Claims Manager
To be considered for employment, all candidates must continue to our Career Center through ADP by using the link below to complete the application process and upload a current resume. The resume must provide your level of education and detail work experience, including: Employer Name (dates of service, average number of hours worked per week, essential duties of the job as related to the position you are applying for), Education (degree type, date degree was awarded, institution), Licensure/Certification (if applicable). We cannot accept resumes through Handshake.
Application link: https://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=86242cb5-2fdf-4468-b205-d8aef6aa10d5&ccId=19000101_000001&lang=en_US
Office Location: Remote in Catchment, NC
Make an Impact
Trillium Health Resources is a local governmental agency (LME/MCO) in North Carolina that manages serious mental health, substance use, and intellectual/developmental disability services. Serving in 46 counties, we help individuals and their families strengthen well-being and build foundations for a healthy life.
Join our team as we empower others to live their best lives by providing access to quality healthcare. We offer a challenging, engaging work environment where staff take home more than a paycheck. Every day, we see the results of our dedication – in the smiles of children on our accessible playgrounds and in the pride on the face of an adult cooking a meal for the first time. Working at Trillium Health Resources is more than just a job; it is an opportunity to make a direct impact on the communities we serve.
At Trillium, we know that empowering others begins with supporting and developing our team. That’s why we offer competitive benefits and work-from-home flexibility so that our employees thrive outside of the office. We’re also committed to building a diverse, inclusive culture where all employees have the potential to grow professionally and personally.
What We’re Looking For
Trillium Health Resources is seeking a Claims Manager to join our Claims team. This position leads and provides managerial oversight to Claims Processing Supervisors and Assistants. The Claims Manager is responsible for ensuring the accurate processing of all claims, the appropriate data elements required to process claims accurately, and reporting and analysis of claims data. Trillium department’s work together to resolve issues, working cross-departmentally to resolve claims issues is no exception. In addition, the Claims Manager may work with providers to address billing issues.
On a typical day, you might:
- Assure daily reports are generated for Claim Processing staff to work.
- Ensures analysis, research and corrections of claims are completed in a timely manner to ensure provider payments.
- Provide assistance in developing and maintaining claim processing procedures and ensuring these procedures are understood and followed by claims staff.
- Work alongside the IT department to help resolve claim processing issues from a technical standpoint.
- Work with providers to help resolve claim processing issues.
Employee Benefits:
Trillium knows that work/life balance is important. That’s why we offer our employees competitive benefits and flexibility that is second to none. Take a look at what we have to offer:
- Flexible Work Schedules
- Health Insurance - no premium for employee coverage
- Flexible Spending Accounts
- Paid Time Off (PTO) of 24 days, plus 12 paid holidays within first year of employment
- NC Local Government retirement pension, plus 401k with 5% employer match & immediate vesting
- Public Service Loan Forgiveness Qualifying Employer
Qualifications:
Required Education/Experience:
Bachelor’s degree and a minimum of one (1) year experience with extensive claims filing and data reporting.
OR
A two (2) year degree and three (3) years’ experience with extensive claims filing and data reporting.
OR
High School diploma and five (5) years’ experience with extensive claims filing and data reporting.
OR
Equivalent combination of education/experience.
Preferred Education: Bachelor’s degree is preferred.
Preferred Experience: Supervisory experience of two or more employees is preferred.
License/Certification: None
Must have a valid driver’s license
Must reside in North Carolina to be considered for remote status
Deadline for application: April 23, 2024 at 11:59pm
To be considered for employment, all candidates are required to submit an application through ADP and upload a current resume. Your resume must provide your level of education and detailed work experience, including:
- Employer Name
- Dates of service (month & year)
- Average number of hours worked per week
- Essential duties of the job as related to the position you’re applying for
- Education
- Degree type
- Date degree was awarded
- Institution
- Licensure/certification, if applicable
After submitting your application through our career center in ADP, your resume will be reviewed to ensure that your skills and experience meet the essential criteria for the role you have applied for.
Join our Talent Community through our ADP career center to stay informed about positions you may qualify for. Remember to keep an update resume in the Talent Community profile.
The diversity of the communities we serve is reflected in our employees. Trillium Health Resources is an Equal Employment Opportunity (EEO) employer.
Trillium Health Resources is a drug-free workplace. Candidates are required to pass a drug test as a condition of employment.
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