N.C. Department of Information Technology · 8 hours ago
EI Program Billing Reimbursement Specialist
Wake County, NC
Full-time
Hybrid
Mid Level
$59K/yr - $81K/yr
3+ years expThe North Carolina Department of Health and Human Services is one of the largest agencies in the state, responsible for ensuring the health and well-being of its citizens. The EI Program Billing Reimbursement Specialist will lead project management efforts, analyze operations related to billing systems, and provide technical assistance to staff regarding Medicaid and other funding sources.
Information Technology & Services
Responsibilities
Leads and/or participates in work groups or projects
Obtains authorization and commitment and demonstrates business need and project feasibility
Works with staff from both CDSAs and other organizations, as needed in planning and coordinating projects and meetings
Attends meetings as assigned, completes assignments and prepares/submits meeting summary
Analyzes operations and reviews reports, recommendations, and justifications to ensure that planned activities support both EI Branch and CDSA staff in the achievement of compliance and performance goals and expectations
Reviews and evaluates information on service delivery system methods, billing systems, outputs, and activities to identify gaps in resources and recommend improvements
Works with program staff in determining trends and resolving technical problems
Assists with developing rules, policy and procedures in Medicaid, private insurance, financial and administrative areas
Leads and participates in program planning, development, and implementation, specifically in regard to technical assistance and training needs of both the EI Section and CDSA staff in administrative, financial and funding sources, including Medicaid Direct, Managed Care Organizations, and private insurance
Serves as a liaison between the EI Section and Medicaid
Creates and implements steps for the planning, development and implementation of technical assistance for the statewide IDEA, Part C program and specific Medicaid funding and billing requirements
Participates in the development and delivery of technical assistance in writing, in person, and through webinars
Works with EI Section staff and others to develop and implement effective techniques for evaluating technical assistance and training to CDSAs
Other duties as assigned
Qualification
Required
Demonstrated experience interpreting and applying Medicaid, Managed Care Organization (MCO), and private insurance reimbursement policies, evidenced by providing billing or reimbursement guidance, resolving coverage or claims issues, interpreting third-party payor standards, and supporting billing compliance activities within public health, human services, or healthcare programs
Bachelor's degree from an appropriately accredited institution and three (3) years progressively responsible experience related to the area of assignment; or an equivalent combination of training and experience
Preferred
Experience with Part C EI program
Company
N.C. Department of Information Technology
The N.C.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Torre Jessup
Chief Operating Officer
Alysa Kelly
Executive Assistant to Chief Deputy/CIO/Chief Privacy Officer/Director of Enterprise Operations
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