Trillium Health Resources · 1 day ago
Claims Processing Supervisor
United States
Full-time
Remote
Mid Level
$44K/yr - $56K/yr
4+ years expTrillium Health Resources is a Tailored Plan and Managed Care Organization serving 46 counties across North Carolina. The Claims Processing Supervisor is responsible for leading and enhancing Medicaid and State funded claims processing services, working closely with the provider network and various departments to resolve provider issues related to claims submissions and payments.
Child CareHealth CareMental HealthNon Profit
No H1B
Responsibilities
Ensure claim reports are able to be generated by Claims Processing Assistants to work, will generate and distribute reports if needed
Ensure Claim Processing Assistants analyze, research, and complete corrections, denials, etc., as needed
Interact with the provider network and between providers and Claims Processing Assistants, addressing payment and claim processing issues
Maintain an understanding of the entire claims management system
Answer phone calls and provide assistance to providers with claims questions
Track and update Trillium’s ticket system to answer Provider questions
Qualification
Required
High School diploma/GED and six (6) years of experience in a business-related field; OR
Associate's degree and four (4) years of experience in a business-related field; OR
Equivalent combination of education/experience
Must have a valid driver's license
Must reside within North Carolina
Must be able to travel within catchment as required
Preferred
Experience in claims processing
Experience with processing State-funded and Medicaid claims is a plus
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
Trillium Health Resources
Trillium Health Resources is a local governmental agency for individuals with serious mental health, and intellectual disability services.
Founded in 1972Greenville, North Carolina, USA
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Joy Futrell
Chief Executive Officer
Cindy Ehlers MS LCMHC
Chief Operating Officer
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