Healthcare Claims Assistant

  • Location: Raleigh, North Carolina
  • Remote: Remote
  • Type: Contract
  • Job #6366

DataStaff is in immediate need of a Healthcare Claims Assistant for one of our direct clients in the Raleigh, NC area for a long-term contract opportunity.

This role will be HYBRID. You will report to the onsite 2 days a month. All other days are remote.


  • Process provider enrollment applications to ensure new and currently enrolled providers are within compliance within regulations. 
  • Validate the qualifications of licensed professionals, organizational members or organizations
  • Render a determination that an organization or entity meets the established qualifications, requirements and/or standards to provide a service or procedure as outlined in the State business rules/desk procedures.
  • Perform and assess the background check through Lexis Nexis, AAR and PPTD.
  • Perform source verification of licensure, certification, endorsements and accreditation's through Lexis Nexis or State Licensure Board.
  • Deny providers that do not meet the requirements.
  • Meet performance quality standards on a daily basis.
  • Meet performance quantity standards on a daily basis.

Required Skills:

  • Requires 2 years administrative experience
  • Knowledge of NC Medicaid or Healthcare
  • Working knowledge of NCTracks
  • Working knowledge of provider enrollment requirements
  • Proficient with Microsoft suite

Desired Skills:

  • Credentialing experience
  • Customer service experience
  • Experience working with fax machines, computer software, and telephone technology
  • Attention to detail
  • Strong verbal and written communication
  • Ability to follow oral and written directions

This opportunity is available as a W2 position with a competitive benefits package. DataStaff, Inc. offers medical, dental and vision coverage options as well as paid vacation, sick and holiday leave.  As many of our opportunities are long-term, we also have a 401K program available for employees after 6 months.

Complete the application form below to Apply for this Healthcare Claims Assistant position today.

Attach a resume file. Accepted file types are DOC, DOCX, PDF, HTML, and TXT.

We are uploading your application. It may take a few moments to read your resume. Please wait!