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Provider Enrollment Analyst
Gainwell TechnologiesProvider Enrollment Analyst contributing to healthcare technology solutions for clients. Supporting claims processing and evaluating adjudication decisions with adherence to policy guidelines.
About the role
Key responsibilities & impact- Help create the power in Gainwell’s processes as we develop purpose-built technologies and solutions that yield better health and human services outcomes
- Share your expertise as you support the Business Process Services team in claims processing that adheres to policy guidelines
- Meet production and quality requirements established by clients for timely claims processing
- Use policy guidelines and criteria established by leadership to evaluate why a claim errored and make an adjudication decision
Requirements
What you’ll need- Knowledge of the fundamental concepts and principles in the medical and/or insurance fields
- Basic reading and analysis skills to evaluate claims and make adjudication decisions
- Basic computer use skills
- Ability to multi-task across multiple claims to work efficiently
- Ability to work independently to meet individual production goals
Benefits
Comp & perks- Opportunities to travel through your work (0-10%)
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Claims EvaluationBasic Computer SkillsReading SkillsAnalysis Skills
Soft Skills
EfficiencyTime Management