Healthcare Claims Assistant

GD Information TechnologyRaleigh, NC
Hybrid

About The Position

Solve real-world challenges that impact the frontlines of public health, life science, and clinical research initiatives as a Healthcare Claims Assistant II at GDIT. You’ll support the mission and grow with it, building a meaningful career in health. As a Healthcare Claims Assistant II, the work you’ll do at GDIT will be impactful to the mission of North Carolina Medicaid. You will play a crucial role in processing orthodontic prior approval requests.

Requirements

  • High School Diploma/GED
  • 1+ years of related experience
  • MS Office proficient - particularly Outlook, Excel, and Word
  • Problem solving skills
  • Data Entry experience
  • Superior organizational work flow skills (ability to work through large volumes quickly while staying organized)
  • US citizenship required

Nice To Haves

  • Dental/Orthodontic office experience a plus
  • Medicaid/NCTracks experience a plus

Responsibilities

  • Support clinically licensed review staff by preparing orthodontic cases for review timely and accurately.
  • Collaborate with team lead, supervisor, orthodontic review staff, and other prior approval team members.
  • Drive timely and accurate reviews and decisions on orthodontic cases and success meeting our contractual service level agreements.

Benefits

  • 401K with company match
  • competitive pay
  • paid time off
  • variety of medical plan options
  • Health Savings Accounts
  • dental plan options
  • a vision plan
  • ability to contribute both pre and post-tax dollars up to the IRS annual limits
  • full flex work weeks
  • vacation
  • sick and personal time
  • holidays
  • paid parental leave
  • military leave
  • bereavement leave
  • jury duty leave
  • short and long-term disability benefits
  • life insurance
  • accidental death and dismemberment insurance
  • personal accident insurance
  • critical illness insurance
  • business travel and accident insurance
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