Provider Claims Training Specialist - San Diego, CA - Remote

Provider Claims Training Specialist - San Diego, CA - Remote Gainwell Technologies is seeking a Provider Claims Training Specialist (Regional Representative) to support the provider community by delivering training, researching claims issues, and acting as liaison between providers and internal departments. The role focuses on the Medi-Cal program and involves travel within the assigned region. Summary The Provider Claims Training Specialist supports the provider community in areas including virtual and onsite visits, claims follow-up and research support, and virtual and face-to-face training development and delivery. The position requires strong communication skills, experience delivering training in-person and virtually, and availability for limited overnight travel. Your role in our mission Performs routine to complex tasks related to provider claiming, program policies, and training under minimal supervision. Provides training workshops, seminars, and program-specific group events to the provider community; acts as liaison with internal departments and customers to implement programs necessary for the Medicaid program. Provides one-on-one billing support, claim research and analysis, and targeted outreach to providers; supports provider association inquiries and events. Applies established policies and procedures to resolve provider issues and ensures compliance. Exercises independent judgment within defined practices and procedures to define appropriate actions; escalates concerns to leadership or client as defined by procedures and makes recommendations. What We're Looking For Three or more years of medical claims processing or provider billing experience, including CMS-1500 and UB-04 claim forms. Hands‑on experience researching, resolving, and educating providers on claim submission, denials, and reimbursement processes; Medi‑Cal or Medicaid experience preferred. Strong analytical, organizational, and time‑management skills, with proven ability to manage multiple provider requests efficiently. Excellent communication, presentation, and training skills for both virtual and in‑person settings, with a focus on simplifying complex billing and policy topics. Willingness and ability to travel within the assigned region to conduct provider visits, outreach events, and training sessions. What You Should Expect In This Role Work from home in the San Diego area. Travel required throughout the assigned geographic region. Reliable high‑speed internet connectivity required; employees may be required to report to the office at times. Compensation and Benefits The pay range for this position is $50,000 – $55,000 per year, with base pay varying by region, equity, and experience. All salaried, full‑time candidates are eligible for a generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. Gainwell also offers leadership and technical development academies. All salaried, full‑time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities. Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Job Details Seniority level: Associate Employment type: Full‑time Job function: Training, Administrative, and Health Care Provider Industries: Hospitals and Health Care, Insurance, and Community Services #J-18808-Ljbffr Gainwell Technologies