Remote Clinical Admin & Prior Authorization Specialist I

Alliance Health in; Charlotte (NC); Remote; USD 29,000 - 36,000; Full time

Job summary

Alliance Health is seeking an Administrative Clinical Support Specialist I for a remote, North Carolina-based role. The position involves coordinating administrative tasks, handling prior authorization data, and ensuring compliance with regulatory standards while supporting the UM department.

Qualifications include a High School diploma and 4 years of related experience; strong MS Office and SharePoint skills are expected.

Qualifications

• High School diploma and four (4) years of related administrative experience.
• Two (2) years performing administrative support in clinical/healthcare setting preferred.
• Proficiency with Microsoft Office and SharePoint.

Responsibilities

• Triage, process, and gather clinical information to build prior authorization requests.
• Support UM department to notify members/providers within required time frames.
• Adhere to HIPAA and privacy policies to protect PHI.

Skills

HIPAA compliance

Data entry

Office coordination

Education

High School diploma

Tools

NC Tracks

Alliance Medical Records

Job description

Alliance Health is seeking an Administrative Clinical Support Specialist I for a remote, North Carolina-based role. The position involves coordinating administrative tasks, handling prior authorization data, and ensuring compliance with regulatory standards while supporting the UM department.

Qualifications include a High School diploma and 4 years of related experience; strong MS Office and SharePoint skills are expected.