EI Billing Specialist

Agency

Dept of Health and Human Services

Division

Child and Family Well Being

Job Classification Title

Program Analyst I (NS)

Position Number

Grade

NC17

About Us

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.

Description of Work

Project Management -- 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.

Data Review/oversight -- 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.

Technical Assistance -- 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 liasion 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.

Knowledge Skills and Abilities/Management Preferences

Recruitment Range: 58613 - $80593

*Position is Time-Limited for 36 months

This Position is 100% Federally Funded

**Position is eligible for a hybrid-teleworking schedule to include weekly onsite work hours**

Candidates 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:

• 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.

• Demonstrated experience providing formal technical assistance consultation and training related to billing practices reimbursement systems and financial reporting evidenced by developing written guidance conducting trainings or webinars consulting with providers or agencies and serving as a liaison with Medicaid MCOs or managed care entities.

• Demonstrated experience interpreting and applying administrative fiscal and compliance policies and procedures evidenced by authoring or maintaining procedures responding to formal policy inquiries participating in fiscal or compliance monitoring and supporting the development or revision of billing reimbursement or financial policies.

• Demonstrated experience participating in program planning evaluation quality assurance or compliance monitoring activities evidenced by involvement in audits monitoring reviews corrective action planning performance track

• Demonstrated experience analyzing programmatic and fiscal data to support billing oversight compliance and decision-making evidenced by reviewing utilization reimbursement or expenditure data; identifying trends gaps or variances; preparing leadership or ad-hoc reports; and applying data findings to improve reimbursement processes.

Management Preferences:

• Experience with Part C El program

• Experience with Medicaid and private insurance coding using ICD-10 and reimbursement practices

• Experience collecting and analyzing fiscal data

• Knowledge of IDEA privacy confidentiality laws and regulations on both federal and state levels.

This position will close at 11:59 p.m. the night before the end date.

Physical Requirements:
Office and meeting room environments with heavy computer work. Travel within the state catchment area may be required including Raleigh and regional CDSA office locations.

About The Division of Child and Family Well-Being:

The Division of Child and Family Well-Being works to promote healthy and thriving children in safe stable and nurturing families schools and communities. The division includes complementary programs that primarily serve children and youth to improve their health and well-being.

Compensation & 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 addition paid parental leave is available to eligible employees.
Visit website forState Benefits

Supplemental and Contact Information

The North Carolina Department of Health and Human Services (DHHS) is an Equal Opportunity Employerthat embraces an Employment First philosophy which consists of complying with all federallaws 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.

In accordance with the Governors 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 Process
Be 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 must be submitted by 11:59 PM on the closing date.

• Applicantsmaybe subject to a criminal background check. All candidates selected for positions considered Positions of Trustwill besubject 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 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 Credit Verification

  Degrees must be received from appropriately accredited institutions. Transcripts degree evaluations and cover letters may be uploaded with your application.

  Veterans and National Guard Preference

  • Applicants seeking Veterans Preference must attach aDD-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 Accommodations

  Consistent 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 Substance Abuse Professional Practice Board etc.) indicated below.

  CONTACT INFORMATION:

  If there are any questions about this posting please contact Talent Acquisition at. Resumes will not be accepted in lieu of completing this application.

  Minimum Education and Experience

  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 the Education and Experience Equivalency Guide for details.

  Minimum Education and Experience

  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 the Education and Experience Equivalency Guide for details.

  • Bachelors 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.

  EEO Statement

  The 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:

  Tandrea Lanae Jones

  Email: