Remote Claims Relations Specialist

Trillium Health Resources; North Carolina; Remote; USD 54,106 - 68,173; Full time

Benefits offered by this job

Competitive benefits

Work-from-home options

401k employer match

Paid Time Off (PTO)

Job summary

A managed care organization serving North Carolina is seeking a Claims Relations Coordinator to handle claims issues and support the provider community. The ideal candidate will manage claims inquiries and ensure timely resolutions. Qualifications include a high school diploma or equivalent with significant experience in medical claims research. The role offers a competitive salary range and flexible work-from-home options, making it ideal for those seeking work-life balance.

Qualifications

• Experience managing multiple deadlines in a healthcare setting.
• Extensive medical claims research including reviewing denials.
• Valid driver's license required.

Responsibilities

• Manage and coordinate claim issues from providers.
• Research and gather information regarding claim issues.
• Ensure timely responses for claim inquiries.

Skills

Claims research

Verbal communication

Written correspondence

Deadline coordination

Education

High School diploma/GED with 6+ years experience or Associate's degree with 4+ years experience or Bachelor's degree with 2+ years experience

Job description

A managed care organization serving North Carolina is seeking a Claims Relations Coordinator to handle claims issues and support the provider community. The ideal candidate will manage claims inquiries and ensure timely resolutions. Qualifications include a high school diploma or equivalent with significant experience in medical claims research. The role offers a competitive salary range and flexible work-from-home options, making it ideal for those seeking work-life balance.