Provider Enrollment Analyst – Remote US

<div> <div> <div> <h2><b>Summary</b></h2> </div> <div> <p>As <b>Provider Enrollment Analyst - Remote US</b>, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Here are the details on this position.</p> </div> </div> <div> <div> <h2><b>Your role in our mission</b></h2> </div> <div> <p>Help create the power in Gainwell’s processes as we develop purpose-built technologies and solutions that yield better health and human services outcomes.</p> <ul> <li>Share your expertise as you support the Business Process Services team in claims processing that adheres to policy guidelines </li> <li>Meet production and quality requirements established by clients for timely claims processing </li> <li>Use policy guidelines and criteria established by leadership to evaluate why a claim errored and make an adjudication decision </li> </ul> </div> </div> <div> <div> <h2><b>What we're looking for</b></h2> </div> <div> <ul> <li>Knowledge of the fundamental concepts and principles in the medical and/or insurance fields </li> <li>Basic reading and analysis skills to evaluate claims and make adjudication decisions</li> <li>Basic computer use skills </li> <li>Ability to multi-task across multiple claims to work efficiently </li> <li>Ability to work independently to meet individual production goals</li> </ul> </div> </div> <div> <div> <h2><b>What you should expect in this role</b></h2> </div> <div> <ul> <li>Opportunities to travel through your work (0-10%)</li> </ul> </div> </div> </div>