Provider Enrollment Analyst

Posted 16hrs ago

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Job Description

Provider Enrollment Analyst supporting Gainwell Technologies in claims processing and innovative health solutions. Contributing individual expertise independently while meeting production and quality client requirements.

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%)