Apply now »

Claims Resolution Clerk - Madison, WI - Hybrid

Date:  Feb 9, 2024
Location: 

Madison, WI, US, 53784-0001

Req ID:  22483

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

This resolution position supports the WI Claims team by performing reviews of outstanding claims, reviewing appeals, and corresponding with other teams on various types of errors to resolve claims needing additional review. This position requires a high level of professionalism and high detail quality. This role utilizes several computer applications and majority of the work is completed utilizing these applications along with work instructions and moderate to complex written policies.

Your role in our mission

  • Health insurance claims submission, processing experience.
  • Ability to work with several different teams, tasks, and competing deadlines to ensure all work is completed accurately.
  • Ability to ensure internal and external customers, including leadership, have a clear understanding of status of workload and any potential roadblocks.

What we're looking for

  • A minimum of 1-3 years’ experience working with claims, in either a provider billing or a health insurance processing capacity.  
  • Excellent written and verbal communication and customer service skills. Able to present information and solutions in a professional and courteous manner.
  • Self-motivated with good time management and organizational skills and quality detail oriented.
  • Ability to perform a variety of tasks, as assigned within established timelines.
  • Strong capability to use various on-line systems to research and obtain necessary information to complete job responsibilities.

What you should expect in this role

Hybrid

#LI-HYBRID

#LI-LS1

 

The pay range for this position is $43,800 - $62,500 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.

Apply now »