Pay Plan Title: Data Analyst
Working Title: Encounter Data Analyst
FLSA Status: Non-Exempt
Posting Salary Range: $41,120 - $59,518
Office Location: Remote within North Carolina
POSTING DETAILS:
Make an Impact
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.
Why Work for Us?
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!
What We’re Looking For
Trillium Health Resources has a career opening for an Encounter Data Analyst to join our team! The Encounter Data Analyst is responsible for reviewing and monitoring adjudicated claims for encounter file submission and upstream processing and communicating with provider agencies and internal departments regarding encounter submission and denial management. This position will also monitor encounters submitted by our Tailored Plan subcontractors ensuring all contract service level agreements are met.
On a typical day, you might:
- Track adjudicated claims from received date to upstream encounter submission and verify response received from the Department.
- Review data flow between claim system and encounter file submissions; identify and