Raleigh, NC, USA
4 days ago
Provider Relations Rep

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:

Healthcare Claims

Job Qualifications:

Skills:

Analytical Problem Solving, Customer Inquiries, Problem Resolution, Working Independently

Certifications:

None

Experience:

1 + years of related experience

US Citizenship Required:

No

Job Description:

Healthcare Claims Assistant IV

Summary

Provide customer assistance and problem resolution to a wide variety of customers across business areas supported by a multi-customer contact or help desk environment. Responds to non-routine customer calls, email and web inquiries providing a single point of contact for report problems, make inquires and obtaining guidance about any or all services provided by the service center. Applies knowledge in one of the following functional areas: financial management, human resources management, procurement, and information technology.

Essential Job Functions

Analyzes inquiries through use of personal knowledge of the particular functional subject matter. Augments knowledge with reference materials as needed.Provides response and takes appropriate action to resolve. May interact directly with original requestor, advise others on how to respond or escalate to a higher level if needed.Contributes to a shared knowledge database to facilitate response consistency and to document complex issue resolution.Monitors customer inquiries for a specific functional area, tracks progress and resolution of escalated inquiries.Assists less experienced staff in developing appropriate responses.Attends and participates in conferences, seminars and meetings with Medicaid providers as needed.Provides training supportWorks from office two days a week to help with provider walk-ins

Basic Qualifications

Bachelor’s degree or equivalent combination of education and experience.Bachelor’s degree in business management or related field preferred.Experience working with organizational functional and personnel.Experience working with fax machines, computer software and telephone technology.Experience working with help desk software.1 year Healthcare experience (claims, enrollment)

Other Qualifications

Business and analytical problem solving skillsGood communications skills.Ability to work independently.Ability to follow oral and written directions.



GDIT IS YOUR PLACE:
● 401K with company match
● Comprehensive health and wellness packages
● Internal mobility team dedicated to helping you own your career
● Professional growth opportunities including paid education and certifications
● Cutting-edge technology you can learn from
● Rest and recharge with paid vacation and holidays

The likely hourly rate for this position is between $22.85 - $27.03. 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:

Less than 10%

Telecommuting Options:

Hybrid

Work Location:

USA NC Raleigh

Additional Work Locations:

Total Rewards at GDIT:

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.

We are GDIT. A global technology and professional services company that delivers consulting, technology and mission services to every major agency across the U.S. government, defense and intelligence community. Our 30,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. We operate across 30 countries worldwide, offering leading capabilities in digital modernization, AI/ML, Cloud, Cyber and application development. Together with our clients, we strive to create a safer, smarter world by harnessing the power of deep expertise and advanced technology.

We connect people with the most impactful client missions, creating an unparalleled work experience that allows them to see their impact every day. We create opportunities for our people to lead and learn simultaneously. From securing our nation’s most sensitive systems, to enabling digital transformation and cloud adoption, our people are the ones who make change real.

GDIT is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status, or any other protected class.
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