Provider Services Analyst - Remote US

Gainwell Technologies LLC•Any city, OH

22h•$51,700 - $73,800•Remote

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. As a PSA Medicaid, Analyst 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

3+ years of healthcare billing, audit, or AR experience preferred; strong analytical and problem-solving skills.
Proficient in Microsoft Word and Excel; quick to learn provider AR systems and payer standards.
Able to manage multiple priorities independently under tight deadlines.
Detail-oriented, adaptable to changing regulations, and committed to quality and compliance (e.g., HIPAA).
Willingness to travel up to 25% and work extended hours as needed.

Responsibilities

Conducts on-site and remote financial account analysis to identify overpayments, discrepancies, and billing errors.
Reviews provider Aged Trial Balance and Debit Adjustment reports to select claims for audit.
Communicates with provider personnel throughout the audit process and delivers summary reports.
Identifies refund trends and recommends data mining opportunities to optimize revenue.
Prepares and shares credit balance worksheets and audit findings with providers and internal teams.