Healthcare Claims Assistant

Responsibilities for this Position

Location: USA NC Raleigh

Full Part/Time: Full time

Job Req: RQ228428

Type of Requisition: Regular

Clearance Level Must Currently Possess: None

Clearance Level Must Be Able to Obtain: None

Public Trust/Other

Required:

None

Job Family: Ancillary Health

Job Qualifications:

Skills: Data Entry, Microsoft Office, Prioritization, Teamwork, Time Management

Certifications: None

Experience: 1 + years of related experience

US Citizenship

Required:

No

HEALTHCARE CLAIMS ASSISTANT II

Solve real-world challenges that impact the front lines of public health, life science, and clinical research initiatives as a Healthcare Claims Assistant II 'll support the mission and grow with it, building a meaningful career in health.

As a Healthcare Claims Assistant II, the work you'll do at GDIT will be impactful to the mission of North Carolina Medicaid. You will play a crucial role in processing orthodontic prior approval requests.

Support clinically licensed review staff by preparing orthodontic cases for review timely and accurately.

Collaborate with team lead, supervisor, orthodontic review staff, and other prior approval team members.

Drive timely and accurate reviews and decisions on orthodontic cases and success meeting our contractual service level agreements.

Bring your healthcare expertise and drive for innovation to GDIT. The Healthcare Claims Assistant II must have:

Education:

High School Diploma/GED

Experience:

1+ years of related experience

• Dental/Orthodontic office experience a plus
• Medicaid/NCTracks experience a plus
• MS Office proficient - particularly Outlook, Excel, and Word
• Problem solving skills
• Data Entry experience
  
  Superior organizational workflow skills (ability to work through large volumes quickly while staying organized)

Security clearance level:
None

US citizenship required:
Yes

Role requirements:

Hybrid work environment;
Monday-Friday 8:00am - 5:00pm EST

Place of performance: 5444 Wade Park Blvd, Raleigh NC

At GDIT, the mission is our purpose, and our people are at the center of everything we do.

Growth: AI-powered career tool that identifies career steps and learning opportunities

Support:
An internal mobility team focused on helping you achieve your career goals

Rewards:
Comprehensive benefits and wellness packages, 401K with company match, and competitive pay and paid time off

Flexibility:
Full-flex work week to own your priorities at work and at home
*** remove if ineligible***

Community:
Award-winning culture of innovation and a military-friendly workplace

Explore a career in health at GDIT and you'll find endless opportunities to grow alongside colleagues who share your sense of purpose for making a difference.

The likely hourly rate for this position is between $18.70 - $25.30. This is not, however, a guarantee of compensation or salary. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall outside of this range.

Scheduled Weekly

Hours:

40

Travel Required:

None

Telecommuting Options:
Hybrid

Work Location:

USA NC Raleigh

Our benefits package for all US-based employees includes a variety of medical plan options, some with Health Savings Accounts, dental plan options, a vision plan, and a 401(k) plan offering the ability to contribute both pre and post-tax dollars up to the IRS annual limits and receive a company match. To encourage work/life balance, GDIT offers employees full flex work weeks where possible and a variety of paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement and jury duty leave.

To ensure our employees are able to protect their income, other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance are provided or available. We regularly review our Total Rewards package to ensure our offerings are competitive and reflect what our employees have told us they value most.

As part of the hiring process, we will ask you to complete an identity verification process that leverages advanced biometrics and artificial intelligence to ensure authenticity and protect against identity fraud. You are expected to be on camera during virtual interviews. We reserve the…