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Healthcare Claims Assistant III

General Dynamics Information Technology • Raleigh, NC • 15h ago

Req ID: RQ204877

Type of Requisition: Regular

Clearance Level Must Be Able to Obtain: None

Public Trust/Other Required: None

Job Family: Healthcare Claims

Skills:

Credentialing,Detail-Oriented,Documentations,Processing,Provider Enrollment

Experience:

2 + years of related experience

Job Description:

General Dynamics Information Technology have created the premier provider of high-tech IT solutions to the government IT market. Together as General Dynamics Information Technology, we deliver cost-effective, next-generation IT solutions and services to the Department of Defense, the intelligence community and federal civilian agencies as they modernize their information systems.

GDIT is currently seeking a Provider Enrollment Specialist III to support provider credentialing initiatives and ensure compliance with federal and state regulations. In this role, you will be instrumental in preparing provider packets for review by the credentialing committee while maintaining confidentiality and ensuring the removal of all Personally Identifiable Information (PII). You will serve as a key liaison in supporting application processing, enrollment denials, and provider terminations.

RESPONSIBILITIES:

Redact credentialing documentation including background checks, license verification, disciplinary actions, and other provider-sensitive information prior to committee review.

Create and format credentialing packets for the Credentialing Committee, ensuring accuracy and completeness while removing all PII.

Collaborate with internal and external sources to confirm provider licensure and compliance with NC Medicaid enrollment requirements.

Serve as support for enrollment denials and termination workflows, assisting in resolution and communication with stakeholders.

Maintain a high standard of quality and attention to detail in all provider documentation and credentialing tasks.

Assist in background compliance reviews leveraging tools like Lexis Nexis and other verification systems.

Meet daily quantity and quality standards as defined by operational performance targets.

QUALIFICATIONS:

Requires Skills and Experience -

Minimum 2 years of credentialing & administrative experience in a healthcare setting

Strong understanding of NC Medicaid or other healthcare programs

Familiarity with NCTracks and provider enrollment guidelines

Proficiency with Microsoft Office Suite including Word, Excel, and Outlook

Exceptional attention to detail and organization skills

Desired Skills and Experience:

Direct experience with credentialing processes

Knowledge of Lexis Nexis or similar background verification platforms

Background in customer service or provider relations

Experience using digital fax systems, healthcare software, and telecommunications technology

ATTRIBUTES FOR SUCCESS:

Strong analytical and written communication skills

Ability to follow complex instructions and document processing standards

A high sense of accountability and confidentiality

Detail-oriented with the ability to audit documentation and catch discrepancies

The likely hourly rate for this position is between $19.84 - $24.15. 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.

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 50 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.

Join our Talent Community to stay up to date on our career opportunities and events at https://gdit.com/tc.

Equal Opportunity Employer / Individuals with Disabilities / Protected Veterans

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