Medical Claims Resolution Analyst

Gainwell Technologies

Claims Resolution Analyst at Gainwell Technologies resolving medical claims in healthcare operations. Collaborating with internal teams and ensuring compliance with processing guidelines.

Posted 6/13/2026full-timeRemote • Montana • 🇺🇸 United StatesMid-LevelSenior💰 $35,000 - $50,000 per yearWebsite

About the role

Key responsibilities & impact

Review, research, and resolve medical claims in accordance with established processing guidelines and procedures.
Analyze claims issues and coordinate with internal departments to ensure timely and accurate resolution.
Prepare and process claim-related documentation, including Return to Provider (RTP) forms when required information is missing or invalid.
Manage multiple priorities while maintaining productivity, accuracy, and service-level expectations.
Communicate claim status, workload updates, and potential issues to leadership and business partners as appropriate.

Requirements

What you’ll need

Experience in healthcare insurance, medical claims processing, claims resolution, or a related healthcare operations environment.
Strong attention to detail, analytical thinking, and problem-solving skills.
Ability to multitask, prioritize work, and meet deadlines in a fast-paced environment.
Proficiency with Microsoft Office applications and the ability to navigate multiple systems to research and process claims.
Strong written and verbal communication skills, along with the ability to interpret policies, procedures, and operational guidelines.

Benefits

Comp & perks

Health benefits
401(k) employer match
Generous flexible vacation policy
Educational assistance
Leadership and technical development academies

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

medical claims processingclaims resolutionanalytical thinkingproblem-solving

Soft Skills

attention to detailmultitaskingprioritizationmeeting deadlineswritten communicationverbal communication