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Trillium Health Resources · 9 hours ago

Claims Processing Assistant

United States

Full-time

Remote

Entry Level

$35K/yr - $44K/yr

1+ years exp

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.

Child CareHealth CareMental HealthNon Profit

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

Qualification

Claims processing experienceData entryVerificationHealthcare claims knowledgeFinancial data analysisClaims codingCommunication skillsProblem-solving skills

Required

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