Claims Processing Assistant

Employer Industry: Managed Care Organization

• Salary range of $34,800 - $44,196
• Health insurance coverage with no premium for employee
• 24 days of Paid Time Off (PTO) plus 12 paid holidays in your first year
• 401k with 5% employer match and immediate vesting
• Flexible work-from-home options available for most positions
• Opportunity to make a tangible impact on the lives of individuals and families

• Accurately input claims and related data into the MIS system as needed
• Analyze, research, and correct claims payments and denials
• Provide training to the provider community on the claims processing system
• Generate and analyze claims payment and exception reports to identify issues
• Maintain a filing system for all relevant paperwork

• High school diploma or GED and one (1) year experience in claims processing, claims management, or related fields
• Must have a valid driver’s license
• Must reside within North Carolina
• Must be able to travel within the catchment area as required

• Experience with healthcare claims processing in a Managed Care environment
• Certification in Healthcare Billing (CPB), CMRS, Certified Coding Professional (CCP) or equivalent certifications