Health Insurance Claims Analyst - Williston, VT HYBRID

Gainwell Technologies LLC•Williston, VT

7d•$35,000 - $50,000•Hybrid

About The Position

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Come join our Gainwell Financial Services team in Vermont! The team performs a wide variety of financial and third-party liability functions for Vermont-run health insurance programs. You’ll start by learning all about how we enable Vermont to save money through the coordination of benefits activities with other insurers. Review and identification of Casualty and Trauma cases are also performed, and recovery efforts are coordinated with an outside entity. The work is varied and challenging and requires someone who wants to use their talents to help us recover funds and to perform billing, reconciliation, and reporting of those activities. This position offers full benefits including a flexible vacation to ensure a work-life balance that supports a highly motivated team.

Requirements

1–2 years of experience in medical claims billing preferred.
Strong written and verbal communication skills.
Demonstrated problem-solving abilities.
Exceptional attention to detail.

Responsibilities

Review, research, and update health insurance coverage; submit and bill medical claims to insurance carriers when new coverage is identified, and follow up on returned denials and payments.
Conduct casualty and trauma claim reviews.
Manage premium payments to external carriers and reconcile any premium discrepancies.