Hybrid Healthcare Billing Specialist III

AgencyDept of Health and Human ServicesDivisionSEC OFFICE - CONTROLLERJob Classification TitleAccounting Technician III (S)Position Number60037508GradeNC07About UsThe 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 WorkPosition is responsible for the maintenance of complex patient accounts which includes a variety of accounting and patient records, and includes but is not limited to, determining the appropriateness of all transactions (charges, payments and adjustments) that are maintained on a specializedbilling system; track and understand client records from admit to discharge.Work performed by this position requires considerable knowledge of the Federal, State and Departmental accounting methods, rules and regulations and requires the use of considerable judgment in maintaining the specialized patient accounts.The accounts and records maintained by the Reimbursement Specialist are subject to periodic audit and reviewed by the State Auditor’s Office, Medicare and Medicaid Fiscal Intermediary, Tricare and Entitlement Benefit Agencies.Position communicates directly with all CBO staff, DSOHF Utilization Review, Medical Records and Patient Financial Services, fiscal intermediaries, guarantors and responsible parties to obtain eligibility data, ID numbers and certification information.Notes are applied to each account identifying all actions taken by Reimbursement Specialist; correct spelling and professionalism in wording utilized at all times.The Reimbursement Specialist is responsible for documenting problematic system issues and/or known third party payer issues that impact receipts and reports to CBO Management.Knowledge Skills and Abilities/Management PreferencesSalary Grade Range: $37,377.00 - $65,408.00Recruitment Range: $45,999.00 - $53,957.00Candidates 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:Working knowledge of electronic inpatient and outpatient healthcare billing systems, including compiling and submitting paper UB‑04 and CMS‑1500 claim forms.Experience processing electronic healthcare claims for inpatient and outpatient services, working with electronic remittance advices, and using claims clearinghouses.Demonstrated experience billing healthcare patient accounts and managing collections for Medicare, Medicare HMO, Medicaid Managed Care Organizations, NC Tracks, commercial insurers, patients, and guarantors.Working knowledge of Federal and North Carolina General Statutes, guarantor eligibility rules, and reporting requirements. Demonstrated knowledge of accounting, auditing inpatient and outpatient accounts, cash management, A/R, and A/P.Proficient in Microsoft Office with strong Excel skills. Strong verbal and written communication abilities for interacting with the public.The Posting Will Close At 11:59 P.M. The Night Before The End DateThis Position Is Funded In Part Through Federal FundsThis Role Is Eligible To Be Hybrid And Requires Onsite Reporting Located Within Raleigh, NCAbout the Office of the SecretaryThe Office of the Secretary serves as the executive leadership arm of the North Carolina Department of Health and Human Services (NCDHHS), guiding the Department’s mission to improve the health, safety, and well-being of all North Carolinians. Through strategic oversight and collaborative leadership, the Secretary’s Office supports the effective coordination of over a dozen core divisions, ensuring that agency-wide priorities are aligned, resources are used responsibly, and services are delivered with equity and impact.About DHHS Office of the ControllerThe Office of the Controller sets and interprets all accounting and financial reporting policies and procedures for the Department as authorized by the rules and regulations of the Office of the State Controller and state statutes and executes all accounting transactions for DHHS.Compensation and BenefitsThe 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 State Benefits .Supplemental Contact InformationThe 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: .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 incarcerated or justice-involved. We invite all potential applicants to apply for positions for which they may be qualified.Application ProcessBe sure to complete the application in its entirety. Resumes will not be accepted in lieu of completing this application.Information should be provided in the appropriate areas, to include the following: Education, including high school and all degrees obtained, Work Experience, and Certificates & Licenses. It is critical to our screening and salary determination process that applications contain comprehensive candidate information.Answers to Supplemental Questions are not a substitute for providing all relevant information within the body of your application. To receive credit for the supplemental questions, you must provide supporting information within the "Work Experience" section of the application, to support your answers.If multiple applications are submitted to an individual posting, only the most recent application received prior to the closing date will be accepted. Applications must be submitted by 5:00 PM on the closing date.Applicants may be subject to a criminal background check. All candidates selected for positions considered "Positions of Trust" will be subject to a criminal background check.Due to the volume of applications received, we are unable to provide information regarding the status of your application over the phone. To check the status of your application, please log in to your account. Upon the closing date, applications are "Under Review" and will be screened by Human Resources for qualified applicants. The hiring process may take several weeks.Degrees must be received from appropriately accredited institutions. Transcripts and degree evaluations may be uploaded with your application. The State of North Carolina/Office of State Human Resources uses the National Association of Credential Evaluation Services (NACES) as a referral resource for applicants who need to have their credentials certified as equivalent.For a list of organizations that perform this specialized service, please visit the NACES membership website at .Degree/College Credit VerificationDegrees must be received from appropriately accredited institutions. Transcripts, degree evaluations, and cover letters may be uploaded with your application.Veterans’ and National Guard PreferenceApplicants seeking Veteran's Preference must attach a DD-214 Member-4 Form (Certificate of Release or Discharge from Active Duty) to their applications.Applicants seeking National Guard Preference must attach an NGB 23A (RPAS), along with the state application, if they are a current member of the NC National Guard in good standing.Applicants who are former members of either the NC Army National Guard or the NC Air National Guard, with honorable discharge and six years of creditable service, must attach a copy of the DD 256 or NGB 22, along with the state application.ADA AccommodationsConsistent with the Americans with Disabilities Act (ADA) and the Pregnant Workers Fairness Act (PWFA), DHHS is committed to the full inclusion of all qualified individuals. As part of this commitment, DHHS will ensure that people with disabilities, or known limitations covered by the PWFA, are provided with reasonable accommodation. If reasonable accommodation is needed to participate in the job application or interview process, please contact the person indicated below.CONTACT INFORMATION:If there are any questions about this posting, please contact Talent Acquisition at View email address on click.appcast.io . Resumes will not be accepted in lieu of completing this application.Minimum Education and ExperienceSome state job postings say you can qualify by an “equivalent combination of education and experience.” If that language appears below, then you may qualify through EITHER years of education OR years of directly related experience, OR a combination of both. See the Education and Experience Equivalency Guide for details.Associate degree in accounting from an appropriately accredited institution, and two years of accounting experienceORHigh school diploma or General Educational Development (GED) diploma and four years of experience in accounting workORAn equivalent combination of education and experienceEEO StatementT he State of North Carolina is an Equal Employment Opportunity Employer and dedicated to providing employees with a work environment free from all forms of unlawful employment discrimination, harassment, or retaliation. The state provides reasonable accommodation to employees and applicants with disabilities; known limitations related to pregnancy, childbirth, or related medical conditions; and for religious beliefs, observances, and practices.Recruiter:Dreisa Yvonne JohnsonEmail:View email address on click.appcast.io #J-18808-Ljbffr State of North Carolina - Health & Human Services