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 :

Additional information :

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.

Scheduled Weekly Hours : 40

Travel Required : None

Telecommuting Options : Hybrid

Work Location : USA NC Raleigh - 5444 Wade Park Blvd (NCS018)

Total Rewards at GDIT : 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.