Claims Processing Assistant

Req. 2447

Pay Plan Title: Claims Processing Assistant

Working Title:  Claims Processing Assistant

Cost Center: 43/Claims

FLSA Status: Non-Exempt

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

Office Location: Remote in NC with office locations in Ahoskie, Jacksonville, Wilmington, Greenville 1019

POSTING DETAILS:

Make an Impact  

Trillium Health Resources is a local governmental agency (LME/MCO) in North Carolina that manages serious mental health, substance use, and intellectual/developmental disability services. 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:

Responsible for multiple claims processing duties and assisting providers by phone or email with claims processing questions.  

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 in the form of 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 or GED

Required Experience:

One (1) year of clerical experience required or equivalent of higher education or higher education/experience.  Requires computer related experience.

Preferred Experience:

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

License/Certification: None

Must have a valid driver’s license

Must reside in NC to be considered for remote status

Deadline for application:  12/23/2024 @ 11:59 PM

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
  1. Dates of service (month & year)
  2. Average number of hours worked per week
  3. Essential duties of the job as related to the position you’re applying for
• Education
  1. Degree type
  2. Date degree was awarded
  3. 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.

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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