Remote Administrative Clinical Support Specialist I

Alliance Health Plan; Morrisville (NC); Remote; USD 29,000 - 36,000; Full time

Benefits offered by this job

Generous retirement savings plan

Flexible hybrid/remote options

Paid time off

Job summary

Alliance Health Plan seeks an Administrative Clinical Support Specialist I for a remote position based in North Carolina. The role supports clinical data transfers, prior authorization screening, discharge documentation, and meeting deadlines in line with contracts, federal and accreditation standards.

The selected candidate will reside in NC and may need to attend meetings at the Alliance Home Office in Morrisville as required.

Qualifications

• High School diploma and four years of related administrative experience in healthcare.
• Experience with administrative support tasks in clinical or health information settings.
• Knowledge of privacy, security policies, and HIPAA requirements.

Responsibilities

• Triage, process, and gather clinical information to build prior authorization requests.
• Notify members/providers within required timeframes and support UM operations.
• Maintain PHI confidentiality per policies; navigate multiple platforms.
• Verify member eligibility using NC Tracks and support daily workflows.
• Perform data entry for prior authorizations submitted via non-portal channels.

Skills

HIPAA compliance

Multi-platform navigation

Office management

Data handling

Education

High School diploma + 4 years admin experience

Tools

SharePoint

NC Tracks

Alliance Medical Records

Microsoft Office

Job description

Alliance Health Plan seeks an Administrative Clinical Support Specialist I for a remote position based in North Carolina. The role supports clinical data transfers, prior authorization screening, discharge documentation, and meeting deadlines in line with contracts, federal and accreditation standards.

The selected candidate will reside in NC and may need to attend meetings at the Alliance Home Office in Morrisville as required.