Gainwell Technologies is an award-winning digital health technology company that supports the administration of healthcare and human services programs. In past
Medical Claims Resolution Analyst
Location
Montana
Posted
3 days ago
Salary
$35K - $50K / year
Seniority
Senior
Job Description
Medical Claims Resolution Analyst
Gainwell Technologies
• Review, research, and resolve medical claims in accordance with established processing guidelines and procedures. • Analyze claims issues and coordinate with internal departments to ensure timely and accurate resolution. • Prepare and process claim-related documentation, including Return to Provider (RTP) forms when required information is missing or invalid. • Manage multiple priorities while maintaining productivity, accuracy, and service-level expectations. • Communicate claim status, workload updates, and potential issues to leadership and business partners as appropriate.
Job Requirements
- Experience in healthcare insurance, medical claims processing, claims resolution, or a related healthcare operations environment.
- Strong attention to detail, analytical thinking, and problem-solving skills.
- Ability to multitask, prioritize work, and meet deadlines in a fast-paced environment.
- Proficiency with Microsoft Office applications and the ability to navigate multiple systems to research and process claims.
- Strong written and verbal communication skills, along with the ability to interpret policies, procedures, and operational guidelines.
Benefits
- Health benefits
- 401(k) employer match
- Generous flexible vacation policy
- Educational assistance
- Leadership and technical development academies
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