Edit Clerk

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. Gainwell

empowers you to help clients deliver better health and human services outcomes using innovative technology and solutions, enabling you to design your career for growth, new possibilities, and refinement of your

valuable skills. Here are the details on this position.

Your role in our mission

•    Review Medi-Cal dental treatment authorization request (TAR) and claim submissions for completion and compliance with policies and procedures

•    Update TAR/claim information, such as Provider number and/or Member information 

•    Send Resubmission Turnaround Documents (RTDs) to dental providers to correct mistakes and/or provide additional information

•    Support dental consultants and paraprofessionals in the process of adjudication

What we're looking for

•    A minimum of two (2) years prior experience in a dental billing or claims processing environment

•    Expertise to support TAR/claim adjudication

•    Strong communication skills (oral and written)

•    Strong typing skills

What you should expect in this role

•    Must be a resident of the state of California

•    Hybrid work environment 2 days a week in the office with the remainder of time remote work. The office is located in the Roseville/Sacramento area.