Office Specialist

Office Specialist (Open)

Join Our Team! Looking for a workplace where your attention to detail, passion for helping others, and love for teamwork are valued and make a difference every day? Join the vibrant team at the Department of Health and Human Services as an Office Specialist in our Medicaid and Long-Term Care Claims Division. We are committed to service, collaboration, and making an impact in the lives of Nebraskansand we like to have a little fun along the way! About the Role As an Office Specialist (FFS Payments Reviewer), you'll play a vital role in ensuring Medicaid claims are reviewed and processed accurately, resulting in timely payments or appropriate denials. This detail-oriented role involves analyzing claims for payment accuracy, resolving documentation issues, and ensuring compliance with Medicaid policies and procedures. You'll also communicate with providers to address claim inquiries and support both internal teams and external partners.

What We Offer : 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

As an Office Specialist you will :

• 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.

Who We're Looking For We're seeking candidates who bring a strong attention to detail and a commitment to accuracy, along with the ability to work effectively in a structured, fast-paced environment. The ideal candidate will have :

If you're detail-oriented, dependable, and ready to support our mission of helping Nebraskans through timely and accurate claims processingwe'd love to hear from you! 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.

Knowledge, Skills, and Abilities (KSAs) 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.

If you're currently employed by the State of Nebraska, please don't apply through this external career site. Instead, log in to Workday and open the Jobs Hub - Internal Apply app from your home landing page. You can access Workday anytime through the Link web page : https : / / link.nebraska.gov /

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.