Lead Patient Relations Representative – Central Regional Hospital Position Available In Granville, North Carolina

Lead Patient Relations Representative – Central Regional Hospital State of North Carolina – Dept of Health and Human Services Granville County, NC Description of Work Central Regional Hospital We are currently recruiting for an Administrative Specialist II to function as a Lead Patient Relations Representative (PRR) at Central Regional Hospital (CRH) in the Department of Reimbursement. The major purpose of this position is to serve as the primary contact person for all the clients assigned to them and to provide training and back up to the other PRRs in the department. The Lead PRR will be assigned a small group of patients to interview and/or act as his/her representative to collect the financial information by accessing multiple systems to determine various insurances and sources of income in order to make a determination of the client’s ability to pay the cost of care and treatment. The main focus of this position is to provide back up to the Reimbursement Officer and lead the PRR team. The PRR is accountable for obtaining appropriate authorizations from the Utilization Review team, acquiring and monitoring insurance pre-certifications; identifying and explaining programs the client might be eligible for such as Medicare, Medicaid, Social Security, Supplemental Security Income, Veterans’ benefits and more. The PRR along with the UR team is accountable for all reviews to maintain eligibility for government benefits and third-party insurance. This position must verify patient personal data, third party insurance and enter the financial data on each client assigned to them into the Healthcare Enterprise Accounts Receivable and Tracking System (HEARTS) and is responsible for communicating with the staff at the Central Billing Office any changes or updates in the financial situation from admission until close-out of the account. The PRR serves as a liaison between the client and Social Security Administration, Social Services, the Attorney General’s Office and the Central Billing Office as well as assisting the clients with any personal financial matters while hospitalized. The Lead PRR will be responsible for assisting the Reimbursement Officer to assure each of these duties are done timely and accurately for each patient. This is a full-time position and is eligible for the full State benefits package including health insurance, retirement, paid sick/vacation, holidays, etc. The normal work schedule is Monday-Friday, 8:00 a.m.- 5 p.m.; however, flexibility is required based on hospital needs. About Central Regional Hospital (CRH ): CRH is a State-of-the Art psychiatric hospital located in Butner, NC. Our location is ideal with four seasons, mild temperatures and provides an easy commute to the N.C. mountains or beaches. Butner possesses small town charm but is within 30 minutes of a major metropolitan area including Research Triangle Park, Raleigh, Chapel Hill, and Durham, NC. The people we serve are at the heart of our facility. Our team is critical to the mission of the hospital. We strive to create an environment in which every team member contributes to the overall success of the hospital to positively impact the lives of those around them and the individuals we serve. About the

Department of Health and Human Services :

The NC Department of Health and Human Services (DHHS) serves the needs of the most vulnerable of North Carolinians and in order to accomplish this, we hire only the most dedicated and caring individuals. Finding qualified clinical professionals to treat and care for our clients is a continual challenge as demand for services grows and the availability of providers struggles to keep pace. We are seeking a motivated individual who is up for this challenge and is dedicated to our mission of providing North Carolinians with the very best in clinical care.

Compensation and Benefits :

The state of North Carolina offers excellent comprehensive benefits. Employees can participate in health insurance options, standard and supplemental retirement plans, and the NCFlex program (numerous high-quality, low-cost benefits on a pre-tax basis). Employees also receive paid vacation, sick, and community service leave. In addition, paid parental leave is available to eligible employees. Visit the NC DHHS Benefits and Wellness website for more information. Knowledge, Skills and Abilities / Competencies To receive credit for all of your work history and credentials, you must list the information on the application form. Any information listed under the text resume section or on an attachment will not be considered for qualifying credit. Qualified candidates must document on the application that they clearly possess all of the following: Excellent computer skills including Microsoft Office (Word, Excel, Outlook, etc.) Excellent customer service skills with the ability to work and maintain effective working relationships with a diverse population Ability to clearly convey information and ideas through a variety of media to individuals or groups Ability to explain and interpret information to clients/customers and staff Ability to work as a team player Ability to lead a team Management preferences: Experience in a Reimbursement Office, preferably in a hospital setting Experience with Medicare, Medicaid and/or 3rd party reimbursement Experience with in-patient Psych and inpatient billing. Minimum Education and Experience Requirements Some state job postings say you can qualify by an “equivalent combination of education and experience.” If that language appears below, then you may qualify through EITHER years of education OR years of directly related experience, OR a combination of both. See oshr.nc.gov/experience-guide for details. High school diploma or General Educational Development (GED) diploma and four years of related administrative experience; or equivalent combination of education and experience. Supplemental and Contact Information The North Carolina Department of Health and Human Services is an Equal Opportunity Employer. All positions in the Division of State Operated Healthcare Facilities (DSOHF) shall be subject to pre-employment drug testing and criminal record background checks. All facilities within DSOHF are tobacco free environments. The use of tobacco products of any kind including vapor products are prohibited from our campus. All employees are required to adhere to the facility’s Vaccination Policy. Please make sure you complete the application in full. Resumes may be uploaded with your application, but will not be accepted in lieu of a fully completed application and will not be considered for qualifying credit. “See Resume” or “See Attachment” will NOT be accepted. If multiple applications are submitted to an individual position, only the most recent application received prior to the posting closing date will be accepted. Applications must be submitted by 5:00 PM on the closing date. Applicants will be communicated with via email only for updates on the status of their application. Due to the volume of applications received, we are unable to provide information regarding the status of your application over the phone. To check the status of your application, please log in to your account. Processing applications will take an average of 6 – 8 weeks due to the high volume of applications received. It is not necessary to contact the Human Resources Office to check the status of an application. Upon the closing date, applications are “Under Review” and will be screened by Human Resources for qualified applicants. For technical issues with your applications, please call the NeoGov Help Line at 855-524-5627. If there are any questions about this posting other than your application status, please contact HR at 919-764-7200.

NOTE:

For temporary, contract or other supplemental staffing appointments: There are no paid leave, retirement or other benefits associated with these appointment types.

For permanent and time-limited appointments:

Eligible employees have benefits that include employee health insurance options, standard and supplemental retirement plans, NC Flex (a variety of high-quality, low-cost benefits on a pre-tax basis), and paid vacation, sick, and community service leave, to name a few. Paid parental leave is available for eligible employees. Some benefits require 30 + hours work/week for participation.