Gainwell Technologies

Provider Enrollment Lead - Remote US

Gainwell Technologies$70K — $95K *
US-AnywhereRemote in New Jersey, US
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 5-7 years of experience in healthcare enrollment or related field
  • Strong understanding of medical and insurance principles
  • Ability to analyze claims effectively
  • Proficient in basic computer applications and tools
  • Demonstrated ability to work independently and manage time efficiently

Responsibilities

  • Support claims processing as part of the Business Process Services team
  • Ensure compliance with clients' production and quality standards
  • Evaluate denied claims using policy guidelines
  • Make decisions on claim adjudication based on established protocols
  • Manage multiple claims simultaneously to maintain workflow efficiency

Benefits

  • Employee-centered remote work environment
  • Opportunities for professional development
  • Flexible travel requirements (minimal)
  • Contribution to meaningful health and human services outcomes
  • Collaboration with innovative teams dedicated to problem-solving
Full Job Description
Summary

As Provider Enrollment Lead - Remote US, 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

Help create the power in Gainwell's processes as we develop purpose-built technologies and solutions that yield better health and human services outcomes.
  • Share your expertise as you support the Business Process Services team in claims processing that adheres to policy guidelines
  • Meet production and quality requirements established by clients for timely claims processing
  • Use policy guidelines and criteria established by leadership to evaluate why a claim errored and make an adjudication decision


What we're looking for

  • Knowledge of the fundamental concepts and principles in the medical and/or insurance fields
  • Basic reading and analysis skills to evaluate claims and make adjudication decisions
  • Basic computer use skills
  • Ability to multi-task across multiple claims to work efficiently
  • Ability to work independently to meet individual production goals


What you should expect in this role

  • Opportunities to travel through your work (0-10%)

About Gainwell Technologies

Gainwell Technologies offerings including Medicaid Management Information Systems (MMIS), fiscal agent services, program integrity, care management, immunization registry, and eligibility services. With over 50 years of proven experience, Gainwell carries forward a reputation for technological innovation, service excellence, and unparalleled industry expertise in offering clients scalable and flexible health and human services solutions for their most complex challenges.

Gainwell Technologies Careers

There has never been a more opportune time to join Gainwell Technologies, a leader in providing cutting-edge technology solutions. As a hub of innovation and diversity, Gainwell Technologies offers a plethora of job opportunities aimed at enhancing the digital landscape.

Work You’ll Do

Join Gainwell Technologies' esteemed team to assist some of the most prominent organizations in mastering their technological advancements and digital transformations. At Gainwell Technologies, the focus is on leveraging a unique blend of technology, industry expertise, and digital innovation to lead the market. Professionals at Gainwell Technologies are positioned uniquely at the crossroads of technology and consulting, driving leadership and growth in various sectors through transformative solutions.

Gainwell Technologies Professional Growth and Opportunities

The team is dedicated to building a leading-edge environment that fosters professional growth and innovation. Gainwell Technologies is not just about addressing the current needs of the market but also about foreseeing and shaping the future of technology.

Innovative Work

At Gainwell Technologies, employees engage in groundbreaking work at the intersection of technology and practical application. The company is home to a large group of dedicated professionals who are committed to delivering robust solutions on trusted platforms.

Career Advancement

Embark on a career journey with Gainwell Technologies where the sky is the limit. The company supports ambitious professionals with comprehensive training, development programs, and diverse certification opportunities designed to future-proof careers in the technology sector.

Explore Job Opportunities and Culture

Gainwell Technologies is committed to creating a workplace culture that promotes diversity and inclusion, where every team member’s contribution is valued. Explore various job opportunities, from internships to full-time positions, and become part of a team that values innovation and leadership.

The Gainwell Technologies Commitment to Diversity and Professional Development

Gainwell Technologies recognizes the importance of diversity training and professional development in creating a thriving workplace. The company is dedicated to providing employees with the resources they need to succeed in their careers and contribute to the industry effectively.

Stay Connected with Gainwell Technologies Careers

Join the Team

Discover open positions that align with your skills and interests. Gainwell Technologies is on the lookout for passionate, curious, and creative professionals who are driven to find solutions and excel in their careers. SEARCH GAINWELL TECHNOLOGIES JOBS

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Learn more about Gainwell Technologies
Size
10,001 employees
Industry

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