[Hiring] Medical Claims Resolution Analyst @Gainwell Technologies LLC

Role Description

As Medical Claims Resolution Analyst - Remote US, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges.

• Help create the power in Gainwell’s processes as we develop purpose-built technologies and solutions that yield better health and human services outcomes.
• Share your expertise as you support the Business Process Services team in claims processing that adheres to policy guidelines.
• Meet production and quality requirements established by clients for timely claims processing.
• Use policy guidelines and criteria established by leadership to evaluate why a claim errored and make an adjudication decision.

Qualifications

• Knowledge of the fundamental concepts and principles in the medical and/or insurance fields.
• Basic reading and analysis skills to evaluate claims and make adjudication decisions.
• Basic computer use skills.
• Ability to multi-task across multiple claims to work efficiently.
• Ability to work independently to meet individual production goals.

Requirements

• Opportunities to travel through your work (0-10%).
• The pay range for this position is $32,700.00 - $46,700.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.

Benefits

• Generous, flexible vacation policy.
• 401(k) employer match.
• Comprehensive health benefits.
• Educational assistance.
• A variety of leadership and technical development academies to help build your skills and capabilities.