Overview
Administrative Assistant III-Claims (Full-time, Morrisville, North Carolina Based) Jobs in Morrisville, NC at Alliance Health
Title: Administrative Assistant III-Claims (Full-time, Morrisville, North Carolina Based)
Company: Alliance Health
Location: Morrisville, NC
The Administrative Assistant III provides administrative support to the claims team to ensure the efficient operation of the team, including handling high volume incoming and outgoing mail and high-volume inbound calls.
The Administrative Assistant III also completes specific claims-related responsibilities including performing a range of clerical tasks, maintaining databases and spreadsheets, conducting research, preparing reports, handling inquiries, receiving/screening/keying paper claims, and other activities that require knowledge of program operations, policies, and processes.
Responsibilities & Duties
Provide Administrative Support to Manager and Team
- Maintain files, reports and other data, including aggregating data from multiple sources and uploading documents to various systems within Alliance
- Manage organizational and departmental records and report on activities involving implementation of program objectives using existing procedures or devising new methods as necessary
- Assign correspondence to appropriate individuals for preparation of replies
- Review completed assignments for conformity with instructions, attachment of pertinent reference materials and general completeness
- Writes, edits, or coordinates the preparation of correspondence or other printed material according to well established standards or readily available sources
- Maintain records in Alliance Claims System (ACS) and Salesforce systems as assigned
- Develop and/or revise work procedures and methods including necessary form design
Support Data Maintenance and Reporting
- Collect data and research various systems to cross check and verify information
- Develop/Maintain departmental spreadsheets and databases
- Assist with preparation of departmental dashboard representing department/team performance
- Assist with tracking reports for departmental supervision activities
- Data-entry and other projects as assigned
Paper Claims Handling
- Receive and document paper claims received from providers
- Maintain record of providers with active approved Paper Claims Submission Request forms
- Screen received paper claims to determine if documents should be keyed into Alliance Claims System (ACS) or mailed back
- Key appropriate claims with accuracy and following legal document guidelines
- Mail back with appropriate correspondence when claims should not be keyed
- Outreach to providers regarding EDI availability and configuration
- Document in SharePoint all data regarding claims received, keyed, mailed back
Minimum Requirements
Education & Experience
Required:
High School diploma or equivalent and four (4) years of experience involving substantial public contact, information gathering, and written communication;
Or
Completion of a two-year business administration program and two (2) years of related experience;
Or
Bachelor’s degree in business administration, public administration, or other related fields.
Knowledge, Skills, & Abilities
- Knowledge of office management techniques.
- Knowledge of Microsoft Office products.
- Skill in communicating, both verbally and in writing.
- Skill in organizing workflow and coordinating activities.
- Skill in developing presentations, presentation materials, and reports.
- Ability to use audiovisual equipment and to train others in its use.
- Ability to establish and maintain effective working relationships with subordinates, peers, management, and the general public.
- Ability to coordinate a variety of resources in gathering information and independently answering inquiries.
- Ability to exercise independent judgement and discretion.
- Ability to plan and supervise the work of others, if applicable.
- Ability to analyze and interpret policy and procedural guidelines.
- Ability to resolve problems and questions independently.
Salary Range
$20.32 – $25.91/Hourly
Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity.
An excellent fringe benefit package accompanies the salary, which includes:
- Medical, Dental, Vision, Life, Long and Short Term Disability
- Generous retirement savings plan
- Flexible work schedules including hybrid/remote options
- Paid time off including vacation, sick leave, holiday, management leave
- Dress flexibility
