Provider Data Management Support Specialist

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🌲 North Carolina – Remote

🌲 North Carolina – Remote

💵 $41.5k - $52.7k / year

⏰ Full Time

🟢 Junior

💝 Customer Support

🚫👨‍🎓 No degree required

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Trillium Health Resources

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

⚕️ Healthcare Insurance

Healthcare Insurance • Mental Health • Substance Use

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

• Provide guidance and support to the PDM Unit. • Process daily provider data. • Monitor the Provider Enrollment File (PEF). • Conduct crosswalk analyses between the Provider Electronic Data (PED), PEF, NC Tracks, and other state systems. • Reconcile data inaccuracies. • Map provider data and identify trends and patterns. • Audit data and adhere to reporting requirements. • Conduct provider outreach and technical assistance. • Prepare, process, and review oral and written material. • Review provider data information received on the Provider Enrollment File (PEF) for accuracy and completeness and make corrections as required.

🎯 Requirements

• High school diploma or GED and a minimum of one (1) year credentialing and/or healthcare record management or medical billing experience required, OR • Equivalent combination of higher education/experience. • Must have a valid driver’s license. • Must reside within North Carolina. • Must be able to travel within catchment as required. • Associates degree preferred. • Experience in medical office management and medical terminology training preferred.

🏖️ 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