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Job Opportunity: Administrative Support Specialist Advanced:Rice UniversityJob description:Administrative Support Specialist AdvancedBookmark this Posting Print Preview | Apply for this JobPlease see Special Instructions for more details.» Please ensure your full range of knowledge, expertise, abilities, practice and education are listed on your application. Do not write 'see resume' on your application when completing the job tasks section.» If you answer the questions at the end of the application, please ensure your application reflects the knowledge, expertise, abilities and practices to support your answers (see job tasks section of previous employment). » Failure to answer the questions at the end of the application will not preclude your application from being considered but may result in your application not receiving full consideration of your knowledge, expertise, and abilities. » candidates must be currently authorized to work in the United States on a full-time basis. Position DetailsPosition InformationJob Title Administrative Support Specialist Advanced Position Number 400167 Vacancy Open to All Candidates Time-Limited No Department Homepage https://studenthealth.ecu.edu/ Advertising Department STUDENT HEALTH SERVICE Division Student Affairs Classification Title 10422 Admin Support Specialist Competency Level 3 - Advanced Working Title Administrative Support Specialist Advanced Number of Vacancies 1 Full Time Equivalent (FTE) 1.0 Full Time or Part Time Full Time Recruitment Range $34,602 - $58,870 Anticipated Hiring Range $45,750 - $50,831 income Grade Equivalency GN08 Work Schedule M-F Work Hours 8-5pm Position Location (City) Greenville Job Category Staff - Office/Clerical Organizational Unit Overview East Carolina University Student Health Services (SHS) is a department within the Health and Well-Being Unit of the Division of Student Affairs and is charged with the responsibility of providing primary health care for the student body, which now exceeds 28,000 persons. Primary care encompasses many functions, including but not limited to delivery of acute medical care; preventive medical care, health education; mental health care; laboratory and pharmaceutical services; administrative support services; advisory and educational assistance to other university departments. SHS is mandated by the University of North Carolina System to deliver state of the art medical care economically to fee-paying students through a pre-determined budget. These services are utilized currently at a rate of approximately 40,000 patient visits annually via 2 clinic locations and are administered by a staff of approximately 55 SHS employees. The diverse medical needs of students require that SHS be a multifunctional and constantly changing department. Job tasks The primary purpose of this position is to assist with insurance processes at SHS which is a critical function. This position is responsible for evaluating medical records for proper documentation and verfying the correct CPT and ICD-10 codes have been appropriately assigned to claims according to coding and billing guidelines. This person will assist with claim creation, claim processing, and investigation of pending claims. This staff person will also be responsible for Accounts Receivable processes, such as maintaining and monitoring workflows to ensure claims are submitted to payors in an efficient and timely manner, the timely resolution of claim edits/denials, and monitors payor response times to achieve prompt reimbursement from payors. This position is a key person involved in hard waiver insurance process for the university. In addition to knowledge the plan benefits and claims verification, this position is responsible for the uploading and downloading of files and collaborating with the cashiers' office to deal with file development problems. This position interfaces with the vendors both verbally and in written form. The position must have great verbal skill and knowledge necessary to interface with unhappy customers, which may include parents, students, and university officials. Insurance Follow-up/Public Contact » Responsible for the timely electronic submission of insurance claims to the appropriate payer according to respective regulations and policies, processing and remittance of insurance claims for reimbursement purposes. This position needs to possess time management expertise, prioritize tasks/responsibilities, and be extremely organized. » Processes payments or routes payment to the appropriate department. Checks must be processed within 3 business days of receipt. » Research claims and prints detailed bills upon request. This employee explains the SHS insurance process to students, parents and other facilities; accesses the school insurance data (list of insureds) via the student insurance plan vendors web portal; serves as one of the points of contact for students, parents and university staff/faculty; retrieves archived medical records when needed for requested information for insurance filing and research; and files/processes all correspondence related to claims/payments from any insurance company must be scanned by saving files to the SHS Pirate Drive, to be maintained for 7 years. » Interact with the public via face to face, telephone and email contact. The person in this position interacts with a variety of internal and external customers. The employee is expected to be familiar with all available resources to assist external customers when information is sought and communicate with internal and external customers via oral and written communication at a professional level, which includes composition and execution of memos and letters. Verbal communication must accurately relay University and Student Health policies. Insurance Management » Provide leadership abilities in the development and delivery of the SHIP and service delivery of the University Insurance Plan. » Assume full responsibility for all aspects of the Student Health Insurance plans policies and procedures by gaining a thorough knowledge of the insurance plans and concepts, vendors, contracts, bid process, and service delivery for the Student Health Insurance Plan. » Responsible for the marketing activities for Student Health Insurance Plan (SHIP) that include US Postal mailings to all new and incoming students/parents and e-mails to all returning students followed by e-mailing on a regular basis until the end of the waiver period. » Other marketing activities include the development of posters, banners, flyers, postcards and social medial sites. » Responsible for the coordination and balance reconciliation of all EHR patient charges. » Reconciliation of patient accounts consists of various forms of payment such as: cash, check, credit card, charge to student account, insurance, or interdepartmental transfers. » Take an active function in the implementation, advising, and maintenance of 3rd party billing at SHS. » Retrieve patient charges from the EHR for Athletic, Campus Living, Student Rights and Responsibility, and Campers departments. » Compile monthly reports of outstanding charges, bill department via Interdepartmental Transfer (IDT), receives payment back. Medical Record Review and Coding » Reviews all medical documentation connected with patient services rendered at Student Health Services; to include evaluation of documentation for completeness, documented support for the selection of diagnosis, procedures, and/or HCPCS codes. » Ensures the proper assignment of ICD-10-CM, CPT-4 and HCPCS codes. » Researches and stays abreast of published guidance and/or revisions for all coding conventions applicable to their service areas, to include federal, governmental, and commercial/third party payors. Revenue Cycle/Accounts Receivable » This position is an essential part of the revenue cycle. By analyzing reports, this position can identify coding and denial trends within the respective Student Health service area. » Provides feedback, training and/or educational material to provider staff regarding coding/denial trends. » Makes recommendations for electronic claim edits that will enhance revenue cycle operations and prevent compliance issues. Minimum Education/practice High school diploma or equivalency and one year of related office practice; or equivalent combination of training and practice. License or Certification required by statute or regulation None Preferred practice, expertise, Training/Education Working knowledge of coding and billing guidelines preferred. License or Certification required by the Department None Special Instructions to Applicant » Please ensure your full range of knowledge, expertise, abilities, practice and education are listed on your application. Do not write ?see resume' on your application when completing the job tasks section. » If you answer the questions at the end of the application, please ensure your application reflects the knowledge, expertise, abilities and practices to support your answers (see job tasks section of previous employment). » Failure to answer the questions at the end of the application will not preclude your application from being considered but may result in your application not receiving full consideration of your knowledge, expertise, and abilities. » candidates must be currently authorized to work in the United States on a full-time basis. Job Open Date 07/05/2024 Job Close Date - Positions will be posted until 11:59 p.m. EST on this date; If no closing date is indicated, the position will be posted until filled and may close at any time after the recruitment has been completed. 07/12/2024 Open Until Filled No Quick Link for Direct Access to Posting https://ecu.peopleadmin.com/postings/72163 Alternate option If no candidates apply who meet the required competency level and training & practice requirements, then management may consider other candidates. income would be determined located on competencies, equity, budget, and market considerations. AA/EOE East Carolina University is an equal opportunity and affirmative action employer and seeks to create an environment that fosters the recruitment and retention of a more diverse student body, faculty, staff and administration. We encourage qualified candidates from women, minorities, veterans, individuals with a discapability, and historically underrepresented groups. All qualified candidates will receive consideration for employment without regard to their race/ethnicity, color, genetic information, national origin, religion, sex, sexual orientation, gender identity, age, discapability, political affiliation, or veteran status. Individuals requesting accommodation under the Americans with Disabilities Act Amendments Act (ADAAA) should contact the Department of Human Resources at (252) 737-1018 (Voice/TTY) or E-Mail: ADA-Coordinator@ecu.edu. Eligibility for Employment Final candidates are subject to criminal & sex offender background checks. Some vacancies also require credit or motor vehicle checks. ECU participates in E-Verify. Federal law requires all employers to verify the identity and employment eligibility of all persons hired to work in the United States. If highest degree earned is from an institution outside of the U.S. and its territories, final candidates are required to have their degree validated as equivalent to the degree conferred by a regionally accredited college or university in the U.S. Office of Human Resources Contact Information If you practice any problems accessing the system or have questions about the application process, Contact Us by the Office of Human Resources at (252) 328-9847 or toll free at 1-866-489-1740 or send an email to employment@ecu.edu. Our office is available to provide assistance Monday-Friday from 8:00-5:00 EST. Supplemental QuestionsRequired fields are indicated with an asterisk (*).» * Please indicate where you learned about this job vacancy. » Chronicle of Higher Education » CareerBuilder » Greenville everyday Reflector » Raleigh News & Observer » InsightIntoDiversity.com » HigherEdJobs.com » InsideHigherEd.com » Monster.com » Indeed » ECU Website » Other » * Will you now or in the future require visa sponsorship for employment? » Yes » No Documents Needed To ApplyRequired Documents» Curriculum Vitae/Resume » Cover Letter » List of ReferencesOptional Documents » Additional Document #1 » Additional Document #2 » Additional Document #3 Skills:
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