Claims and Financial Analyst - Hybrid - Farmington, CT

Gainwell Technologies LLC•Farmington, CT

26d•$29,100 - $41,600•Hybrid

About The Position

As a Claims and Financial Analyst - Hybrid - Farmington, CT at Gainwell, 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

Knowledge of claims processing with an understanding of claim review, adjudication, payment, denial, and related processing procedures.
Knowledge of accounts receivable and third-party liability, including Medicare and Other Insurance, with the ability to review and reconcile financial information and supporting documentation.
Proficiency in Microsoft Excel for maintaining records, organizing data, performing basic calculations, and supporting financial and claims-related activities.
Proficiency in Microsoft Word for preparing, updating, and maintaining professional documents, reports, and correspondence.
Proficiency in Microsoft Outlook for managing email communications, calendars, scheduling, and day-to-day business correspondence.

Nice To Haves

The position will also serve as a back-up courier one day/week with a need to drive a company vehicle/van to perform daily bank and USPS stops.

Responsibilities

Adjudicate claims by reviewing claim information, applicable guidelines, and supporting documentation to ensure accurate and timely processing and appropriate payment or denial decisions.
Process incoming financial transactions accurately and efficiently, ensuring transactions are properly documented, recorded, and handled in accordance with established procedures.
Balance and process incoming checks and electronic funds transfers (EFTs) by verifying amounts, reconciling transactions, identifying discrepancies, and ensuring funds are accurately applied to the appropriate accounts.
Review Medicare Explanation of Benefits (EOBs), Other Insurance EOBs, and transactional files to support claims processing, identify discrepancies, and assist with audits and financial reconciliation activities.
Provide mailroom and courier support by receiving, sorting, distributing, and processing incoming and outgoing materials while maintaining accurate documentation and timely delivery of required items.