Provider Services Representative

Provider Services Representative I

Trillium Health Resources is a Tailored Plan and Managed Care Organization (MCO) serving 46 counties across North Carolina. We manage services for individuals with serious mental health needs, substance use disorders, traumatic brain injuries, and intellectual/development (IDD) disabilities. Our mission is to help individuals and families build strong foundations for healthy, fulfilling lives.

Trillium believes that empowering others begins with supporting our team. We offer our employees:

• 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

Every day, our work changes lives – from children thriving through early intervention and school-based therapies, to adults with severe mental illness living independently and contributing to their communities.

If you are looking for a unique opportunity to make a tangible impact on the lives of others, apply today!

Trillium Health Resources has a career opening for a Provider Services Representative I to join our team! The Provider Services Representative I provides non-clinical administrative support to network providers, staff, community stakeholders, state and local entities, and/or other managed care organizations. This position requires significant knowledge in Trillium Health Resources procedures, policies, workflows and the Trillium Provider Manual. Primary job duties and responsibilities are to support network providers with accuracy and promptness and provide effective and efficient customer service.

This support can vary in forms such as, but not limited to, telephonic support and/or electronic mail (email) through the Provider Support Service Line. The Provider Services Representative I answers inbound calls and assists callers by connecting them to the appropriate party, sharing information, providing technical assistance, and answering questions. The Provider Support Service Line may often be the first interaction with the organization;

therefore, the Provider Services Representative must respond to the person's needs in a professional service-oriented manner and maintain the highest level of customer satisfaction by triaging the emails and calls, and ensuring the questions, concerns, or issues get directed or transferred to the appropriate Trillium unit or department.

On a typical day, you might:

• Answer inbound calls for a call center, focusing on customer service.
• Process sensitive, confidential and complex information with discretion and professionalism.
• Prepare, process, and review oral and written material.
• Assist in the preparation of informational documents, reports and/or special projects.
• Answer and resolve caller's questions, concerns, inquiries and complaints.
• Perform general clerical work such as, but not limited to, scheduling meetings and/or events, conduct research and report findings, and document meeting minutes.

Trillium knows that work/life balance is essential. That's why we offer:

• Typical working hours: 8:30 am – 5:00 pm; 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

Required:

• High School Diploma or GED and one (1) year clerical experience; OR
• Equivalent combination of education and experience.
• Must have a valid driver's license.
• Must reside…