Claims Manager
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Claims Manager responsible for accurate processing of claims at Trillium Health Resources. Overseeing claims data analysis and collaborating with providers in North Carolina.
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.
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.
- Advanced degree preferred.
- Supervisory experience of two (2) or more employees.
- Physical Health claims experience.
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
Similar Jobs
Service Delivery Manager
Service Delivery Manager overseeing managed services for commercial clients. Ensuring high client satisfaction and managing service delivery teams in a fast-paced environment.
Service Delivery Manager
Service Delivery Manager at Managed Services Provider ensuring client satisfaction and service excellence for commercial clients. Leading teams and driving continuous improvement across service operations.
Regional Sales Manager – Mortgage Lending
Regional Sales Manager focusing on real estate financing in the Midwest region, leading teams for growth and efficiency. Ensuring strategic partnerships and operational excellence in the real estate industry.
Country Manager
Business Development Representative opening the Brazilian market for a company focused on wildfire prevention and environmental impact. This role involves sales, partnerships, and working with the global team.
Operations Manager, V&E
Operations Manager responsible for revenue forecasting, accruals, and financial operations in a remote setting. Collaborating with finance teams for accurate financial reporting and invoicing processes.
RN Case Manager, PT Weekends
RN Case Manager responsible for managing patient care continuity at University of Arkansas. Collaborating with multidisciplinary teams for effective discharge planning and care management.
Stethoscope Business Manager
Americas Stethoscope Business Manager driving sales growth in US, Canada & LATAM. Leading marketing initiatives to engage healthcare professionals and manage teams for achieving regional goals.
Companion Animal Regional Manager
Regional Sales Manager leading the Low Country Companion Animal sales team to achieve sales goals and organizational objectives. Overseeing talent development, performance management, and cross-functional collaboration.
Senior Manager, Dedicated Product Support
Senior Manager of Dedicated Product Support at Bullhorn, leading a team focused on high-stakes customer escalations and enhancements in service excellence.
FlexPoint Manager, Strategic Enablement and Insights
FlexPoint Manager coordinating sales growth through RFP efforts, insights, and market research. Collaborating with various teams to ensure alignment with sales strategy.
Insights Manager
Insights Manager responsible for executing strategic research studies and delivering analytics for GoodRx's offerings. Engaging in consumer and audience research to optimize product development.
Manager, Medicaid Market Research and Competitive Analysis
Manager supporting Medicaid market research and competitive analysis at CVS Health. Directing actionable insights for capturing proposals and business development strategies.
Case Manager, Registered Nurse – Oncology Experience Required
Case Manager, Registered Nurse position managing telephonic case management for oncology patients. Join CVS Health's mission to provide compassionate healthcare as part of a supportive team.
Manager – Talent Strategy and Innovation
Talent Systems and Workforce Analytics Manager overseeing talent strategy and analytics to enhance hiring experience and improve organizational effectiveness. Collaborating with leaders and stakeholders to align with business strategies.
Services Quality Value Stream Manager
Value Stream Manager driving continuous improvement initiatives for GE Vernova. Collaborating with cross-functional teams to improve service quality and operational efficiency.
Prozessmanager Service – Werkstatt
Process manager for e-Bike workshops responsible for optimizing workflows. Supporting franchise partners and developing training materials with a focus on e-mobility.
Digital Solution Manager
Digital Solution Manager developing innovative solutions integrating customer experience, transformation, and AI technologies. Collaborating with teams, analyzing requirements, and creating compelling presentations.
Senior Accreditation Manager – Nurse Survey Review
Senior Accreditation Manager responsible for supporting accreditation operations at Community Health Accreditation Partner. Influence healthcare quality through exceptional service and site visitor education.
CPA Network Manager
CPA Network Manager at NoGigiddy managing CPA partnerships and optimizing offers. Engage with affiliate networks to enhance revenue and user experience through performance marketing.
CPA Network Manager
CPA Network Manager managing affiliate networks and optimizing CPA offers for NoGigiddy. Key role in performance marketing with no degree required and remote work flexibility.