Trillium Health Resources
1001 - 5000 employees
🏥 Healthcare
💼 Consulting
📦 Logistics
Healthcare • Consulting • Logistics
Trillium Health Resources is a leading specialty care manager (LME/MCO) for individuals with serious behavioral health, intellectual/developmental disabilities, and traumatic brain injury in North Carolina. The organization is committed to investing in the health and well-being of the communities it serves, providing services such as preventive health screenings, crisis intervention, and tailored care management. Trillium focuses on enhancing access to mental health and substance use services for its members and ensuring support for vulnerable populations.
Eligibility Enrollment Specialist
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🔥 0 minutes ago
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Trillium Health Resources
1001 - 5000 employees
🏥 Healthcare
💼 Consulting
📦 Logistics
Healthcare • Consulting • Logistics
Trillium Health Resources is a leading specialty care manager (LME/MCO) for individuals with serious behavioral health, intellectual/developmental disabilities, and traumatic brain injury in North Carolina. The organization is committed to investing in the health and well-being of the communities it serves, providing services such as preventive health screenings, crisis intervention, and tailored care management. Trillium focuses on enhancing access to mental health and substance use services for its members and ensuring support for vulnerable populations.
📋 Description
• Process and approve enrollment requests for State Funds and member updates for Medicaid and State-funded members submitted by provider agencies • Monitor Medicaid eligibility and third-party insurance coverage of members • Notify appropriate staff about changes or lapses in coverage that could affect service delivery • Verify members are appropriately enrolled as Trillium members based on Medicaid eligibility data and State Funded eligibility criteria • Educate staff about types of Medicaid and third-party insurance coverage held by members • Verify pertinent member information in Trillium’s software platform • Make corrections in the software platform when necessary, based on policies and procedures • Perform eligibility data integrity checks and corrections
🎯 Requirements
• High school diploma or GED and one (1) year of clerical experience; OR equivalent combination of education/experience • Computer-related experience • Valid driver’s license • Must reside within North Carolina • Must be able to travel within catchment as required • Preferred: experience in the health care field and/or Medicaid eligibility • Must pass a drug test as a condition of employment
🏖️ Benefits
• A collaborative, mission-driven work environment • Competitive benefits • Work-from-home options available for most positions • Opportunities for professional growth • Diverse inclusive culture • Flexible work schedules with management approval for some roles • Health Insurance with no premium for employee coverage • Flexible Spending Accounts • 24 days of Paid Time Off (PTO) plus 12 paid holidays in the 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
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