Healthcare Claims Examiner - NC Medicaid Orthodontic Prior Approval

Clearance Level
None
Category
Ancillary Health
Location
Raleigh, North Carolina
(Hybrid Workplace)
Key Skills For Success

Chairside Assisting

Healthcare Claims

Microsoft Office 365 Exchange Services

Orthodontics

Pre Approvals

REQ#: RQ231608
Public Trust: None
Requisition Type: Regular
Your Impact

Own your opportunity to work alongside state and local government. Make an impact by delivering solutions and services that secure our communities and make a difference in people’s lives every day.

Job Description

HEALTHCARE CLAIMS EXAMINER

Solve real-world challenges that impact the frontlines of public health as a Healthcare Claims Examiner at GDIT. You’ll support the mission and grow with it, building a meaningful career in health.


MEANINGFUL WORK AND PERSONAL IMPACT

As a Healthcare Claims Examiner, the work you’ll do at GDIT will be impactful to the mission of North Carolina Department of Health and Human Services. You will play a crucial role in insuring that Medicaid recipients are receiving the treatment that is needed and that the treatment is quality.


● The orthodontic chairside assistant in this position will be processing orthodontic prior approval requests with a specific focus on final payments.

● Collaborate with department leadership, Dental Director, Orthodontic Consultants to develop process improvements.

● Drive quality work by insuring all SLAs (service level agreements) are met.

● Utilize Microsoft Office (Outlook, Word, Excel, SharePoint, and Teams), Zoom, and other web-based applications.


WHAT YOU’LL NEED TO SUCCEED

Bring your orthodontic chairside assistant expertise and drive for innovation to GDIT. The Healthcare Claims Examiner must have:

● Education: BA/BS degree

● Preferred Experience: 15+ years of chairside dental assisting

● Technical skills:

  • Knowledge of prior authorization and claims
  • Medicaid or public health experience is a plus
  • NCTracks experience is a plus
  • Experience working with a virtual team with variable reporting relationships
  • Skilled/Proficient with Microsoft Office suite of applications, Zoom, and other web-based applications

● Role requirements:

  • Ability to establish and maintain effective working relationships with all levels of staff, other business segments, and clients.
  • Self-directed with a positive attitude.
  • Attention to detail is required.

GDIT IS YOUR PLACE

At GDIT, the mission is our purpose, and our people are at the center of everything we do.

● Growth: AI-powered career tool that identifies career steps and learning opportunities

● Support: An internal mobility team focused on helping you achieve your career goals

● Rewards: Comprehensive benefits and wellness packages, 401K with company match, and competitive pay and paid time off

● Flexibility: Full-flex work week to own your priorities at work and at home to be considered by management

● Community: Award-winning culture of innovation and a military-friendly workplace

OWN YOUR OPPORTUNITY

Explore a career in health at GDIT and you’ll find endless opportunities to grow alongside colleagues who share your sense of purpose for making a difference.

Work Requirements

Years of Experience

15 + years of related experience

* may vary based on technical training, certification(s), or degree

Certification

Travel Required

None

Salary and Benefit Information

The likely salary range for this position is $58,650 - $79,350. 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.
View information about benefits and our total rewards program.

Our Identity Verification Process

As part of the hiring process, we will ask you to complete an identity verification process that leverages advanced biometrics and artificial intelligence to ensure authenticity and protect against identity fraud. You are expected to be on camera during virtual interviews. We reserve the right to take your picture to verify your identity and prevent fraud. By proceeding, you authorize the collection, processing, and use of your biometric data for identity verification and security purposes.

About Our Work

We are GDIT. A global technology and professional services company that delivers technology solutions and mission services to every major agency across the U.S. government, defense and intelligence community. Our 26,000 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 mission-ready capabilities in AI, cloud, cyber and software development.

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

Equal Opportunity Employer / Individuals with Disabilities / Protected Veterans