Role Description The Member & Recipient Appeals Coordinator is responsible for managing and coordinating the Trillium Medicaid and Non-Medicaid member appeals process, provider appeals, and claims appeals. This includes: - Providing support and information to members and providers seeking to appeal an adverse benefit determination. - Monitoring and maintaining accurate Appeals policies and procedures, member handbooks, and provider manuals based on legal requirements and Tailored Plan requirements. - Maintaining/reporting Medicaid and non-Medicaid member appeal statistics. On a typical day, you might: - Coordinate and manage Trillium’s Medicaid and Non-Medicaid Member Appeal Processes. - Ensure notification letters are updated and sent to the member/guardian and provider accurately and timely based on the most current formats and timelines as established by State and Federal regulations and contractual and accreditation standards. - Track appeal requests and set up internal appeals panels, when needed. - Continue tracking and facilitating Trillium involvement in Appeals process through resolution. - Aid general counsel and external contracted legal representatives in preparation for Trillium-specific Appeals related cases. - Assist in completion of data reports. Qualifications - High School Diploma/GED and six (6) years of experience in Behavioral/Mental Health, Developmental Disabilities, and Substance Abuse services; OR - Associate’s degree and four (4) years of experience in Behavioral/Mental Health, Developmental Disabilities, and Substance Abuse services; OR - Bachelor’s degree and two (2) years of experience in Behavioral/Mental Health, Developmental Disabilities, and Substance Abuse services; 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. - Degree in a Human Services field (preferred). - Experience in the public mental health field is highly desired due to the complexity of the work of the organization (preferred). Benefits - 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. Deadline for Application Wednesday, April 1, 2026 at 11:59pm How to Apply To be considered, submit your application and resume through our ADP Career Center. Your resume must include: - Employer name, dates of service (month/year), average hours worked per week, and essential job duties. - Education details (degree type, date awarded, institution, field of study). - Licensure/certification information, if applicable. After submission, your resume will be reviewed to ensure it meets the essential criteria for the position. You’ll be notified by HR regarding your application status as appropriate. All applicants will receive a final update once the recruitment cycle closes. Join our Talent Community through ADP to stay informed about future opportunities. Be sure to keep your resume updated in your profile. Trillium Health Resources is an Equal Employment Opportunity (EEO) employer and a drug-free workplace. All candidates must pass a drug test as a condition of employment.

• As a Strategy & Ops Manager, you are the engine room of the business. • You will work along side the founders and product leads to drive and evolve the Deblock vision. • Your speed, efficiency, and eye for detail will drive success across the Deblock product. • You are self-guided and are driven to solve problems which define an industry. • We want to revolutionise the FinTech industry. Create a new paradigm. And we need the best minds to do it. • Diagnose complex product and business challenges, frame solutions from first principles, and drive them to completion. • Build the data foundations needed to make good decisions: defining metrics, running analyses, and surfacing insights that inform strategy. • Coordinate delivery across product, engineering, compliance, and operations keeping diverse workstreams moving in sync. • Design and implement scalable workflows spanning RAG pipelines, reasoning systems, and agentic automation.

Operate heavy equipment to support satellite launch processing, organize technical and maintenance documentation, develop and test facility procedures, and coordinate with teams to ensure safety and readiness during satellite vehicle processing.

Role Description As an Operations Support Coordinator within our Revenue Integrity team, you hold a pivotal position in supporting analysts as they work towards ensuring hospitals receive accurate compensation for the services they provide. Your role involves a variety of administrative and facilitation tasks, information gathering, and client support. Strong organizational skills, attention to detail, a service mindset, and the ability to manage competing priorities are essential in this role. - Utilize company best practices, along with technology-enabled resources and other internal tools, to identify recoveries requiring operational support or client intervention to advance the claim through the underpayment review process. - Create, reconcile, and submit various requests to clients through established processes. - Contact insurance companies to obtain missing information. - Prepare and attach documentation such as letters, medical records, or itemized bills to support underpayment recovery efforts. - Review client systems to determine when work scope requirements are met. - Verify payments and adjustments meet compliance requirements and ensure client systems are properly reconciled. - Review, reconcile, and submit client specific reports to appointed recipients. - Actively participate in discussions, meetings, and brainstorming sessions to identify process improvements through automation and other efficiencies. - Demonstrate a commitment to upholding ethical standards and compliance with relevant regulations and guidelines in all reimbursement optimization activities. Qualifications - Basic knowledge of healthcare revenue cycle (underpayments) practices. - Experience with healthcare billing software and databases (EPIC, Cerner, Meditech). - Ability to navigate multiple systems and applications. - Moderate computer proficiency including MS Excel, Word and Outlook. - Organizational and prioritization skills to handle multiple projects across numerous client engagements. - Effective time-management to ensure tasks are completed within appropriate time frames and intervals. - Strong analytical and problem-solving abilities to determine appropriate course of action. - Detail-oriented approach to ensure accuracy in applying guidelines and documenting findings for audit and compliance purposes. - Effective communication skills to collaborate with internal teams, payers, and external stakeholders. - Previous experience working in a remote environment. Requirements - A quiet, distraction-free environment to work from in your home. - A secure internet connection is required. - Home internet with speeds >20 Mbps for downloads and >10 Mbps for uploads. - The workspace area accommodates all workstation equipment and related materials and provides adequate surface area to be productive. - Employment is contingent upon eligibility to work in the U.S., employment history verification, and a background check. Benefits - We offer paid training and incentive plans. - Our medical, dental, vision, and life insurance benefits are available from the first day of employment. - We enjoy excellent work/life balance. - Our Employee Resource Groups build community and foster a culture of belonging and inclusion. - We match 401(k) contributions. - We offer career growth opportunities. - We celebrate 12 paid holidays and generous paid time off. Company Description Revecore has been at the forefront of specialized claims management, helping healthcare providers recover meaningful revenue to enhance quality patient care in their communities. We're powered by people, driven by technology, and dedicated to our clients and employees. If you're looking for a collaborative and diverse culture with a great work/life balance, look no further.