Customer Service Representative for DHHS Medicaid and Long Term Care

Nebraska Department Of Health And Human Services • Lincoln, NE

411d • $33,862 - $45,760

About The Position

The Nebraska Department of Health and Human Services is seeking a full-time Customer Service Representative for the Division of Medicaid and Long-Term Care Claims. This role involves handling incoming calls related to claims, eligibility, and payments, while providing exceptional customer service in a busy call center environment. The position requires strong organizational skills and a commitment to delivering high-quality service to both internal and external customers.

Requirements

• 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.
• 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.
• Solid understanding of program-administrative work, relevant information sources, and record-keeping principles, preferably using Microsoft Office suite.
• Ability to formulate and recommend alternative courses of action, communicate effectively via various mediums, summarize technical data into reports, and understand and apply instructions and policies.
• Capacity to retrieve information quickly and accurately from different computer mainframes.
• Willingness to work consistently Monday to Friday, 8-5, with regular and predictable attendance.

Responsibilities

• Handle routine and non-routine inbound calls regarding claim status, client/provider eligibility, and provider payments.
• Review and process various documents such as claim forms, adjustment requests, and prior authorizations for accuracy and completeness.
• Perform a variety of office tasks including document creation, review, and revision, as well as participation in ongoing training sessions.
• Utilize multiple mainframe computer tasks efficiently.
• Act as a backup for other job duties within the Fee for Services Claims group or other areas within the MLTC Medicaid Claims Team as required.

Benefits

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible schedule
• Health insurance
• Life insurance
• Paid time off
• Professional development assistance
• Retirement plan
• Tuition reimbursement
• Vision insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Administration of Human Resource Programs
• Education Level: No Education Listed
• Number of Employees: 1,001-5,000 employees