Administrative Specialist I

About the role

The North Carolina Department of Health and Human Services (DHHS) is a large agency responsible for various health and social services. This Administrative Specialist I (S) position in Rocky Mount supports the Rocky Mount CDSA in maximizing agency revenue through accurate and timely reimbursement for services.

Responsibilities

• Processing public and commercial insurance billing
• Reviewing and submitting claims through NC Tracks
• Verifying Medicaid eligibility
• Managing Prior Authorizations through the NC Tracks Operations Portal
• Troubleshooting billing and authorization issues
• Communicating effectively with providers to resolve claim discrepancies
• Ensuring timely reimbursement for services
• Assisting with supply inventory
• Maintaining accurate business records
• Other duties as needed

Requirements

• Demonstrated experience in public and commercial insurance billing
• Proficiency in Microsoft Office applications
• Experience in navigating multiple electronic billing systems to process claims and resolve billing issues
• Experience in reviewing, examining, and preparing documents
• Experience in compiling, organizing, and analyzing financial information and other data

Qualifications

• Some state job postings allow for qualification through an “equivalent combination of education and experience.”
• High school diploma or GED and two years of related administrative experience; or equivalent combination of education and experience.

Skills and Abilities

• Strong organizational, analytical, and problem-solving skills
• Ability to explain and interpret policies, procedures, and billing information to clients, providers, customers, and staff
• Maintain a high level of accuracy
• Provide excellent customer service
• Collaborate effectively with internal and external stakeholders

Benefits

The State of North Carolina offers excellent comprehensive benefits, including health insurance options, standard and supplemental retirement plans, and the NCFlex program. Employees also receive paid vacation, sick, and community service leave, and paid parental leave.