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Claims Resolution Specialist

🔥 0 minutes ago

🔔 Pennsylvania – Remote

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đź’µ $35k - $50k / year

⏰ Full Time

🟡 Mid-level

đźź  Senior

đź“‹ Claims Specialist

🦅 H1B Visa Sponsor

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Logo of Gainwell Technologies

Gainwell Technologies

10,000+ employees

⚕️ Healthcare Insurance

đź’° Grant on 2023-06

Healthcare Insurance • Human Services • Healthcare

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.

đź“‹ Description

• Provide exceptional customer support for incoming and outgoing Provider Claims processing • Review, research, and process claims • Refer claims to appropriate department and prepare RTP forms • Maintain accurate workload tracking and communicate status updates

🎯 Requirements

• Strong attention to detail and accuracy • Ability to multitask effectively • Proficiency in Microsoft Office Suite • Experience using multiple systems for research • Experience in healthcare insurance and/or medical claims • Must reside in Pennsylvania

🏖️ Benefits

• Comprehensive health benefits • 401(k) employer match • Flexible vacation policy • Educational assistance • Leadership and technical development academies

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