Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.
SummaryAs
Associate Business Process Services-Mailroom & Claims Team, Nevada / Remote, 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. Here are the details on this position.
Your role in our mission - Adjudicate, research, and review complex claims and appeals
- Analyze trends and generate reports on claims and appeals activity
- Investigate and respond to claim appeals with well-supported decisions
- Represent and support appeal determinations in hearings and preparation meetings
- Ensure HIPAA compliance, maintain confidentiality, and provide team support as needed
What we're looking for - Strong verbal/written communication and literacy
- Knowledge of Microsoft products (Outlook, Word, Excel and TEAMS)
- Demonstrated ability to analyze information and think strategically
- High proficiency, with exceptional level of accuracy required
- Proven ability to work independently and as part of team
- Claims processing or other experience in healthcare, health insurance or Medicaid is preferred.
What you should expect in this role - Fully remote role
- Standard schedule: Monday-Friday, 8 hours per day
- Flexible start times between 7:00-8:00 AM based on workload
- Occasional overtime may be required, though infrequent
- Limited travel may be needed to attend and represent at Fair Hearings
The pay range for this position is $35,000.00 - $58,500.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits , and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.
Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.
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