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Trillium Health Resources

Transforming Lives. Building Community Well-Being.

Senior Financial Analyst – Claims

Financial Planning and AnalysisFinancial Planning and AnalysisFull TimeRemoteSeniorTeam 1,001-5,000H1B No SponsorCompany SiteLinkedIn

Location

North Carolina

Posted

86 days ago

Salary

$64.9K - $79.9K / year

Seniority

Senior

High School6 yrs expExperience acceptedEnglish

Job Description

Senior Financial Analyst – Claims

Trillium Health Resources

• Perform analysis, reconciliation, auditing, and reporting functions within the Claims Department. • Research and gather current claims and financial information to analyze trends, reconcile system data, audit for errors, and generate internal and external reporting. • Look for operating efficiencies and recommend corrective actions as necessary. • Examine trends, claim statistics, and provider payments in order to monitor achievement of department goals, improve processes, and determine claims processing accuracy/timeliness. • Reconcile data flow between processing systems; identify and report any discrepancies. • Generate internal and external reporting of claims statistics, including data by fund source, disability, and service category. • Maintain monthly/weekly/quarterly claims statistics and auditing spreadsheets (i.e., claim denials, claims processed, etc.). • Effectively analyze data and trends and utilize quality management tools to improve organizational performance. • Develop and present management reports. • Continually assess and redesign, where appropriate, claims analysis, reconciliation, auditing, and reporting processes. • Review claims data for audits and reviews to determine claims processing accuracy and reporting validity/integrity.

Job Requirements

  • High School diploma/GED and six (6) years of experience in business, accounting, or financial analysis; OR Associate’s degree and four (4) years of experience in business, accounting, or financial analysis; OR Bachelor’s degree and two (2) years of experience in business, accounting, or financial analysis; OR Equivalent combination of education/experience.
  • Must have a valid driver’s license
  • Must reside within North Carolina
  • Must be able to travel within catchment as required.
  • Experience in the areas of accounting, data analysis, data management, statistics, reporting, and use of databases.

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

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