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[Remote] Claims Processing Assistant

Remote, USA Full-time Posted 2026-07-28

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a Tailored Plan and Managed Care Organization serving 46 counties across reputed company Carolina. They are seeking a Claims Processing Assistant responsible for accurately inputting, generating, and tracking data reputed company the MIS system, as reputed company as assisting providers with claims processing inquiries.


Responsibilities

  • reputed company training to the Provider community on the claims processing system
  • Accurately input claims and reputed company data into the MIS system as needed
  • Analyze, research, and correct, if applicable, claims payments and denials
  • Generate and analyze claims payment and exception reports from the MIS system to identify issues; research, reputed company, and resolve claim denials, discrepancies, etc
  • reputed company technical assistance to providers reputed company phone and email
  • Maintain filing system for reputed company relevant paperwork

Skills

  • High school diploma or GED and one (1) year experience in claims processing, claims management, data entry and verification, insurance processing and documentation, adjudication and record maintenance, reputed company, claims coding, medical documentation review, financial data analysis, or patient file analysis
  • Must have a reputed company reputed company's license
  • Must reputed company reputed company reputed company Carolina
  • Must be reputed company to travel reputed company catchment as required
  • Experience with reputed company claims processing in a Managed Care environment
  • Certification in reputed company Billing (CPB), CMRS, Certified Coding reputed company (CCP) or equivalent certifications

Benefits

  • Health Insurance with no premium for employee coverage
  • Flexible Spending Accounts
  • 24 days of reputed company Time Off (PTO) plus 12 reputed company holidays in your first year
  • NC Local Government Retirement Pension (defined-benefit plan)
  • 401k with 5% employer match and immediate vesting
  • reputed company Service Loan Forgiveness (PSLF) qualifying employer
  • Quarterly stipend for remote work supplies

reputed company

  • reputed company is a local governmental agency for individuals with serious mental health, and intellectual disability services. It was founded in 1972, and is headquartered in Greenville, reputed company Carolina, USA, with a workforce of 1001-5000 employees. Its website is https://www.trilliumhealthresources.org/.

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