Gainwell Technologies
Summary
As Provider Enrollment 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. Here are the details on this position.
Your role in our mission
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
What we’re looking for
- 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
What you should expect in this role
- Opportunities to travel through your work (0-10%)
Originally posted on Himalayas
To apply for this job please visit himalayas.app.
Working in United States
The United States of America (USA), also known as the United States (U.S.) or America, is a country primarily located in North America. It is a federal republic consisting of 50 states and a federal capital district, Washington, D.C. The 48 contiguous states border Canada to the north and Mexico to the south, with the semi-exclave of Alaska in the northwest and the archipelago of Hawaii in the Pacific Ocean. The United States also asserts sovereignty over five major island territories and various uninhabited islands in Oceania and the Caribbean. It is a megadiverse country, with the world's th
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