Associate Business Process Services-Mailroom & Claims Team, Nevada / Remote

Date: May 5, 2026

Location:

Any city, NV, US, 99999

Req ID: 35679

Work Mode: Virtual (Exception only)

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 Associate Business Process Services-Mailroom & Claims Team, Nevada / Remote, 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

Adjudicate, research, and review complex claims and appeals
Analyze trends and generate reports on claims and appeals activity
Investigate and respond to claim appeals with well-supported decisions
Represent and support appeal determinations in hearings and preparation meetings
Ensure HIPAA compliance, maintain confidentiality, and provide team support as needed

What we're looking for

Strong verbal/written communication and literacy
Knowledge of Microsoft products (Outlook, Word, Excel and TEAMS)
Demonstrated ability to analyze information and think strategically
High proficiency, with exceptional level of accuracy required
Proven ability to work independently and as part of team
Claims processing or other experience in healthcare, health insurance or Medicaid is preferred.

What you should expect in this role

Fully remote role
Standard schedule: Monday–Friday, 8 hours per day
Flexible start times between 7:00–8:00 AM based on workload
Occasional overtime may be required, though infrequent
Limited travel may be needed to attend and represent at Fair Hearings

The pay range for this position is $35,000.00 - $58,500.00 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 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), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.