Patient Relations Specialist - Walter B. Jones Center

Health & Human Services; United States; On-site; USD 39,000 - 69,000; Full time

Job summary

Health & Human Services in North Carolina seeks an Administrative Specialist I (S) at the Walter B. Jones Center to verify patient insurance and assist with admissions authorizations.

The role works onsite 8:00 AM–5:00 PM, Monday to Friday, supporting Admissions and Utilization Review teams and entering data into the EPIC EHR system.

Qualifications

• Knowledge of medical and allied health sciences to verify documentation.
• Ability to use correct grammar, vocabulary, spelling in communications.
• Ability to learn and independently apply applicable laws and departmental rules.

Responsibilities

• Verify patients’ insurance benefits (Commercial, Medicare, Medicaid).
• Assist in submitting and obtaining admissions authorizations.
• Enter patient information into EPIC and monitor the account during stay.

Skills

Medical knowledge

Grammar and proofreading

Regulatory compliance

Insurance authorizations

Tools

EPIC

Job description

Position Overview

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.

Recruitment Range

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

Knowledge, Skills, and Abilities / Management Preferences

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.

Veteran’s and National Guard Preference

Applicants seeking Veteran's Preference must attach a DD-214 Member-4 Form (Certificate of Release or Discharge from Active Duty) to their applications. Applicants seeking National Guard Preference must attach an NGB 23A (RPAS), along with the state application if they are a current member of the NC National Guard in good standing. Applicants who are former member of either the NC Army National Guard or the NC Air National Guard, with honorable discharge and six years of creditable service, must attach a copy of the DD 256 or NGB 22, along with the state application.

ADA Accommodations

Consistent with the Americans with Disabilities Act (ADA) and the Pregnant Workers Fairness Act (PWFA), DHHS is committed to the full inclusion of all qualified individuals. As part of this commitment, DHHS will ensure that people with disabilities, or known limitations covered by the PWFA, are provided with reasonable accommodation. If reasonable accommodation is needed to participate in the job application or interview process, please contact the person indicated below. Applicants will be communicated via email only for updates on the status of their application. If there are any questions about this posting other than your application status, please contact HR at 252-830-3426.

Minimum Education and Experience

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 the Education and Experience Equivalency Guide for details. High school diploma or General Educational Development (GED) diploma and two years of related administrative experience; or equivalent combination of education and experience.

EEO Statement

The State of North Carolina is an Equal Employment Opportunity Employer and dedicated to providing employees with a work environment free from all forms of unlawful employment discrimination, harassment, or retaliation. The state provides reasonable accommodation to employees and applicants with disabilities; known limitations related to pregnancy, childbirth, or related medical conditions; and for religious beliefs, observances, and practices.

Recruiter

Recruiter: Tiara Jasmine Renae Woods Contact: DHHS Workday Support Form North Carolina State Government is one of the state’s largest employers, with over 76,000 employees all working toward a common goal: a safer and stronger North Carolina. We are a large organization comprised of various agencies, offices, and universities, each providing important public services. Eligible state employees are entitled to comprehensive benefits, including a variety of leave options, professional development opportunities, insurance, and more. To learn more about the benefits of being a North Carolina state employee, visit the N.C. Office of State Human Resources' website. Permanent, temporary, and time-limited state government jobs can be found from the mountains to the coast. Find your next opportunity today!

State Application Resources / Frequently Asked Questions

Valuing Education and Experience The State of North Carolina values the knowledge and experience of our jobseekers and current state employees. Approximately 91 percent of state job classifications allow experience to be substituted for education or do not require a post-secondary degree. Learn more about how you may qualify for a position through education or directly related experience, or a combination of both, with the Education and Experience Equivalency Guide. All job postings close at 11:59pm the night before the End Date on the posting. Introduce yourself to our recruiters and we'll get in touch if there's a role that seems like a good match. If you are already a state employee, please search for jobs by clicking here.