Patient Relations Specialist - Walter B. Jones Center

Adult Correction; North Carolina; On-site; USD 39,000 - 69,000; Full time

Job summary

North Carolina Department of Health and Human Services seeks an Administrative Specialist I to verify patient insurance benefits and assist with authorizations. You will input data into EPIC EHR and manage patient accounts during their stay, while helping arrange payment plans and respond to insurance questions.

The role requires strong communication, attention to detail, and familiarity with medical billing terminology.

Qualifications

• Knowledge of medical and allied health sciences for insurance authorizations.
• Ability to compose and proofread correspondence with correct grammar and terminology.
• Ability to learn and independently apply laws and departmental rules and regulations covering programs.

Responsibilities

• Verify patients' Commercial Insurance, Medicare, and Medicaid benefits and assist in submitting authorizations.
• Enter patient information into Epic EHR and monitor/update accounts through stay.
• Assist in establishing payment agreements and answer questions concerning insurance or financial files.
• Work onsite Monday–Friday from 8:00 AM–5:00 PM.

Skills

Medical insurance knowledge

Communication skills

Grammar and documentation

Regulatory awareness

Tools

EPIC EHR

Job description

Agency

Dept of Health and Human Services

Division

W B Jones Alcohol , Drug Abuse Trt Ctr

Job Classification Title

Administrative Specialist I (S)

Position Number

60036610

Grade

NC08

About Us

The North Carolina Department of Health and Human Services (DHHS) is one of the largest, most complex agencies in the state, and has approximately 17,000 employees. It is responsible for ensuring the health, safety, and well-being of all North Carolinians, providing human service needs for special populations including individuals who are deaf, blind, developmentally disabled, and mentally ill, and helping poor North Carolinians achieve economic independence.

Description of Work

The Patient Relations Specialist works closely with Admissions and Utilization Review staff to verify patients personal and financial information. This position verifies patients Commercial Insurance, Medicare, Medicaid benefits, and assist in submitting and obtaining Admission and Continued Stay authorizations. The Patient Relations Specialist works with patients to establish payment agreements and answer questions concerning their insurance or financial file. This position enters all obtained patient information into Epic EHR and monitors and updates the patients account through the patients stay.

This position will work onsite Monday - Friday from 8:00AM - 5:00PM.

Knowledge Skills and Abilities/Management Preferences

Recruitment Range: $39,244.00 - $68,679.00

Candidates now meet the minimum qualifications of a position if they meet the minimum education and experience listed on the vacancy announcement.

The Knowledge, Skills, and Abilities (KSAs)/Management Preferences are not required. Applicants who possess the following skills are preferred:

Knowledge of medical and allied health sciences necessary to utilize screening criteria and measure these against documentation in the record in order to obtain insurance authorizations.

Knowledge and ability to use correct grammar, vocabulary, spelling, and medical office terminology to compose and /or proofread correspondence, reports, and other materials.

Ability to learn and independently apply laws and departmental rules and regulations covering programs and service.

Ability to review and process information to determine calculations actions, or compliance with applicable laws, rules, or regulations.

Knowledge of EHR system EPIC.

Management Preference : One (1) year of experience in Insurance and/or Authorizations in a medical office/facility.

About the Facility

The Walter B. Jones Center operates two adult inpatient treatment programs on site in Greenville, NC: (1) Woodside Treatment Center and (2) Lakeside Psychiatric Hospital. The primary purpose and mission of the Walter B. Jones Center is "To provide inpatient treatment, psychiatric stabilization and medical detoxification for individuals with mental health, substance use and other co-occurring psychiatric diagnoses for ongoing community based treatment and recovery". The Center is accredited by the Joint Commission and SAMHSA/CSAT. Two specialty programs are offered to all 100 NC Counties: (1) Inpatient Opioid Treatment for adults and (2) Inpatient Perinatal Services for women in their 1st, 2nd, and 3rd trimesters with substance use disorders.

Supplemental Contact Information

DHHS uses the Merit-Based Recruitment and Selection Plan to fill positions subject to the State Human Resources Act with the most qualified individuals. Hiring salary will be based on relevant qualifications, internal equity, and budgetary considerations pertinent to the advertised position.

Positions in the Division of State Operated Healthcare Facilities shall be subject to pre-employment drug testing and criminal record background checks. Also, the use of tobacco products of any kind including vapor products are prohibited from our campuses. All employees are required to adhere to the facility's Vaccination Policy

Application Process

Be sure to complete the application in its entirety. Resumes will not be accepted in lieu of completing this application.

Information should be provided in the appropriate areas, to include the following: Education, including high school and all degrees obtained, Work Experience, and Certificates & Licenses. It is critical to our screening and salary determination process that applications contain comprehensive candidate information.

Answers to Supplemental Questions are not a substitute for providing all relevant information within the body of your application. To receive credit for the supplemental questions, you must provide supporting information within the "Work Experience" section of the application, to support your answers.

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. Upon the closing date, applications are "Under Review" and will be screened by Human Resour