Provider Enrollment Analyst
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Job Description
Provider Enrollment Analyst contributing to healthcare technology solutions for clients. Supporting claims processing and evaluating adjudication decisions with adherence to policy guidelines.
Responsibilities:
- 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%)
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