Administrative Specialist/Appeals Administrative Specialist

nc; North Carolina; Presencial; USD 39 000 - 69 000; Tempo integral

Resumo da oferta

The North Carolina Department of Health and Human Services (DHHS) is seeking an Administrative Specialist I (S) to provide administrative support for the Due Process operations and Appeals Team. The role involves handling inquiries, managing calendars and correspondence, and drafting routine notices and reports.

This position is part of the Division of Health Benefits and offers comprehensive state benefits, with a salary range reflecting grade NC08 and recruitment range of $39,244–$68,679

Qualificações

• Experience with customer outreach.
• Experience with creating data reports.
• Experience with contract management.
• Experience with billing or payment of medical claims.

Responsabilidades

• Provide administrative support to the Due Process operations and Appeals Team.
• Handle telephone inquiries, expedited appeal requests, and data reports.
• Manage calendar meetings and related attachments, mail, and correspondence.
• Prepare reports, contracts, and other documentation as directed.
• Perform filing, scanning, and other clerical tasks as assigned.

Conhecimentos

Customer outreach

Data reports

Contract management

Billing or medical claims

Descrição da oferta de emprego

Agency

Dept of Health and Human Services

Division

HEALTH BENEFITS

Job Classification Title

Administrative Specialist I (S)

Position Number

65024479

Grade

NC08

About 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

The primary purpose of this position is to provide administrative support to the Due Process operations and Appeals Team. Subject areas for Administrative Specialist I include provider reconsiderations, expedited hearing requests, Medicaid Direct and Managed Care appeals. This position also maintains documentation of activities, reports, correspondence, policies, and communication files. This position works directly with handling telephone inquiries, expedited appeal requests, statistical reports, contract management, provider reconsideration requests, and internal operations. The support activities include answering and responding to telephone calls/messages/emails, collecting and distributing mail, drafting beneficiary and vendor correspondence, preparation of calendar meetings and their applicable attachments, filing, copying, scanning, formatting reports, and other activities as directed.

Knowledge Skills and Abilities/Management Preferences

Salary Grade Range $39,244 - $68,679

Recruitment Range $39,244 - $47,210

Candidates now meet the minimum qualifications of a position if they meet the minimum education and experience listed on the vacancy announcement.

The Knowledge, Skills, and Abilities (KSAs)/ Management Preferences are not required. Applicants who possess the following skills are preferred:

• Experience with customer outreach
• Experience with creating data reports
• Experience with contract management
• Experience with billing or payment of medical claims

Physical Requirements

Able to lift 20 pounds

Posting closes at 11:59 p.m. the night before the closing date

Position is funded in part through federal funds

About 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.

About the NC Division of Health Benefits:

The Division of Health Benefits (DHB) within NCDHHS is committed to advancing innovative solutions that improve health, promote well-being and foster independence for all North Carolinians. DHB manages and oversees North Carolina Medicaid and other programs that provide access to services and supports for parents, children, seniors, people with intellectual / developmental disabilities, and behavioral health, substance use and traumatic brain injury disorders. With a budget over $27 billion in state and federal funds per fiscal year, DHB ensures that more than 108,000 enrolled providers are reimbursed for delivering covered services to 3.1 million beneficiaries.

All positions in the Division of Health Benefits are exempt from the State Human Resources Act (G.S. 126) except for the provisions of Articles 6 and 7 per HB 372 Section 20.

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 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 reasonable accommodation at any time during the hiring process or while on the job. For more information about DHHS: https://www.ncdhhs.gov/ .

DHHS uses the Merit-Based Recruitment and Selection Plan to fill positions subject to the State Human Resources Act with the most qualified individuals. Hiring salary will be based on relevant qualifications, internal equity, and budgetary considerations pertinent to the advertised position.

In accordance with the Governor's Executive Order 303 , our agency supports second-chance employment for individuals who were previously