Key Facts

Remote From:

Full time

Mid-level (2-5 years)

English

Hard Skills

Provider Model Grievance Arbitration Client Services Medical Insurance Claims Data Management Data Entry Case Management Systems Project Collaboration Issue Management Internal Documentation +6 more

Other Skills

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Customer Service
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Clerical Works
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Report Writing
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Professionalism
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Non-Verbal Communication
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Social Skills
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Time Management
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Detail Oriented
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Relationship Building
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Problem Solving

Roles & Responsibilities

High School Diploma/GED with a minimum of 1 year clerical experience or an equivalent combination of higher education/experience
Valid driver's license
Must reside within Trillium's Catchment of North Carolina (counties included: Anson, Bertie, Beaufort, Bladen, Brunswick, Camden, Chowan, Carteret, Columbus, Craven, Currituck, Dare, Duplin, Edgecombe, Gates, Greene, Guilford, Halifax, Hertford, Hoke, Hyde, Jones, Lee, Lenoir, Martin, Montgomery, Moore, Nash, New Hanover, Northampton, Onslow, Pamlico, Pasquotank, Pender, Perquimans, Pitt, Randolph, Richmond, Robeson, Sampson, Scotland, Tyrrell, Warren, Washington, Wayne, Wilson)

Requirements:

Serve as the connection between providers and Trillium; answer questions about insurance claims, process grievances/complaints, and assist with onboarding of providers
Prepare, process, and review oral and written materials; assist in preparation of informational documents, reports and/or special projects as requested by Network Management
Develop and maintain effective channels of communication with service providers through telephone calls, prompt resolution of issues, and excellent customer service
Respond to provider inquiries within the designated call response time of one business day

Trillium Health Resources

Insurance

About Trillium Health Resources

Trillium Health Resources manages specialty behavioral health care for eastern North Carolinians across 28 counties. Trillium is committed to transforming lives and building community well-being through partnership, access to services and proven solutions designed to help those we serve reach their fullest potential. Everyone on Trillium’s staff--our care managers, call center, claims agents, project managers, and IT staff--all contribute to this mission. We offer a challenging, engaging work environment where staff take home more than a paycheck. Our performance management plan includes regular check-ins to examine individual employee goals and professional development plan. Our departments work on cross-functional, short-term projects and long ranging initiatives. Every day we see the results of our dedication, in the smiles of children on our accessible playgrounds and pride on the face of an adult cooking a meal for the first time. By joining Trillium, you are doing more than going to work…you are transforming lives. We help those with mental health conditions, intellectual and developmental disabilities, traumatic brain injury, and substance use disorders (Medicaid members and state-funded recipients) get the services they need to improve well-being and live fulfilling lives. We are dedicated to carrying out our mission by investing in the health and well-being of the communities we serve and empowering individuals with access to services, tools and resources to live a fulfilling life. Trillium reserves the right to hide material (comments, images and/or links to other sites) that contains anything vulgar or sexually explicit; is spam; advocates or depicts illegal activity; targets or disparages any ethnic, racial, other type of group; contains personal attacks of any kind; promotes private business ventures, services, or products; campaigns for public office or promotes a political organization; infringes on copyrights or trademarks; or is off topic.

Company type: SME

Industry: Insurance

Founded: 2018

Company size: 501 - 1000

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Job description

Pay Plan Title: Engagement Specialist

Working Title: Provider Relations and Engagement Specialist

FLSA Status: Non-Exempt

Posting Salary Range: $38,900 - $49,403

Office Location: Remote within Trillium’s Catchment of North Carolina (See requirements section for included counties)

POSTING DETAILS:

Make an Impact

Trillium Health Resources is a Tailored Plan and Managed Care Organization (MCO) serving 46 counties across North Carolina. We manage services for individuals with serious mental health needs, substance use disorders, traumatic brain injuries, and intellectual/development (IDD) disabilities. Our mission is to help individuals and families build strong foundations for healthy, fulfilling lives.

Why Work for Us?

Trillium believes that empowering others begins with supporting our team. We offer our employees:

A collaborative, mission-driven work environment
Competitive benefits and work-from-home options for most positions
Opportunities for professional growth in a diverse inclusive culture

Every day, our work changes lives – from children thriving through early intervention and school-based therapies, to adults with severe mental illness living independently and contributing to their communities.

If you are looking for a unique opportunity to make a tangible impact on the lives of others, apply today!

What We’re Looking For

Trillium Health Resources has a career opening for a Provider Relations and Engagement Specialist to join our team! The Provider Relations and Engagement Specialist functions as the connection between providers and Trillium. They perform a variety of tasks depending on the needs of the provider, including answering questions about insurance claims, processing grievances and/or complaints, and assisting with the onboarding of providers. The Provider Relations and Engagement Unit may often be the first interaction with the organization; therefore, the Provider Relations and Engagement Specialist must respond to the provider’s needs in a way to build a positive, professional partnership. Operating in a service-oriented manner and maintaining the highest level of customer satisfaction requires ensuring that the questions, concerns, or issues are resolved while tracking outcomes.

On a typical day, you might:

Prepare, process, and review oral and written material.
Assist in preparation of informational documents, reports and/or special projects as requested by Network Management.
Develop and maintain effective channels of communication with service providers through telephone calls, prompt resolution of issues, and excellent customer service.
Respond to provider inquiries within the designated call response time of one business day.
Gather and/or update data, such as but not limited to demographic information, provider name, and nature of question or complaint.

Employee Benefits:

Trillium knows that work/life balance is essential. That’s why we offer:

Typical working hours: 8:30 am – 5:00 pm; flexible work schedules with some roles with management approval.
Work-from-home options available for most positions
Health Insurance with no premium for employee coverage
Flexible Spending Accounts
24 days of Paid Time Off (PTO) plus 12 paid holidays in your first year
NC Local Government Retirement Pension (defined-benefit plan) https://www.myncretirement.gov/systems-funds/local-governmental-employees-retirement-system-lgers/lgers-handbook
401k with 5% employer match and immediate vesting
Public Service Loan Forgiveness (PSLF) qualifying employer
Quarterly stipend for remote work supplies

Qualifications

Required:

High School Diploma/GED and minimum of one (1) year clerical experience; OR
Equivalent combination of higher education/experience.
Must have a valid driver’s license.
Must reside within Trillium’s Catchment of North Carolina. Counties included: Anson, Bertie, Beaufort, Bladen, Brunswick, Camden, Chowan, Carteret, Columbus, Craven, Currituck, Dare, Duplin, Edgecombe, Gates, Greene, Guilford, Halifax, Hertford, Hoke, Hyde, Jones, Lee, Lenoir, Martin, Montgomery, Moore, Nash, New Hanover, Northampton, Onslow, Pamlico, Pasquotank, Pender, Perquimans, Pitt, Randolph, Richmond, Robeson, Sampson, Scotland, Tyrrell, Warren, Washington, Wayne, Wilson.
Must be able to travel within catchment as required.

Preferred:

Two (2) years’ clerical/direct customer service with six months in a call center or an insurance setting.
Twelve (12) months experience in mental health, substance abuse and developmental disabilities field.

Deadline for Application: May 15, 2026 at 11:59pm

How to Apply

To be considered, submit your application and resume through our ADP Career Center. Your resume must include:

Employer name, dates of service (month/year), average hours worked per week, and essential job duties
Education details (degree type, date awarded, institution, field of study)
Licensure/certification information, if applicable

After submission, your resume will be reviewed to ensure it meets the essential criteria for the position. You’ll be notified by HR regarding your application status as appropriate. All applicants will receive a final update once the recruitment cycle closes.

Join our Talent Community through ADP to stay informed about future opportunities. Be sure to keep your resume updated in your profile.

Trillium Health Resources is an Equal Employment Opportunity (EEO) employer and a drug-free workplace. All candidates must pass a drug test as a condition of employment.

#Innovation #Technology #Careers #NorthCarolina #BehavioralHealth

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