Perform data analysis, auditing, and reconciliation support to the Claims Department.
Assist the Claims Department with developing data reports as requested.
Send claims related reports to various internal staff and external stakeholders.
Track various claims-related reporting deadlines.
Recommend changes in processes if applicable.
Maintain schedule of reporting and distribute reports.
Reconcile data flow between processing systems; identify and report any discrepancies.
Communicate with Utilization Management Department for necessary fund source adjustments on authorizations.
Ensure high quality data is collected and integrity of the data.
Requirements
High school diploma/GED and two (2) years of experience in Behavioral/Mental Health, Developmental Disabilities, and Substance Abuse services field; 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.
Associate’s degree in Information Technology, Statistics, Data Analytics, Business, or a Human Services field (such as Psychology, Social Work, etc.) preferred.
Prefer experience in the areas of data analysis, data management, statistics, reporting, and use of databases.
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