Administrative Coordinator I / CMTNCC (Columbia)

State of South Carolina•Richland County, SC

12d•Onsite

About The Position

The Administrative Coordinator I manages complex billing processes for Nursing Home CM Tucker Roddey and Intermediate Care Facilities (ICF) at the SC Department of Behavioral Health and Developmental Disabilities, Office of Mental Health, located at 2200 Harden Street, Columbia, SC 29203. The role ensures billing accuracy across multiple systems, reconciles client facility days, and works with colleagues to meet monthly financial and operational goals. The position reconciles Medicaid Turn Around Documents (TADs) received from different regions, reviews work for errors, and corrects Department of Health and Human Services Form 181 documents or seeks guidance when needed. It uses electronic medical record (EMR), clearinghouse, insurance portal, and other systems to analyze financial information and process claims. The coordinator also checks client eligibility, records insurance payments, and may take on other revenue-cycle projects as needed. The minimum qualification is a high school diploma and directly related work experience; a bachelor’s degree may substitute for the related experience. After hire, the employee must have specified data-entry and office skills, including a corrected typing rate of 35 words per minute. The role requires standing, walking, reaching, pulling, pushing, stooping, bending, and lifting up to 20 pounds. This is a full-time position. The department offers eligible full-time employees health, dental, vision, long-term disability, and life insurance; annual and sick leave; paid holidays; paid parental leave; deferred compensation; and retirement plan choices.

Requirements

High school diploma and work experience directly related to the area of employment; a bachelor’s degree may substitute for the related work experience.
Ability to stand, walk, reach, pull, push, stoop, bend, and lift up to 20 pounds.
After hire, data-entry skills in Excel spreadsheets, graphing data, PowerPoint, Adobe Pro, form production, and data collection and report generation.
After hire, corrected typing rate of 35 words per minute.
Extensive knowledge of grammatical rules, spelling, language usage, and clerical formats.
Knowledge of policy management practices and procedures.
Working knowledge of the care and operation of standard office equipment.
Ability to establish and maintain complex filing systems and working relationships with staff members, external partners, surveying bodies, and the general public.

Nice To Haves

Experience in Medicaid billing, ideally in long-term care, nursing homes, or ICF environments.
Proficiency navigating multiple billing software systems and managing Department of Health and Human Services documentation; TAD experience preferred.
Exceptional auditing skills to identify billing discrepancies and reduce compliance errors.
Strong communication skills for working effectively with internal teams.
Working knowledge of SCEIS.

Responsibilities

Track client census data and ensure present and absent days are coded accurately.
Audit Medicaid Turn Around Documents (TADs) and verify that active clients are accurately reflected in the systems.
Monitor daily admissions and discharges to keep TADs and internal systems current.
Submit and track primary, secondary, and tertiary claims for C.M. Tucker Nursing Home, including hospice claims, and review claims for payment.
Navigate multiple electronic billing systems to process Medicaid claims with zero to minimal errors.
Reconcile Medicaid Turn Around Documents received from different regions and review work to identify errors.
Understand and correct Department of Health and Human Services Form 181 documents, or seek guidance when needed.
Use EMR, clearinghouse, and insurance portals to interpret and analyze financial data, records, and reports.
Use SCEIS to approve or key vouchers as needed.
Enter insurance payments in the appropriate portals.
Check client eligibility to confirm approval for the benefits appropriate to their facility.
Collaborate with department team members to meet monthly financial and operational goals.
Work on other revenue-cycle projects as needed.
After hire, enter data in Excel spreadsheets, graph data, use PowerPoint and Adobe Pro, produce forms, and collect data and generate reports.
Establish and maintain complex filing systems and working relationships with staff, external partners, surveying bodies, and the general public.

Benefits

Health insurance for employees, spouse, and children
Dental insurance for employees, spouse, and children
Vision insurance for employees, spouse, and children
Long-term disability insurance for employees, spouse, and children
Life insurance for employees, spouse, and children
15 days of annual (vacation) leave per year
15 days of sick leave per year
13 paid holidays
Paid parental leave
S.C. Deferred Compensation Program
State Retirement Plan (SCRS) or State Optional Retirement Program (State ORP); enrollment in one listed plan is required for FTE employees