<p>Medical Claims Specialist - Dental Clinic - Bilingual</p> <p>"Follow Your Calling, Find Your Career"</p> <p>Pay Range: $20.00 - $24.71/hour</p> <p>Application end date: 8/17/25</p> <p>This is a non- exempt (hourly) position</p> <p>Pay rates are based on education, skill, experience level and internal equity. Internal equity considerations include an assessment of the applicant's salary history and qualifications in comparison to the market rate and requirements for the job.</p> <p>This role is on-site. Schedule is Monday through Thursday from 6:30 AM to 5:00 PM.</p> <p>About Us</p> <p>At Mecklenburg County, you'll have the chance to build a career as unique as you are with support, inclusive culture and technology to become the best version of you. We're counting on YOUR unique voice and perspective to help Mecklenburg County Public Health become even better, too. Join us and build an exceptional experience for yourself, and a healthier world for all.</p> <p>As a member of the Mecklenburg County Public Health team, you will become a subject matter expert in the public health field. The CDC foundation explains that "Public health is the science of protecting and improving the health of people and their communities. This work is achieved by promoting health lifestyles, researching disease and injury prevention, detecting, preventing, and responding to infectious disease". Come be a part of Mecklenburg County's Public Health department's vision to "assure the health and safety of our diverse and changing community today and for future generations."</p> <p>Position Summary</p> <p>Review claims for irregularities, accuracy and completeness. This position, under general supervision, is</p> <p>responsible updating records and preparing required reports; assisting in claims cost control; reviewing</p> <p>claims for eligibility and contacting individuals about medical claims and provide counsel regarding</p> <p>benefits and coverage.</p> <p>Essential Functions</p> <ul> <li>Review medical claims and verify eligibility </li><li>Process and approve transactions; prepare related reports; research and resolve discrepancies </li><li>Monitor, analyze, audit, and reconcile a variety financial information related to medical claims </li><li>Serves as a para-professional advisor to departments on assigned duties and related issues and </li></ul> <p>maintains confidential information</p> <ul> <li>Respond to and resolve internal and external questions and concerns </li><li>Create and maintain paper and electronic files </li><li>Create, review, interpret, and maintain a variety of records, systems, and logs </li><li>Assist in interpreting and applying policies, procedures, laws and regulations </li><li>Assist with any patient registration duties as needed </li><li>Assist in special projects with higher level staff </li></ul> <p>Minimum Qualifications</p> <p>Experience:</p> <p>Minimum of four years of related experience</p> <p>Education:</p> <p>High School Diploma or equivalent</p> <p>Combination of relevant education and relevant experience accepted?: Yes</p> <p>Licenses and Certifications</p> <ul> <li>Requires a valid North Carolina or South Carolina Driver's License </li><li>Requires County Driving Privileges </li></ul> <p>Preferred Qualifications</p> <ul> <li>Associates degree in a related field </li></ul> <p>Knowledge, Skills and Abilities</p> <p>Knowledge of</p> <ul> <li>Budgetary principles </li><li>Governmental accounting procedures </li><li>Arithmetic, algebra, geometry, calculus, statistics, and their application </li><li>The structure and content of the English language including the meaning and spelling of words, </li></ul> <p>rules of composition, and grammar</p> <ul> <li>Overall function and responsibilities and services of the assigned area </li><li>Principles and processes for providing customer service: this includes customer needs </li></ul> <p>assessment, meeting quality standards for services, and evaluation of customer satisfaction</p> <p>Skills</p> <ul> <li>Basic auditing/monitoring techniques </li><li>Interpretation of financial documents </li><li>Giving full attention to what other people are saying, taking time to understand the points being </li></ul> <p>made, asking questions as appropriate, and not interrupting at inappropriate times</p> <ul> <li>Talking to others to convey information effectively </li><li>Using logic and reasoning to identify the strengths and weaknesses of alternative solution, </li></ul> <p>conclusions or approaches to problems</p> <ul> <li>Using mathematics to solve problems </li><li>Basic inventory control principles </li></ul> <p>Abilities</p> <ul> <li>Communication: Clearly conveying information and ideas through a variety of media to individuals </li></ul> <p>or groups in a manner that engages the audience and helps them understand and retain the</p> <p>information provided</p> <ul> <li>Building Partnerships: Identifying opportunities and taking action to build strategic relationships </li></ul> <p>between one's area and other areas, teams, departments, units or organizations to help achieve</p> <p>business goals</p> <ul> <li>Information Monitoring: Setting up ongoing procedures to collect and review information needed </li></ul> <p>to manage an organization or ongoing activities within it.</p> <ul> <li>Decision Making: Identifying and understanding issues, problems and opportunities; comparing </li></ul> <p>data from different sources to draw conclusions; using effective approaches for choosing a course</p> <p>of action or developing appropriate solutions; taking action that is consistent with available facts,</p> <p>constraints, and probable consequences</p> <ul> <li>Technical/Professional Knowledge and Skills: Having achieved a satisfactory level of technical </li></ul> <p>and professional skill or knowledge in position-related areas; keeping up with current</p> <p>developments and trends in areas of expertise</p> <p>Computer Skills</p> <ul> <li>Proficient in various applicable computer programs including Microsoft Office Suite </li></ul> <p>Reasonable Accommodations Statement</p> <p>To accomplish this job successfully, an individual must be able to perform, with or without reasonable</p> <p>accommodation, each essential function satisfactorily. Reasonable accommodations may be made to</p> <p>help enable qualified individuals with disabilities to perform the essential functions.</p> <p>Disclaimer Statement</p> <p>This is not intended to be an all-inclusive list of job-related responsibilities, duties, skills, requirements or</p> <p>working conditions. Other duties may be assigned based on business need and the supervisor's request.</p> <p>Mecklenburg County reserves the right to revise the job description at any time. Designated positions</p> <p>may be required to assist in emergency and/or disaster situations</p>