Office Specialist

State of Nebraska•Lincoln, NE

2d•$17

About The Position

The State of Nebraska's Department of Health and Human Services, Division is looking for an Office Specialist within the Medicaid Claims Screening and Scanning 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 you will do as an Office Specialist for the Medicaid Claims Screening and Scanning Team: Review documentation to ensure proper coding and completion of related claim forms, check recipient eligibility requirements and dates, and verify compliance with established policies and procedures in claim handling and client SOC process. Update client eligibility status in the Medicaid System. Collaborate with Office Manager to ensure the screening and preparation of paper claims and other documents for scanning and processing in the OnBase system. Cross-train to assist the Medicaid Claims Customer Service Call Center with responding to provider queries, as needed. Serve as a backup for the Scanning Desk by receiving, processing, scanning, and indexing various documents, including Medicaid NFOCUS billing documents, Medical/Dental forms, TPL/COB documentation, and authorizations for providers. Conduct quality control checks on documents to be scanned in OnBase, ensuring clarity, proper rotation, and accurate indexing.

Requirements

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.
The ideal candidate will have a solid understanding of clerical tasks like recordkeeping, database management, and report preparation.
They should be familiar with customer service practices and workplace policies and procedures.
Strong grammar, spelling, and business writing skills are essential, along with the ability to use word processing and data software effectively.
Clear, professional communication—both written and verbal—is important, as is the ability to summarize technical data into easy-to-understand reports and ensure document accuracy.
The candidate should be able to follow instructions, apply policies, and complete tasks efficiently.
They should also be able to learn about the organization's structure and apply relevant policies to their work.

Nice To Haves

Knowledge of Medicaid eligibility and claims processes.
Experience with OnBase/NFOCUS is a plus.
At least one year of office/administrative or customer service experience.
Proficiency with Microsoft Office Suite.

Responsibilities

Review documentation to ensure proper coding and completion of related claim forms
Check recipient eligibility requirements and dates
Verify compliance with established policies and procedures in claim handling and client SOC process
Update client eligibility status in the Medicaid System
Collaborate with Office Manager to ensure the screening and preparation of paper claims and other documents for scanning and processing in the OnBase system
Cross-train to assist the Medicaid Claims Customer Service Call Center with responding to provider queries, as needed
Serve as a backup for the Scanning Desk by receiving, processing, scanning, and indexing various documents, including Medicaid NFOCUS billing documents, Medical/Dental forms, TPL/COB documentation, and authorizations for providers
Conduct quality control checks on documents to be scanned in OnBase, ensuring clarity, proper rotation, and accurate indexing.