Provider Enrollment Analyst

🔥 37 minutes ago

🏰 Missouri – Remote

🏰 Missouri – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

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Gainwell Technologies

WebsiteLinkedInAll Job Openings

10,000+ employees

⚕️ Healthcare Insurance

💰 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.

📋 Description

• 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

🎯 Requirements

• 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

🏖️ Benefits

• Opportunities to travel through your work (0-10%)