Remote Claims Manager — Billing & Analytics Lead

Trillium Health Resources; North Carolina; Hybrid; USD 67,632 - 90,457; Full time

Benefits offered by this job

Health Insurance with no premium

Flexible Spending Accounts

401k with employer match

24 days of Paid Time Off

Quarterly stipend for remote work supplies

Job summary

A nonprofit managed care organization in North Carolina is seeking a Claims Manager to oversee claims processing and enhance team performance. This role involves analyzing claims payment reports, developing procedures, and addressing issues within the provider community. A successful candidate will have strong experience in claims filing and data reporting along with leadership qualities. This position offers flexible work options and significant employee benefits, including health insurance and a generous PTO policy.

Qualifications

• 3+ years of experience in claims filing and data reporting if holding an Associate's degree.
• Minimum of 1 year of experience in claims if holding a Bachelor's degree.
• Valid driver's license and residence in North Carolina.

Responsibilities

• Generate and analyze claims payment reports.
• Develop and maintain claim processing procedures.
• Train and mentor claims processing staff.

Skills

Claims filing

Data reporting

Problem-solving

Team leadership

Education

Associate's degree

Bachelor's degree

Job description

A nonprofit managed care organization in North Carolina is seeking a Claims Manager to oversee claims processing and enhance team performance. This role involves analyzing claims payment reports, developing procedures, and addressing issues within the provider community. A successful candidate will have strong experience in claims filing and data reporting along with leadership qualities. This position offers flexible work options and significant employee benefits, including health insurance and a generous PTO policy.