Claims Manager
TRILLIUM HEALTH RESOURCES•Remote in North Carolina, NC, US, NC
•$70,338 - $94,075•Remote
About The Position
Trillium Health Resources is seeking a Claims Manager to oversee the accurate and efficient processing of all healthcare claims. This role ensures the integrity of claim data, delivers timely reporting and analysis, manages claim-related inquiries, coordinates claim appeals, and collaborates with internal teams to resolve provider issues. The Claims Manager will play a key leadership role in maintaining the efficiency and accuracy of the claims department.
Requirements
- Associate’s degree and three (3) years of experience with extensive claims filing and data reporting; OR Bachelor’s degree and a minimum of one (1) year of experience with extensive claims filing and data reporting; 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.
Nice To Haves
- Advanced degree
- Supervisory experience of two (2) or more employees
- Physical Health claims experience
Responsibilities
- Ensure claims payment reports are generated and analyzed to determine problems.
- Ensure analysis, research, and corrections are completed in a timely manner to ensure provider payment.
- Assist in developing and maintaining claim processing procedures and ensuring these procedures are understood and followed by claims staff.
- Interact with the provider community to address billing issues.
- Train and mentor staff on claims processing duties to enhance team performance.
Benefits
- Health Insurance with no premium for employee coverage
- Flexible Spending Accounts
- 24 days of Paid Time Off (PTO)
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
Associate degree
