We are looking for a detail-oriented Data Entry Clerk to support daily administrative and recordkeeping activities in North Carolina. This Long-term Contract position is ideal for someone who works accurately, manages information efficiently, and communicates effectively across email and internal teams. The role focuses on maintaining organized documentation, processing data with consistency, and helping ensure business records remain complete and up to date.<br><br>Responsibilities:<br>• Enter, update, and verify information in company systems with a strong focus on accuracy and timeliness.<br>• Review documents for completeness, correct inconsistencies, and maintain reliable digital and physical records.<br>• Use Microsoft Excel and Word to prepare, format, and manage reports, logs, and routine documentation.<br>• Handle email correspondence in a clear and organized manner and respond to basic internal or customer-related inquiries.<br>• Scan, file, and organize records so that information can be retrieved quickly when needed.<br>• Perform basic numerical checks and calculations to support data accuracy and administrative processing.<br>• Provide courteous customer service while assisting with information requests and record-related questions.<br>• Support general office coordination by maintaining orderly files and completing assigned clerical tasks efficiently.
We are looking for a detail-oriented Medical Claims Analyst to join a team supporting Medicaid audit and claims review activities in Raleigh, North Carolina. This contract opportunity is ideal for someone who can evaluate provider billing practices, examine payment accuracy, and contribute to compliance-focused reviews with growing independence. The role offers the chance to apply analytical judgment, strengthen audit documentation, and help improve the integrity of Medicaid-related claims operations.<br><br>Responsibilities:<br>• Review provider billing records and medical claim activity to identify discrepancies, validate payments, and assess adherence to Medicaid guidelines<br>• Carry out structured audit procedures for claims, denials, rejected claims, and billing documentation to support program integrity efforts<br>• Interpret applicable Medicaid requirements and federal regulatory standards when analyzing audit results and determining potential issues<br>• Develop clear working papers, summaries, and preliminary findings that accurately document testing performed and conclusions reached<br>• Partner with internal stakeholders to clarify claim exceptions, address audit questions, and support corrective action recommendations<br>• Analyze medical billing and Medicaid claim data to detect patterns, trends, and areas requiring additional review<br>• Contribute to compliance examinations involving provider assessments, payment verification, and operational claim review activities
We are looking for a Medical Claims Analyst to join our team in Raleigh, North Carolina on a Contract to permanent basis. This position is ideal for a detail-oriented individual who can evaluate Medicaid-related claims activity, support audit initiatives, and help maintain compliance with healthcare payment standards. The role offers the opportunity to work independently on analytical reviews while partnering with internal teams to strengthen accuracy, documentation, and regulatory alignment.<br><br>Responsibilities:<br>• Review provider records and claims activity to assess payment accuracy and identify discrepancies requiring follow-up.<br>• Perform audit procedures tied to Medicaid claims, billing practices, denials, and rejected claims to support program integrity efforts.<br>• Interpret Medicaid rules and applicable federal guidance when evaluating findings and determining compliance outcomes.<br>• Prepare organized workpapers, summaries, and preliminary reports that clearly document testing results and supporting analysis.<br>• Investigate claim issues and collaborate with stakeholders to address exceptions, recommend corrective actions, and support resolution plans.<br>• Analyze medical billing and reimbursement data to detect trends, payment concerns, and areas of potential financial risk.<br>• Support compliance reviews involving provider activity, claim adjudication, and payment validation across assigned cases.