Claims Manager

Role Overview

• 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