Remotery

Provider Enrollment Analyst

Posted 1 hour ago

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

📋 Description

• Assist in generating the power within Gainwell’s operations as we develop specialized technologies and solutions that enhance health and human services outcomes.

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

• Fulfill production and quality standards set by clients for prompt claims processing.

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


⛳️ Requirements

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

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

• Fundamental computer proficiency.

• Capacity to manage multiple claims simultaneously to work effectively.

• Ability to work autonomously to achieve individual production objectives.


🏝️ Benefits

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

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