Administrative Specialist I

State of North Carolina

1d•Onsite

About The Position

This is a repost. Previous applicants are currently under review and do not need to reapply. CRH is currently recruiting for an Administrative Specialist I that will function as a Reimbursement Patient Relations Representative (PRR). The major purpose of this position is to serve as the primary contact person for all the clients assigned to them. This position is responsible for interviewing patient/guardians to accurately collect demographic, financial, and insurance information for the Epic system. Will use Epic's Real Time Eligibility (RTE) and external portals to confirm health plan coverage and obtain information for authorizations. Will monitor and resolve assigned work queues in Epic and work closely with Central Billing Office to prevent billing delays. Responsible for managing a patient's personal funds to ensure compliance with policies.

Requirements

High school diploma or General Educational Development (GED) diploma and two years of related administrative experience; or equivalent combination of education and experience.

Nice To Haves

Skilled in collecting, analyzing and completing financial data to determine appropriate billing decision.
Basic knowledge of governmental programs, i.e., Medicare, Medicaid, NC Tracks, Supplemental Security Income, WIRM, Palmetto, Veterans Administration, etc.
Proficiency in entering correct data into Hearts billing system timely.
Ability to interact and communicate with co-workers and the general public effectively in both verbal and written form.
Ability to interpret and implement accounting and bookkeeping principles.
Ability to organize and retrieve financial data records.

Responsibilities

Serve as the primary contact person for all assigned clients.
Interview patients/guardians to accurately collect demographic, financial, and insurance information for the Epic system.
Use Epic's Real Time Eligibility (RTE) and external portals to confirm health plan coverage and obtain information for authorizations.
Monitor and resolve assigned work queues in Epic.
Work closely with Central Billing Office to prevent billing delays.
Manage a patient's personal funds to ensure compliance with policies.