Claims Examiner Assistant

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🔥 0 minutes ago

🏈 Alabama – Remote

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💵 $32.7k - $46.7k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

🦅 H1B Visa Sponsor

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Logo of Gainwell Technologies

Gainwell Technologies

10,000+ employees

💼 Consulting

📦 Logistics

⚕️ Healthcare Insurance

💰 Grant on 2023-06

Consulting • Logistics • Healthcare Insurance

Gainwell Technologies is the nation’s leading provider of digital and cloud-enabled solutions across the human services and public health ecosystem. With a mission-driven approach, Gainwell serves clients in all 50 U. S. states, focusing on improving health outcomes and delivering intuitive, human-centered experiences. Their comprehensive suite of solutions includes Medicaid Enterprise modernization, data analytics, provider services, and pharmacy solutions, all designed to advance the future of healthcare and enhance community well-being.

📋 Description

• Review, research, and resolve medical and dental claims according to established processing guidelines and procedures • Analyze claims issues and collaborate with internal departments for timely and accurate resolution • Manage multiple priorities while maintaining productivity, accuracy, and service-level expectations • Communicate claim status, workload updates, and potential issues to leadership and business partners • Investigate and process claim-related issues using multiple systems and tools • Handle sensitive and confidential information according to company policies and procedures

🎯 Requirements

• Experience in healthcare insurance, medical claims processing, claims resolution, or a related healthcare operations environment • Strong attention to detail, analytical thinking, and problem-solving skills • Ability to multitask, prioritize work, and meet deadlines in a fast-paced environment • Proficiency with Microsoft Office applications • Ability to navigate multiple systems to research and process claims • Strong written and verbal communication skills • Ability to interpret policies, procedures, and operational guidelines

🏖️ Benefits

• Work flexibility • Learning and career development • Generous, flexible vacation policy • 401(k) employer match • Comprehensive health benefits • Educational assistance • Leadership and technical development academies

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