Fully Remote Claim Processor-Healthcare

It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. As aClaims Examinerat Gainwell, you will be part of a team dedicated to supporting the accurate and timely processing of claims. In this role, you will analyze claims data, review and process claims to ensure compliance with claims guidelines and service standards.

Review and process healthcare claims in alignment with policies and regulations, ensuring accuracy and compliance.

Document claim status, decisions, and follow-up actions, maintaining organized records for audit and reporting.

Participate in quality control processes, ensuring claims are processed in a timely and accurate manner.

Identify claim discrepancies and work with relevant teams to resolve issues efficiently.

Maintain up-to-date knowledge of claims policies, industry regulations, and service requirements.

Previous experience inclaims processingor a related field.

Proficiency inMicrosoft Office Suiteand claims processing software.

Work remotelyfrom secure location within the United States, such as a home office, working 5 days per week.

Collaborate with internal teams to improve claims processing workflows and resolve claim discrepancies.

Opportunity to contribute to quality improvement initiatives in claims processing.

Health, dental, and vision benefits begin on day one, with 401(k) matching and additional benefits available.

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#The pay range for this position is$28,500.00-$40,700.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. 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.

You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

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. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.

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