Office Specialist

What you will do as an Office Specialist for the Medicaid Claims Screening and Scanning Team:

• Review documentation to ensure proper coding and completion of related claim forms, check recipient eligibility requirements and dates, and verify compliance with established policies and procedures in claim handling and client SOC process.

• Update client eligibility status in the Medicaid System.

• Collaborate with Office Manager to ensure the screening and preparation of paper claims and other documents for scanning and processing in the OnBase system.

• Cross-train to assist the Medicaid Claims Customer Service Call Center with responding to provider queries, as needed.

• Serve as a backup for the Scanning Desk by receiving, processing, scanning, and indexing various documents, including Medicaid NFOCUS billing documents, Medical/Dental forms, TPL/COB documentation, and authorizations for providers.

• Conduct quality control checks on documents to be scanned in OnBase, ensuring clarity, proper rotation, and accurate indexing.

Requirements/Qualifications

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.

Preferred Qualifications:

• Knowledge of Medicaid eligibility and claims processes.

• Experience with OnBase/NFOCUS is a plus.

• At least one year of office/administrative or customer service experience.

• Proficiency with Microsoft Office Suite.