[Remote] Claims Processing Assistant

Remote Full-time
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 Trillium Health Resources is a local governmental agency for individuals with serious mental health, and intellectual disability services. It was founded in 1972, and is headquartered in Greenville, North Carolina, USA, with a workforce of 1001-5000 employees. Its website is
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