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Grievance and Appeals Specialist - Remote

Date:  Jan 25, 2023
Location: 

Any city, OH, US, 99999

Req ID:  15570

It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.

 

Summary

As a Grievance and Appeals Specialist - Remote at Gainwell, 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

  • Answers telephones and responds to highly complex customer questions and/or forwards call to appropriate personnel.
  • Researches customer inquiries and responds to appropriate parties in a timely manner.
  • Records calls, processes requests and updates account history with results of inquiry to include proper documentation.
  • Performs data entry and matches documents to appropriate accounts to ensure up to date and accurate information.
  • Reviews client reports on a weekly basis to ensure data integrity; prepares and submits report to management.

What we're looking for

  • Six or more years of customer service or other telephone experience
  • One or more years of Grievance and Appeals experience preferred
  • Experience with Medicaid preferred
  • Experience working with and skilled in the use of help desk software preferred
  • Experience working with organizational functions and personnel

What you should expect in this role

This is a 100% remote position.

#LI-REMOTE

#LI-JT1

#LI-CM1

 

The pay range for this position is $41,900.00 - $59,800.00 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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