Administrative Coordinator I / CMTNCC (Columbia)

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) where we are dedicated to providing compassionate and accessible care to our community. We are seeking an Administrative Coordinator I 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 (DBHDD) - Office of Mental Health, 2200 Harden Street, Columbia, SC 29203. We are seeking a detail-oriented Administrative Coordinator to manage complex billing processes for our Nursing Home CM Tucker Roddey and Intermediate Care Facilities (ICF). In this role, you will ensure billing accuracy across multiple systems, reconcile client facility days, and collaborate with team members to meet monthly department goals.

Responsibilities for the Administrative Coordinator I:

• Reconciliation: Track client census data. Ensure present and absent days are coded accurately.

• TAD Management: Audit the Department of Health and Human Services Medicaid Turn Around Document (TAD). Verify all active system clients are accurately reflected.

• Roster Monitoring: Track daily admissions and discharges to keep the TAD and internal systems current.

• Claims Processing: Submit and track primary, secondary, and tertiary claims for C.M. Tucker Nursing Home.

• System Management: Navigate multiple electronic billing systems to process Medicaid claims with zero to minimal errors.

• Collaboration: Partner with department team members to successfully achieve monthly financial and operational goals.

• Responsible for reconciling the Medicaid Turn Around Document once received from the different regions.

• Complete reviews of work to make sure there are no errors.

• Be able to understand and correct a Department of Health and Human Services form 181 when received or call for guidance.

• Work in multiple systems to include EMR, Clearing House and Insurance portals to interpret and analyze financial data, records and reports.

• Have a working knowledge of SCEIS and be able to approve or key vouchers as needed.

• Must be able to work on billing primary, secondary, tertiary and hospice claims and do claim review for payment.

• Key insurance payments as they come in in the correct portal.

• Check eligibility for clients to make sure they still are approved for the correct benefits for the facility they are in.

• Be willing to work on any other projects as needed in the revenue cycle department.

• A high school diploma and work experience that is directly related to the area of employment. A bachelor's degree may be substituted for the related work experience.

• Additional Requirements:• Experience: Proven track record in Medicaid billing, ideally within long-term care, nursing homes, or ICF environments.

• Technical Skills: Proficiency in navigating multi-system billing software and managing Department of Health and Human Services documentation (TAD experience preferred).

• Attention to Detail: Exceptional auditing skills to identify billing discrepancies and reduce compliance errors.

• Coordination: Strong communication skills to work effectively with internal teams.

• Must be able to stand, walk, reach, pull, push, stoop and bend and lift up to 20lbs.

Post hire, employee must:• Have data entry skills in Excel spreadsheets, graphing data, PowerPoint, Adobe Pro, production of forms and the ability to collect data and generate reports.

• Be able to type at a corrected rate of 35 wpm.
• Have an extensive knowledge of grammatical rules, spelling, language usage and clerical formats.
• Have knowledge of policy management. practices and procedures.
• Have working knowledge of the care and operation of standard office equipment.
• Be able to establish and maintain complex filing systems.
• Be able to establish and maintain working relationships with staff members, external partners, surveying bodies and the general public.

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. 600021074