Administrative Specialist I

State of North Carolina; Oxford (NC); On-site; USD 35,000 - 50,000; Full time

Job summary

The State of North Carolina is seeking a Patient Relations Representative for Central Regional Hospital. This role primarily involves interacting with clients to manage financial information for their care and treatment, ensuring the smooth processing of reimbursements and eligibility for government benefits. Ideal candidates will possess strong customer service skills and experience in healthcare reimbursement environments. Benefits include full state benefits and a flexible work schedule.

Benefits

Health insurance options

Standard and supplemental retirement plans

Paid vacation and sick leave

Paid parental leave for eligible employees

Qualifications

• High school diploma or GED and two years related administrative experience.
• Experience in a Reimbursement Office, preferably in a hospital setting.
• Experience with Medicare, Medicaid and/or 3rd party reimbursements.

Responsibilities

• Serve as primary contact for assigned clients, collecting financial information.
• Verify patient data and manage insurance pre-certifications.
• Liaison between clients and various government bodies regarding benefits.

Skills

Customer service skills

Excellent computer skills

Ability to work independently

Ability to work under pressure

Ability to work as a team player

Education

High school diploma or GED

Tools

Microsoft Office

Job description

Central Regional Hospital

"This is a repost. Previous applicants are still under consideration and do not need to reapply".

Central Regional Hospital is currently accepting applications for Patient Relations Representatives (PRR) for its Reimbursement section. The major purpose of this position is to serve as the primary contact person for all the clients assigned to them. The PRR will interview the client and/or his/her representative to collect the financial information by accessing multiple systems to determine various insurances and sources of income in order to make a determination of the client's ability to pay the cost of care and treatment.

The PRR is accountable for obtaining appropriate authorizations, acquiring and monitoring insurance pre-certifications; identifying and explaining programs the client might be eligible for such as Medicare, Medicaid, Social Security, Supplemental Security Income, Veterans' benefits and more. The PPR is accountable for all reviews to maintain eligibility for government benefits and third-party insurance. This position must verify patient personal data, third party insurance and enter the financial data on each client assigned to them into the Healthcare Enterprise Accounts Receivable and Tracking System (HEARTS) and is responsible for communicating with the staff at the Central Billing Office any changes or updates in the financial situation from admission until close-out of the account. Â The PRR serves as a liason between the client and Social Security Administration, Social Services, the Attorney General's Office and the Central Billing Office as well as assisting the clients with any personal financial matters while hospitalized.

These are full-time positions and eligible for the full State benefits package including health insurance, retirement, paid sick/vacation, holidays, etc. The normal work schedule is Monday-Friday, 8:00 a.m.- 5 p.m.; however, flexibility is required based on hospital needs.

Position #60043636, #60047944

About Central Regional Hospital (CRH):Â CRH is a State-of-the Art psychiatric hospital located in Butner, NC. Our location is ideal with four seasons, mild temperatures and provides an easy commute to the N.C. mountains or beaches. Butner possesses small town charm but is within 30 minutes of a major metropolitan area including Research Triangle Park, Raleigh, Chapel Hill, and Durham, NC. The people we serve are at the heart of our facility. Our team is critical to the mission of the hospital. We strive to create an environment in which every team member contributes to the overall success of the hospital to positively impact the lives of those around them and the individuals we serve.

About the Department of Health and Human Services: The NC Department of Health and Human Services (DHHS) serves the needs of the most vulnerable of North Carolinians and in order to accomplish this, we hire only the most dedicated and caring individuals. Finding qualified clinical professionals to treat and care for our clients is a continual challenge as demand for services grows and the availability of providers struggles to keep pace. We are seeking a motivated individual who is up for this challenge and is dedicated to our mission of providing North Carolinians with the very best in clinical care.

Compensation and 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 leave. In addition, paid parental leave is available to eligible employees. Visit website for State Benefits.

To receive credit for all of your work history and credentials, you must list the information on the application form. Any information listed under the text resume section or on an attachment will not be considered for qualifying credit. Qualified candidates must document on the application that they clearly possess all of the following: Â

• Experience in a Reimbursement Office, preferably in a hospital settingÂ
• Excellent computer skills including Microsoft Office (Word, Excel, Outlook, etc.) Â Â
• Excellent customer service skills with the ability to work and maintaining effective working relationships with a diverse population Â
• Ability to work independently and under pressure  Â
• Ability to work as a team player
• Experience with Medicare, Medicaid and/or 3rd party reimbursements    Â
  
  

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 oshr.nc.gov/experience-guide for details.

High school diploma or General Educational Development (GED) diploma and two years of related administrative experience;Â

orÂ

equivalent combination of education and experience.The North Carolina Department of Health and Human Services is an Equal Opportunity Employer.

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All positions in the Division of State Operated Healthcare Facilities (DSOHF) shall be subject to pre-employment drug testing and criminal record background checks. All facilities within DSOHF are tobacco free environments. The use of tobacco products of any kind including vapor products are prohibited from our campus. Â All employees are required to adhere to the facility's Vaccination Policy.

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Please make sure you complete the application in full. Resumes may be uploaded with your application but will not be accepted in lieu of a fully completed application and will not be considered for qualifying credit. Â "See Resume" or "See Attachment" will NOT be accepted.

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If multiple applications are submitted to an individual position, only the most recent application received prior to the posting closing date will be accepted. Applications must be submitted by 5:00 PM on the closing date.

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Applicants will be communicated with via email only for updates on the status of their application. 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. Processing applications will take an average of 6 - 8 weeks due to the high volume of applications received. Â It is not necessary to contact the Human Resources Office to check the status of an application. Â Upon the closing date, applications are "Under Review" and will be screened by Human Resources for qualified applicants.

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For technical issues with your applications, please call the NeoGov Help Line at 855-524-5627. If there are any questions about this posting other than your application status, please contact HR at 919-764-7200.