SummaryAs a
Senior Business 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 missionPlay a critical part in ensuring Gainwell is meeting our clients' objectives in important areas.
- Post payments to medical and pharmacy claims from paper and electronic EOBs daily.
- Reconcile AR and correct any discrepancies or posting issues.
- Identify, analyze, and resolve errors in claim postings and payments.
- Participates in meetings with client engagement to gather and document requirements and explore potential solutions.
- Assists in analyzing and documenting client's business requirements and processes following established approach and methodology; communicates these requirements to technical personnel.
- Reconcile AR and correct any discrepancies or posting issues.
- Identify, analyze, and resolve errors in claim postings and payments.
- Participates in meetings with client engagement to gather and document requirements and explore potential solutions.
- Assists in analyzing and documenting client's business requirements and processes following established approach and methodology; communicates these requirements to technical personnel
What we're looking for- Bachelor's degree in Business, Healthcare Administration, Finance, or a related field; OR 3-5 years of experience in medical claims posting and reconciliation.
- Solid understanding of medical and pharmacy claims adjudication and Medicaid reclamation claims.
- Proficiency in SQL and ability to extract and analyze data from relational databases.
- Familiarity with PeopleSoft Finance or similar enterprise financial systems.
- Strong critical thinking and problem-solving skills; able to troubleshoot independently.
- Experience with FTP protocols and secure file transfer.
- Excellent written and verbal communication skills.
- Strong attention to detail and organizational skills.
What you should expect in this role- Fully remote opportunity from most US locations
- Video cameras must be used during all interviews, as well as during the initial week of orientation
- This posting is intended for pipelining. This is a developing position therefore the job description is subject to change.
#LI-HC1
The pay range for this position is $69,400 - $99,200 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 HMS, a Gainwell Company. 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.
