Healthcare Claims Assistant

Medical / Dental Prior Approval Division Position

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

This position is for full time employment Monday - Friday and will be a hybrid work environment.

Responsibilities :

• Processing orthodontic prior approval cases : preparing all documentation and orthodontic study models for review (this includes researching recipient Medicaid 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 :

Work Environment :

Place of performance : 5444 Wade Park Blvd, Raleigh NC

Period of performance : Start date through end of contract

The likely hourly rate for this position is between $17.22 - $23.00. 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.