Eligibility Operations Associate - Montgomery, AL (On-site)

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 an Eligibility Operations Associate - Montgomery, AL (On-site) 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

• Ensures the timely and successful delivery of our solutions according to customer needs and objectives
• Gains technical understanding and competency in their clients’ solution features being delivered
• Leverages tools, reports and metrics in place to proactively perform first-level analysis and provide awareness to statuses
• Builds relationships with internal and external staff to ensure client expectations are being met
• Works with technology/project teams to understand the business meaning of data in order to appropriately QA any client deliverables
• Establishes centricity with client systems to ensure data is aligned between HMS and our customer’s expectations
• Individual will lead initiatives to improve client system syncing and ensure alignment
• Partners with client, operations and other teams to ensure our product offerings and services are being delivered appropriately
• Facilitates initiatives that support recovery conversion in line with client’s goals 
• Monitors and proactively drives improvements associated with KPIs including Medical Receipt rate, fallout management, and client SLAs
• Revenue cycle management oversight

What we're looking for

• Detail oriented analysis and QA of client data files and letters 
• Ability to analyze data and use logic and process to address work-related issues and opportunities
• Ability to create and translate client-specific processes between non-technical and technical partners
• Strong communication skills, a positive attitude, and a friendly and professional approach to customers 

What you should expect in this role

• On-site work environment 5 days/week

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The pay range for this position is $35,000.00 - $50,000.00 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.