Claims Processor - Team Lead
Claims Processor - Team Lead
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
$ 43738 - 76542
1 Vacancy
Job Description
Description of Work
This Role Is Eligible To Be Hybrid And Requires Onsite Reporting Located Within Raleigh NC
This Position Is Funded In Part Through Federal Funds.
The Claims Processor Team Lead is located in the Division of Services for the Blind (DSB) Division of Vocational Rehabilitation Services (DVRS) and Division of Services for the Deaf and Hard of Hearing (DSDHH) Claims Processing Unit within the DHHS Office of the Controller (OoC). This position provides lead-level accounting support including reviewing and processing payment requests auditing program expenditures and interpreting fiscal policies. As the units lead worker the position also provides training to other claim processors and resolves technical issues.
This role contributes to the efficiency of the Claims Processing Unit and supports the accurate administration of public assistance programs. The work involves financial system entries direct vendor interactions and resolution of discrepancies across accounting subsystems. This role ensures that payment transactions comply with established rules and procedures to maintain accountability within the departments financial operations.
Key Duties Include:
Lead and train claims processors on reimbursement systems and policies.
Submit federal cash requisition requests using financial software and spreadsheets.
Resolve payment errors and complete journal entries in the NC Financial System (NCFS).
Audit vendor claims for compliance with Medicaid Medicare and NCTracks regulations.
Add and verify vendor records in NCAS and ESS ensuring accurate tax and address data.
Issue stop payments and process cancellations using Core Banking tools.
Coordinate with Cost Allocation team on reporting requirements and documentation.
Process credit memos direct invoices and year-end accrual entries.
Prepare review and correct 1099 tax documents as needed.
Serve as Subject Matter Expert for implementation of new accounting subsystems.
About the NC Department of Health and Human Services (DHHS):
The North Carolina Department of Health and Human Services (DHHS) is one of the largest most complex agencies in the state and has approximately 17000 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 DHHS Office of the Controller:
The 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 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: more information about DHHS: Skills and Abilities / Competencies
Listed below are the knowledge skills and abilities (KSAs) associated with the position. These KSAs along with the minimum education and experience listed are required in order to be deemed eligible for the position therefore you must provide supporting information within the body of your application to demonstrate your possession of each KSA listed.
Qualified applicants must possess and application must clearly reflect work experience that demonstrates the following:
Proven experience in a medical billing environment.
Demonstrated experience working in a financial system or Enterprise Resource System (e.g. QuickBooks SAP NC Financial System etc.)
Management Preferences:
Experience applying Medicaid Medicare Third Party Billing and NCTracks rules.
Minimum Education and Experience Requirements
Some 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 details.
Qualified applicants must possess and application must clearly reflect work experience that demonstrates the following:Bachelors degree in accounting business administration or other curriculum that would provide a core curriculum in financial management coursework from an appropriately accredited institutionORAssociates degree in accounting from an appropriately accredited institution and three (3) years of accounting or auditing experienceORHigh school or General Educational Development (GED) diploma and four (4) years of experience as an accounting technician three of which must have been at an advanced technical levelORAn equivalent combination of education and experienceSupplemental and Contact Information
The North Carolina Department of Health and Human Services (DHHS) is an Equal Opportunity Employer who 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: 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.
It is critical to our screening and salary determination process that applications contain comprehensive information. Information should be provided in the appropriate areas to include the beginning and ending dates of jobs worked education with the date of graduation all work experience and certificates / licenses. Resumes will not be accepted in lieu of completing this application. Answers to Supplemental Questions must refer to education or work experience listed on this application to receive credit. Degrees must be received from appropriately accredited institutions.
- Applicants seeking Veterans 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 a NGB 23A (RPAS) if they are a current member of the NC National Guard in good standing. If a former member of the NC National Guard who served for at least 6 years and was discharged under honorable conditions they must attach either a DD256 or NGB 22.
- If applicants earned college credit hours but did not complete a degree program they must attach an unofficial transcript to each application to receive credit for this education.
- 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.
Applications for positions requiring specific coursework must be accompanied by a copy of the applicants transcript. Applicants with degrees not conferred at a United States college or university must attach verification that their degree is equivalent to a similar degree from a U.S. institution. 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 Transcripts degree evaluations and cover letters may be uploaded with your application.
Due to the volume of applications received we are unable to provide information regarding the status of your application. To check the status of an application please log in to your NC Government Job Opportunities account and click Application Status.
If you are selected for an interview you will be contacted by management. If you are no longer under consideration you will receive an email notification.
If there are any questions about this posting please contact Talent Acquisition at .
For technical issues with your application please call the NeoGov Help Line at . If you have a technical issue with your Government Jobs account please call their Help Line at 1-.
Employment Type
Full-Time
