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Dental/Vision Prior Authorization Analyst

Date:  Jul 19, 2024
Location: 

Little Rock, AR, US, 72201-4608

Req ID:  24954

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 a Dental/Vision Prior Authorization Analyst 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

The contractor performs the day-to-day tasks and operations of the Dental and Vision programs, assists with overseeing compliance of programs, and assists with other DMS programs and duties, as needed. 

Duties include:

  1. Learning and keeping current with federal rules and guidance regarding the Dental and Vision programs.
  2. Conducting review of program documentation to ensure compliance with applicable federal and state laws and regulations.
  3. Create/ Prepares reports as needed, for use by dental and vision unit management.
  4. Assist with the resolution of provider/client complaints, when needed.
  5. Assists with claims research from MMIS and other software applications.
  6. Provides technical assistance to requesting parties by researching policy and procedure information and answers questions per protocol. 
  7. Accept and/or return telephone calls in a timely and efficient manner.
  8. Multi-tasks in a professional manner to meet changing priorities.
  9. Informs provider and recipient of claim status, as appropriate. 
  10. Tracking and processing Vision and Dental Prior Authorizations.
  11. Scanning documents to consultants and docushare network
  12. Other duties as assigned.

What we're looking for

  • Experience working with the MMIS system or other financial/billing software or systems.
  • Proficiency with Microsoft Office applications, including Excel. 
  • Experience working with reading or reviewing reports. 
  • Ability to use reasonable judgment in decision-making and problem-solving. 
  • Excellent interpersonal communication skills.

What you should expect in this role

  • This is an onsite position in Little Rock, AR
  • Eligible for hybrid remote (up to 3 days per week) only after a minimum of 6 months in office.
  • Video cameras must be used during all interviews, as well as during the initial week of orientation.


#LI-ONSITE #LI-JA1 #LI-CM1

 

The pay range for this position is $27,200.00 - $38,900.00 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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