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Gainwell Technologies
Claims Examiner -VT
Williston, VT
Sep 20, 2024
Full Job Description

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.

Summary

As Claims Examiner -VT, 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.

Your role in our mission

  • Reconcile claims reports. Review and research claims based on claims processing guidelines.
  • Refer claims to the appropriate department. Prepare Return to Provider (RTP) forms as necessary when required claim information is missing or is invalid.
  • Sort and scan claims reconsiderations. Work on any keying errors previously identified that need to be corrected by pulling the paper batches and rescan the claims.
  • Compile information into spreadsheets. Recycle paper claims.
  • Access specific files when requested by different departments as well as control the flow of documents in and out of the department.

What we're looking for

  • Attention to detail. Ability to multitask
  • Highly organized
  • Proficiency in Microsoft Excel and Outlook
  • Oral and written communication skills.
  • Flexibility

What you should expect in this role

  • This is an on-site position.

#LI-ON-SITE #li-JW1

The pay range for this position is $35,000.00 - $50,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.

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Claims Examiner -VT
Gainwell Technologies
Williston, VT
Sep 20, 2024
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