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Medical Claims Processor

Date:  Sep 21, 2022
Location: 

East Hartford, CT, US, 06108-3200

Req ID:  10050

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You’ll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities.

 

Summary

  • Work in an MMIS environment
  • Work financial audits to providers
  • Work provider, financial and drug rebate checks including daily deposits, balancing and research as necessary

Your role in our mission

  • Work provider, financial and drug rebate checks including daily deposits, balancing and research as necessary
  • Work adjustments, full claim voids, partial claim adjustments
  • Perform return to provider communication for claim and non- claim documents utilizing existing templates
  • Work Medicare Reconsiderations
  • Update TPL files as necessary

What we're looking for

  • Knowledge of claims processing
  • Knowledge of MMIS
  • Knowledge of paper claim forms
  • Knowledge of Third-Party Liability explanation of benefits
  • Financial background

What you should expect in this role

  • Onsite must be located in CT

 

The pay range for this position is $29,800.00- $37,200.00 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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