[Remote] Claims Processing Assistant
Note: The job is a remote job and is open to candidates in USA. Trillium Health Resources is a Tailored Plan and Managed Care Organization serving 46 counties across North Carolina. They are seeking a Claims Processing Assistant responsible for accurately inputting, generating, and tracking data within the MIS system, as well as assisting providers with claims processing inquiries.
Responsibilities
- Provide training to the Provider community on the claims processing system
- Accurately input claims and related data into the MIS system as needed
- Analyze, research, and correct, if applicable, claims payments and denials
- Generate and analyze claims payment and exception reports from the MIS system to identify issues; research, track, and resolve claim denials, discrepancies, etc
- Provide technical assistance to providers via phone and email
- Maintain filing system for all relevant paperwork
Skills
- High school diploma or GED and one (1) year experience in claims processing, claims management, data entry and verification, insurance processing and documentation, adjudication and record maintenance, accounting, claims coding, medical documentation review, financial data analysis, or patient file analysis
- Must have a valid driver's license
- Must reside within North Carolina
- Must be able to travel within catchment as required
- Experience with healthcare claims processing in a Managed Care environment
- Certification in Healthcare Billing (CPB), CMRS, Certified Coding Professional (CCP) or equivalent certifications
Benefits
- Health Insurance with no premium for employee coverage
- Flexible Spending Accounts
- 24 days of Paid Time Off (PTO) plus 12 paid holidays in your first year
- NC Local Government Retirement Pension (defined-benefit plan)
- 401k with 5% employer match and immediate vesting
- Public Service Loan Forgiveness (PSLF) qualifying employer
- Quarterly stipend for remote work supplies
Company Overview