Associate Business Process Services-Mailroom & Claims Team, Nevada / Remote
Gainwell Technologies LLC
•Remote
About The Position
As Associate Business Process Services-Mailroom & Claims Team, Nevada / Remote, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges.
Requirements
- Strong verbal/written communication and literacy
- Knowledge of Microsoft products (Outlook, Word, Excel and TEAMS)
- Demonstrated ability to analyze information and think strategically
- High proficiency, with exceptional level of accuracy required
- Proven ability to work independently and as part of team
Nice To Haves
- Claims processing or other experience in healthcare, health insurance or Medicaid is preferred.
Responsibilities
- Adjudicate, research, and review complex claims and appeals
- Analyze trends and generate reports on claims and appeals activity
- Investigate and respond to claim appeals with well-supported decisions
- Represent and support appeal determinations in hearings and preparation meetings
- Ensure HIPAA compliance, maintain confidentiality, and provide team support as needed
Benefits
- flexible vacation policy
- 401(k) employer match
- comprehensive health benefits
- educational assistance
- leadership and technical development academies
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
