Provider Enrollment Analyst - Remote US

<span class="jobdescription"><div><div style="padding:10.0px 0.0px;border:1.0px solid transparent"><div style="font-size:18.0px;word-wrap:break-word"><h2 style="font-size:1.0em;margin:0.0px"><b>Summary</b></h2> </div><div><p><span style="font-family:Arial, Helvetica, sans-serif"><span style="font-size:14.0px">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.</span></span></p> </div></div><div style="padding:10.0px 0.0px;border:1.0px solid transparent"><div style="font-size:18.0px;word-wrap:break-word"><h2 style="font-size:1.0em;margin:0.0px"><b>Your role in our mission</b></h2> </div><div><p><span style="font-size:14.0px"><span style="font-family:Arial, Helvetica, sans-serif">Help create the power in Gainwell’s processes as we develop purpose-built technologies and solutions that yield better health and human services outcomes.</span></span></p> <ul> <li><span style="font-size:14.0px"><span style="font-family:Arial, Helvetica, sans-serif">Share your expertise as you support the Business Process Services team in claims processing that adheres to policy guidelines </span></span></li> <li><span style="font-size:14.0px"><span style="font-family:Arial, Helvetica, sans-serif">Meet production and quality requirements established by clients for timely claims processing </span></span></li> <li><span style="font-size:14.0px"><span style="font-family:Arial, Helvetica, sans-serif">Use policy guidelines and criteria established by leadership to evaluate why a claim errored and make an adjudication decision </span></span></li> </ul> </div></div><div style="padding:10.0px 0.0px;border:1.0px solid transparent"><div style="font-size:18.0px;word-wrap:break-word"><h2 style="font-size:1.0em;margin:0.0px"><b>What we're looking for</b></h2> </div><div><ul> <li><span style="font-size:14.0px"><span style="font-family:Arial, Helvetica, sans-serif">Knowledge of the fundamental concepts and principles in the medical and/or insurance fields </span></span></li> <li><span style="font-size:14.0px"><span style="font-family:Arial, Helvetica, sans-serif">Basic reading and analysis skills to evaluate claims and make adjudication decisions</span></span></li> <li><span style="font-size:14.0px"><span style="font-family:Arial, Helvetica, sans-serif">Basic computer use skills </span></span></li> <li><span style="font-size:14.0px"><span style="font-family:Arial, Helvetica, sans-serif">Ability to multi-task across multiple claims to work efficiently </span></span></li> <li><span style="font-size:14.0px"><span style="font-family:Arial, Helvetica, sans-serif">Ability to work independently to meet individual production goals</span></span></li> </ul> </div></div><div style="padding:10.0px 0.0px;border:1.0px solid transparent"><div style="font-size:18.0px;word-wrap:break-word"><h2 style="font-size:1.0em;margin:0.0px"><b>What you should expect in this role</b></h2> </div><div><ul> <li><span style="font-size:14.0px"><span style="font-family:Arial, Helvetica, sans-serif">Opportunities to travel through your work (0-10%)</span></span></li> </ul> </div></div></div> </span>