Provider Relations Specialist I

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🌲 North Carolina – Remote

🌲 North Carolina – Remote

💵 $40.5k - $51.4k / year

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

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Trillium Health Resources

WebsiteLinkedInAll Job Openings

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

• Serve as the connection between providers and Trillium • Answer questions about insurance claims • Process grievances and/or complaints • Assist with onboarding providers • Respond to provider needs to build positive, professional partnerships • Resolve questions, concerns, and issues while tracking outcomes • Prepare, process, and review oral and written material • Assist with informational documents, reports, and special projects requested by Network Management • Develop and maintain communication channels with service providers through telephone calls • Respond to provider inquiries within one business day • Gather and/or update demographic information, provider names, and the nature of questions or complaints

🎯 Requirements

• High School Diploma/GED and minimum of one (1) year clerical experience; OR equivalent combination of education/experience • Valid driver's license • Must reside within Trillium's Catchment of North Carolina • Must be able to travel within catchment as required • Preferred: Two (2) years' clerical/direct customer service with six months in a call center or an insurance setting • Preferred: Twelve (12) months experience in mental health, substance abuse and developmental disabilities field • All candidates must pass a drug test as a condition of employment

🏖️ Benefits

• A collaborative, mission-driven work environment • Competitive benefits and work-from-home options for most positions • Opportunities for professional growth in a diverse inclusive culture • Flexible work schedules with some roles with management approval • Work-from-home options available for most positions • 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