Remote Clinical Admin Support Specialist I

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

Benefits offered by this job

Health benefits

Retirement plan

Flexible schedules

Paid time off

Dress flexibility

Job summary

Alliance Health in North Carolina seeks an Administrative Clinical Support Specialist I to perform a range of administrative tasks, transfer clinical data, and coordinate support to meet deadlines under regulatory standards.

This full-time remote role requires residing in North Carolina, with occasional visits to the Alliance Home Office in Morrisville for meetings. Responsibilities include processing prior authorization requests, HIPAA compliance, and data entry in the EHR and NC TRACKs.

Qualifications

• High School diploma with 4 years of related administrative experience, including 2 in healthcare.
• Strong knowledge of HIPAA and PHI privacy and security policies.
• Proficiency in navigating multiple platforms and portals.
• Experience with clinical data transfer and prior authorization workflows.

Responsibilities

• Triage, process, and gather clinical information for prior authorization requests.
• Support the UM department to notify members/providers within required time frames.
• Verify member eligibility using NC TRACKs.
• Transfer clinical information for peer review via delegated portal.
• Respond to providers about status of prior authorization and UM procedures.
• Adhere to agency policies and regulatory requirements in daily duties.

Skills

HIPAA compliance

Data entry

Workflow coordination

Team collaboration

Attention to detail

Education

High School diploma

Tools

Microsoft Office

SharePoint

NC Tracks

Job description

Alliance Health in North Carolina seeks an Administrative Clinical Support Specialist I to perform a range of administrative tasks, transfer clinical data, and coordinate support to meet deadlines under regulatory standards.

This full-time remote role requires residing in North Carolina, with occasional visits to the Alliance Home Office in Morrisville for meetings. Responsibilities include processing prior authorization requests, HIPAA compliance, and data entry in the EHR and NC TRACKs.