Provider Enrollment Analyst

This is a fully remote position, open to applicants in Missouri.

📋 Description

• Assist in generating the power behind Gainwell’s operations as we design specialized technologies and solutions that lead to improved health and human services results.

• Contribute your knowledge while supporting the Business Process Services team in claims processing that complies with policy guidelines.

• Achieve production and quality benchmarks set by clients for prompt claims processing.

• Utilize policy guidelines and criteria defined by leadership to assess the reasons for claim errors and make adjudication decisions.

⛳️ Requirements

• Understanding of essential concepts and principles in the medical and/or insurance sectors.

• Basic reading and analytical skills to assess claims and render adjudication decisions.

• Fundamental computer proficiency.

• Capacity to manage multiple claims simultaneously for effective workflow.

• Ability to work autonomously to achieve personal production targets.

🏝️ Benefits

• Opportunities for travel as part of your role (0-10%).