Claims Specialist II
Trillium Health Resources · United States · US
Other
Remote
Not yet analysed
Demand68
Career growth55
Healthcare fit58
Remote potential80
Salary band
USD 43k – 62k
5-year outlook
Likely a stable payer-operations role with modest salary growth; advancement may depend on gaining coding, auditing, or utilization-management credentials. Exact pay is not stated, so clinicians should verify compensation and progression internally.
Clinical license
Not required
Applicant reach
broad
Seniority
junior
Employment type
full-time
Date found
2026-10-21
Intelligence details
Flexible work details
- Engagement type
- Permanent
- Hours
- Full-time
- Eligible countries
- United States
- License jurisdiction
- US
- Rate period
- Annual
Listing via Himalayas.
Eligibility, licensing, and location restrictions can change. Always confirm details on the source posting before applying.
Why this is worth applying to
Worth considering for clinicians who want a remote/hybrid payer-side role and already have some billing, coding, or claims exposure. It is less compelling for clinicians seeking clinical strategy, informatics, health tech, or higher-ceiling non-clinical paths.
Who should apply
Nurses, allied health professionals, and healthcare graduates with revenue-cycle, billing, coding, Medicaid, or claims-review exposure who want to move into managed care operations.
CV angle
Frame real clinical documentation, Medicaid/CMS exposure, coding or billing familiarity, audit/review work, denial management, provider communication, and data-informed problem solving. Do not claim claims-adjudication experience unless you have it; instead show equivalent analytical and healthcare-operations evidence.
Skills to highlight
- Claims adjudication and auditing
- Medicaid and CMS billing guidelines
- Medical documentation review
- Denial management
- Data analysis and error identification
- Provider education and technical assistance
- Stakeholder communication
- Medical coding familiarity
Role summary
A payer-side claims operations role focused on auditing claim adjudications, reviewing medical documentation, resolving billing errors, applying NC Medicaid/CMS rules, and educating providers on claims submission and denial management.
We publish our own intelligence summary, never the full job description. Always confirm details with the employer when you apply.