Medical Claims Specialist

Behavioral Health Admin & Policy - Remote in North Dakota - Medical Claims Specialist Be part of the team that ensures billing is accurate and timely, so ND Department of Health and Human Services (HHS) Medical Services receives monies due. As our Medical Claims Specialist, you will analyze, process and apply payments from clients, 3rd party payers and collection agencies and post receipts. You will research and respond to client inquiries and share call center duties with six teammates in between billing and posting. Additionally, you will research, analyze and process 3rd party payer explanation of benefits to ensure correct payment, follow up on denials and request processing and appeal as appropriate. To thrive in this position, you are confident, easy to work with while able to work independently. You're focused, yet able to pivot efficiently from billing work to client conversations and back. You are clear and concise when communicating. You able to connect with others easily, able to de-escalate an angry caller and able to encourage payment of some sort. You are by nature a problem-solver, digging in to find the answer. And you are adaptable and won't be frustrated by change in processes, policies, and team structure to gain efficiencies. To be considered for this position, you must have a high school diploma or GED and two (2) years experience in medical billing or in a medical insurance call center. That experience preferably is outpatient. And you must be effective connecting and communicating over the phone with all types of people. Location: ND HHS utilizes a blended workplace model. Depending on the role, employees may work from home, onsite or both. This position will work from home anywhere in the state of North Dakota with a willingness to travel for team meetings and to service delivery sites as needed.About HHS: ND HHS strives to make North Dakota the healthiest state in the nation by reinforcing the foundations of well-being: physical, economic, and behavioral. Those services are to be delivered as close to home as possible with a focus on dignity and respect. The keys to delivery of those services is the 2,800 committed, compassionate ND HHS team members and more than $6 billion in funding from nearly 200 different federal, state, and special sources.

About Team ND

"Far and away the best prize life offers is the chance to work hard at work worth doing." - Theodore RooseveltMore than 7,500 talented, hard-working people across sixty-three agencies have come together as Team North Dakota. At Team ND, we are driven to succeed through gratitude, humility, curiosity and courage. Our purpose is to empower people, improve lives, and inspire success. Join us in being legendary.Total Rewards: The State of North Dakota is committed to providing team members with a strong and competitive rewards package that support you, your health and your family.Considering a new position on Team ND? How does your current position stack up? Use our Total Rewards Calculator to estimate.

Application Procedures

Your resume should include information to demonstrate how you meet the minimum qualifications as posted. If the Department's Human Resource Division is unable to determine that you meet the minimum qualifications credit will not be given. All application material must be received on or before the closing date by 11:59 pm.Applicants must be legally authorized to work in the United States. The Department of Health & Human Services does not offer or provide sponsorships.This employer participates in E-Verify. Please visit the following website for additional information: https://www.hhs.nd.gov/careers/e-verifyA copy of your qualifying degrees transcript and any applicable certifications or licensures must be provided at the time of an interview.For more information about the position or if you need an accommodation, please contact Allison Wagner at [email protected] Unit: ND HHS - Behavioral Health Admin & PolicyTTY Number: ND Relay Service 1-800-366-6888 (text); 1-800-366-6889 (voice)If you are experiencing technical difficulties with the Application Process or uploading attachments, please contact [email protected] or (701)328-3290.

Equal Employment Opportunity

The State of North Dakota and this hiring agency do not discriminate on the basis of race, color, national origin, sex (including sexual orientation and gender identity), genetics, religion, age or disability in employment or the provisions of services and complies with the provisions of the North Dakota Human Rights Act.As an employer, the State of North Dakota prohibits smoking in all places of state employment in accordance with N.D.C.C. Sect. 23-12-10.