health and Human ServicesDivision
Child and Family Well BeingJob Classification Title
Administrative Specialist I (S)Position Number
60040244Grade
NC08About Us
The North Carolina Department of Health and Human Services (DHHS) is one of the largest, most complex agencies in the state, and has approximately 17,000 employees. It is responsible for ensuring the health, safety, and well-being of all North Carolinians, providing human service needs for special populations including individuals who are deaf, blind, developmentally disabled, and mentally ill, and helping poor North Carolinians achieve economic independence.
Description of Work
This position, located in Rocky Mount, serves as an administrative support professional responsible for a broad range of business and financial functions that support the Rocky Mount CDSA in maximizing agency revenue through accurate and timely reimbursement for services.Under the supervision of the Business Services Coordinator, responsibilities include processing public and commercial insurance billing, reviewing and submitting claims through NC Tracks, verifying Medicaid eligibility, and managing Prior Authorizations through the NC Tracks Operations Portal.
The role involves troubleshooting billing and authorization issues, communicating effectively with providers to resolve claim discrepancies, and ensuring timely reimbursement for services. Additional duties include assisting with supply inventory, fixed asset management, purchasing activities, maintaining accurate business records, and other duties as needed.
This position requires strong organizational, analytical, and problem-solving skills, along with the ability to explain and interpret policies, procedures, and billing information to clients, providers, customers, and staff.
Success in this role depends on maintaining a high level of accuracy, providing excellent customer service, and collaborating effectively with internal and external stakeholders to support the agency's operational and financial goals.
Knowledge Skills and Abilities/Management Preferences
Salary Range: $39,244 -$68,679
Recruitment Range: $39,244 -$41,429
Candidates now meet the minimum qualifications of a position if they have the minimum education and experience listed on the vacancy announcement.
The following Management Preferences are not required, but applicants that possess these skills are preferred.
Demonstrated experience in public and commercial insurance billing.
Demonstrated proficiency in Microsoft Office applications.
Proficient in navigating multiple electronic billing systems to process claims and resolve billing issues.
Demonstrated experience in reviewing, examining, and preparing documents.
Demonstrated experience in compiling, organizing and analyzing financial information and other data.
Posting closes at 11:59 p.m. the night before the end date
About the NC Division of Child and Family Well-Being:
The Division of Child and Family Well-Being is a division at the NC Department of Health and Human Services (NCDHHS) that will focus on supporting whole child and family health and well-being for North Carolinians with several sections including nutrition programs (WIC, SNAP and Child and Adult Care Food Program), health & prevention services for children and youth, children’s behavioral health programs, and early intervention programs. The Operations Unit is in the Community Nutrition Services Section (CNSS) in the Division of Child and Family Well-Being (DCFW).
Compensation and Benefits:
The State of North Carolina offers excellent comprehensive benefits. Employees can participate in health insurance options, standard and supplemental retirement plans, and the NCFlex program (numerous high-quality, low-cost benefits on a pre-tax basis). Employees also receive paid vacation, sick, and community service leave. In addition, paid parental leave is available to eligible employees. Visit website for State Benefits
Supplemental Contact Information:
The North Carolina Department of Health and Human Services (DHHS) is an Equal Opportunity Employer that embraces an Employment First philosophy, which consists of complying with all federal laws, state laws, and Executive Orders. We are committed to reviewing requests for r
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