Healthcare Claims Assistant

Clearance Level
None
Category
Healthcare Claims
Location
Raleigh, North Carolina

REQ#: RQ128236

Travel Required: None
Requisition Type: Regular

The Medical/Dental Prior Approval Division provides medical necessity reviews and service determinations for NC Medicaid in accordance to Clinical Coverage Policies.

Position is for full time employment Monday – Friday; and will be based at our Wycliff Road office in Raleigh, NC.

Responsibilities:

  • Processing orthodontic prior approval cases:  preparing all documentation and orthodontic study models for review (this includes researching recipient Medicaid or NCHC eligibility; researching prior approval history; printing and organizing all required documents; keying case review outcomes; tracking orthodontic inventory; preparing cases to return to orthodontic providers.)

Required Skillset:

  • Dental/Orthodontic office experience a plus
  • Medicaid/NCTracks experience a plus
  • MS Office proficient- particularly Outlook, Excel, and Word
  • Problem solving skills
  • Data Entry experience
  • Superior organizational workflow skills (ability to work through large volumes quickly while staying organized)

Work Environment:

  • Office environment

Additional Information:

  • Place of performance:  2610 Wycliff Road, Raleigh NC
  • Period of performance:  Start date through end of contract


About Our Work

We are GDIT. The people supporting some of the most complex government, defense, and intelligence projects across the country. We deliver. Bringing the expertise needed to understand and advance critical missions. We transform. Shifting the ways clients invest in, integrate, and innovate technology solutions. We ensure today is safe and tomorrow is smarter. We are there. On the ground, beside our clients, in the lab, and everywhere in between. Offering the technology transformations, strategy, and mission services needed to get the job done.

COVID-19 Vaccination

GDIT does not have a vaccination mandate applicable to all employees. To protect the health and safety of its employees and to comply with customer requirements, however, GDIT may require employees in certain positions to be fully vaccinated against COVID-19. Vaccination requirements will depend on the status of the federal contractor mandate and customer site requirements.

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.