What are the responsibilities and job description for the Administrative Specialist II / Union position at State of South Carolina?
Are you passionate about making a real difference in people's lives? Join our team at the SC Department of Behavioral Health and Developmental Disabilities (BHDD) - Office of Mental Health where we are dedicated to providing compassionate and accessible care to our community. We are seeking an Administrative Specialist II who is motivated to help individuals and families navigate life's challenges and achieve long-term wellness. If you want to use your skills to build a healthier, more resilient community, we encourage you to apply.
This position is located at the SC Department of Behavioral Health and Developmental Disabilities (BHDD) – Office of Mental Health, Spartanburg Area Mental Health Center (SAMHC), 250 Dewey Ave., Spartanburg, SC 29303.
This position is to support the daily operations of the Union clinic by completing patient Intake and financial screening, verifying insurance coverage, obtaining prior authorizations, assisting with billing, and maintaining accurate patient information.
Responsibilities for the Administrative Specialist II:
- Perform patient intake process and billing functions for individuals with Medicaid, Medicare, private insurance, and those who pay out of pocket. Enter accurate patient information into CIS, identifies individuals who may qualify for benefits or services, and refer them to the Entitlement Specialist when appropriate. Ensure the clinic receive proper reimbursement and use all available funding resources.
- Verify patients’ insurance coverage and ensure all required prior authorizations are obtained before services are provided. Collaborate with physicians and nursing staff to obtain additional or corrected documentation as needed. Resolve authorization and documentation issues promptly to prevent claim denials and delays in payment.
- Serve as backup for Patient Assistance Program (PAP) secretary. Help keep track of Managed care Organization (MCO) authorizations and assists with ordering and tracking clinical supplies.
- Coordinate patient appointments to maintain full and productive provider schedules. Review patient contact history and follow up with miss or canceled appointments.
- Provide general administrative support to ensure the efficient daily operation of the clinic.
- A high school diploma. Related clerical experience may be substituted for a high school diploma.
- Bilingual abilities in English and Spanish (or another language) are a plus.
Post hire, employee must:
- Successfully complete the Basic Fundamentals course with a minimum grade of 75.
- Be able to pass CPR and Managing Agitation in the Psychiatric Setting (MAPS) Certification.
- Habe ability to communicate effectively with patients, providers, nursing staff, insurance companies, and other departments while maintaining confidentiality and complying with HIPAA requirements. Knowledge of patient billing procedures, Medicaid, Medicare, private insurance, and self-pay requirements.
The Department of Behavioral Health and Developmental Disabilities is committed to providing equal employment opportunities to all applicants and does not discriminate on the basis of race, color, religion, sex (including pregnancy, childbirth, or related medical conditions including, but not limited, to lactation), national origin, age (40 or older), disability or genetic information.
Supplemental questions are considered part of your official application. Any misrepresentation will result in your disqualification from employment. Please complete the state application to include all current and previous work history and education. A resume will not be accepted nor reviewed to determine if an applicant has met the qualifications for the position.
The Department of Behavioral Health and Developmental Disabilities offers an exceptional benefits package for full time (FTE) employees:
- Health, dental, vision, long-term disability, and life insurance for employees, spouse, and children. Click here for additional information.
- 15 days annual (vacation) leave per year
- 15 days sick leave per year
- 13 paid holidays
- Paid Parental Leave
- S.C. Deferred Compensation Program available (S.C. Deferred Compensation)
- Retirement benefit choices *
- State Retirement Plan (SCRS)
- State Optional Retirement Program (State ORP)
*Enrollment in one of the listed plans is required for all FTE employees; please refer to the contribution section of hyperlinked retirement sites for the current contribution rate of gross pay.
60024348
Salary : $31,314 - $40,698