Office Specialist- MLTC Recovery and Cost Avoidance

State of Nebraska•Lincoln, NE

6d•Onsite

About The Position

The State of Nebraska’s Department of Health and Human Services, Division, is seeking an Office Specialist to support the Recovery and Cost Avoidance–Coordination of Benefits (RCA-COB) Team. The Recovery and Cost Avoidance unit helps reduce Medicaid costs by carrying out programs for Coordination of Benefits, Estate Recovery, the Health Insurance Premium Payment Program, and Third Party Liability/Casualty. State and federal law requires Medicaid to be the payer of last resort. The Office Specialist supports unit activities by examining and processing forms, applications, documents, and reports; calculating related fees or billings; and responding to requests and inquiries about agency program and administrative processes. The role also checks documents for accuracy and completeness, communicates about deficiencies and requirements, gathers and summarizes information from records, and prepares information packets for distribution to members of the public and other relevant parties.

Requirements

Coursework or training in administrative or office-support functions, procedures, and methods, including operation of personal computers and office equipment, or in areas related to the employing agency’s programs and functions; OR experience in customer service or public contact, applying criteria or regulations, and/or administrative, office, or secretarial support work, including use of personal computers and office equipment.
Knowledge of secretarial and clerical support practices, procedures, and equipment; recordkeeping and database management; administrative reporting formats; customer service principles and processes; program-administrative policies and guidelines; specialized work processes and terminology; grammar, punctuation, spelling, and composition; and word- and data-processing software.
Ability to communicate and interact effectively with people of diverse backgrounds; summarize technical data and research or tracking results into reports; understand and apply instructions, policies, and directives; carry out decisions and actions selected by others; learn the agency’s organization, mission, activities, policies, and procedures; and maintain confidentiality and accurate documentation.

Nice To Haves

Familiarity with insurance practices and processes, common carrier codes, coverage codes, and payor codes.
Ability to apply standardized rules, policies, procedures, guidelines, or practices to plan and carry out tasks and resolve problems.
Ability to complete assignments involving related steps, processes, and methods by selecting the correct process from several options.
Good judgment in applying and locating directives for specific cases.
Attention to detail to ensure procedures are followed correctly and work is completed in a timely manner.

Responsibilities

Examine and process forms, applications, documents, and reports; calculate associated fees or billings; and respond to requests and inquiries related to agency program-administrative processes and operations.
Screen documents against established requirements, references, and guidelines, and verify their accuracy and completeness.
Discuss problems or deficiencies; explain regulations and requirements; and provide information to supervisors or other employees.
Search for, identify, and summarize relevant information from statistical, financial, work activity, administrative, and program records.
Create forms and other written, numerical, or graphic materials to help collect and present information for decision-making.
Prepare packets of information and materials related to agency activities, actions, or requests for distribution to the public, customers, clients, vendors, agency representatives, or contractors.
Maintain accurate records and documentation and preserve confidentiality.
Prepare, proofread, and correct errors in information, documents, and reports.
Communicate in person, by telephone, email, and correspondence to exchange information and ideas.