Claims Processing Assistant

Trillium Health Resources; United States; Remote; USD 33,000 - 44,000; Full time

Job summary

Join a leading managed care organization as a Claims Processing Assistant, where you'll help process claims and assist healthcare providers. This remote position offers competitive salary, excellent benefits including paid time off, and the opportunity to support crucial healthcare services in North Carolina.

Benefits

Health Insurance with no premium for employee coverage

24 days Paid Time Off (PTO), plus 12 paid holidays

401k with 5% employer match

Flexible Spending Accounts

Public Service Loan Forgiveness Qualifying Employer

Qualifications

• One year of clerical experience or an equivalent combination of education and experience.
• Preferred experience in healthcare claim processing or accounting.

Responsibilities

• Process multiple claims duties and assist providers with inquiries.
• Analyze, research, and correct claims payments and denials.
• Provide training to the Provider community on the claims processing system.

Skills

Clerical experience

Microsoft Office Excel

Education

High School Diploma or GED

Job description

Pay Plan Title:Claims Processing Assistant

Working Title: Claims Processing Assistant

FLSA Status: Non-Exempt

Posting Salary Range:$33,100 - $43,497

Office Location: Remote within North Carolina

POSTING DETAILS:

Make an Impact

Trillium Health Resources is a Tailored Plan and Managed Care Organization (MCO) that manages serious mental health, substance use, traumatic brain injury, and intellectual/developmental disability services in North Carolina. Serving in 46 counties, we help individuals and their families strengthen well-being and build foundations for a healthy life.

Join our team as we empower others to live their best lives by providing access to quality healthcare. We offer a challenging, engaging work environment where staff take home more than a paycheck. Every day, we see the results of our dedication – in the smiles of children on our accessible playgrounds and in the pride on the face of an adult cooking a meal for the first time. Working at Trillium Health Resources is more than just a job; it is an opportunity to make a direct impact on the communities we serve.

At Trillium, we know that empowering others begins with supporting and developing our team. That’s why we offer competitive benefits and work-from-home flexibility so that our employees thrive outside of the office. We’re also committed to building a diverse, inclusive culture where all employees have the potential to grow professionally and personally.

What We’re Looking For

Trillium Health Resources has a career opening for a Claims Processing Assistant to join our Claims team. This positions primary responsibilities include multiple claims processing duties and assisting providers by phone or email with claims processing questions. Managing multiple spreadsheets, ensuring accuracy; resolving billing/payment discrepancies, maintaining detailed records of provider communications. Claims processing assistants will communicate with internal and external stakeholders to facilitate efficient claims resolution.

On a typical day, you might:

• Provide training to the Provider community on the claims processing system.

• Input data into the system such as claims as needed.

• Analyze, research, and correct, if applicable, claims payments and denials.

• Generate and analyze claims payment and exception reports to determine problems. Analyze, research, track and correct if possible, the reasons for the denials, etc.

• Provide technical assistance to providers with phone calls and/or emails.

• File paperwork (claim forms, payback/adjustments from Providers etc.)

Employee Benefits:

Trillium knows that work/life balance is important. That’s why we offer our employees competitive benefits and flexibility that is second to none. Take a look at what we have to offer:

• Typical working hours are 8:30am-5pm

• A remote work option available for most positions
• Health Insurance - no premium for employee coverage
• Flexible Spending Accounts
• Paid Time Off (PTO) of 24 days, plus 12 paid holidays within first year of employment
• NC Local Government retirement pension. This is a defined-benefit retirement plan that will pay you a monthly amount upon retirement, for the rest of your life, with as little as five years of service. For more information, go to: https://files.nc.gov/retire/documents/files/Actives/LGERSHandbook.pdf
• 401k with 5% employer match & immediate vesting
• Public Service Loan Forgiveness Qualifying Employer

Qualifications:

Education:
High School Diploma or GED

Experience:
One (1) year of clerical experience required OR equivalent combination of education/experience. Requires computer-related experience.

Preferred Experience:
Experience in the healthcare field and/or experience in claim processing or accounting related field preferred. Prefer computer related experience in Microsoft Office Excel application.

License/Certification:
Must have a valid driver’s license

Location:
Remote within North Carolina.
Must reside in NC to be considered for remote status.

Deadline for application: This posting will remain open until all positions are filled

To be considered for employment, all candidates are required to submit an application through ADP and upload a current resume. Your resume must provide your level of education and detailed work experience, including:

• Employer Name
• Dates of service (month & year)
• Average number of hours worked per week
• Essential duties of the job as related to the position you’re applying for
• Education
• Degree type
• Date degree was awarded
• Institution
• Licensure/certification, if applicable

After submitting your application through our career center in ADP, your resume will be reviewed to ensure that your skills and experience meet the essential criteria for the role you have applied for.

You will be notified by HR on the status of your application as appropriate. All applicants will receive a final email when the recruitment cycle for the position has closed.

Join our Talent Community through our ADP career center to stay informed about positions you may qualify for. Remember to keep an update resume in the Talent Community profile.

The diversity of the communities we serve is reflected in our employees. Trillium Health Resources is an Equal Employment Opportunity (EEO) employer.

Trillium Health Resources is a drug-free workplace. Candidates are required to pass a drug test as a condition of employment.

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