Gainwell Technologies · 7 hours ago
Medicaid Resolutions Specialist - Tucker. GA
Tucker, GA
Full-time
Remote
Entry Level
$30K/yr - $44K/yr
2+ years exp
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Responsibilities
Demonstrated ability to work independently as well as collaboratively within a team environment.
Excellent verbal and written communication skills, with the ability to convey information clearly and effectively.
Proficiency in using a PC to access, retrieve, and manage information.
Strong organizational skills with the ability to prioritize tasks and manage workloads efficiently.
Analytical and problem-solving skills to address challenges and develop effective solutions.
A strong work ethic paired with effective time management abilities.
Proficiency in Microsoft Office Suite (e.g., Word, Excel, Outlook, and PowerPoint).
Willingness to participate in meetings as needed to support team and organizational goals.
Utilize various system data bases in order to appropriately adjudicate a suspended claim.
Respond to emails quickly and precisely.
Review and research suspended Medicaid claims and adjudicate them per DCH policy.
Adhere to strict guidelines including HIPAA, company security, and company ethics.
Qualification
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Required
Demonstrated ability to work independently as well as collaboratively within a team environment.
Excellent verbal and written communication skills, with the ability to convey information clearly and effectively.
Proficiency in using a PC to access, retrieve, and manage information.
Strong organizational skills with the ability to prioritize tasks and manage workloads efficiently.
Analytical and problem-solving skills to address challenges and develop effective solutions.
A strong work ethic paired with effective time management abilities.
Proficiency in Microsoft Office Suite (e.g., Word, Excel, Outlook, and PowerPoint).
Willingness to participate in meetings as needed to support team and organizational goals.
Utilize various system databases in order to appropriately adjudicate a suspended claim.
Respond to emails quickly and precisely.
High School Diploma or GED.
Minimum of 2 years of experience in customer service or claims processing, or a related field.
Review and research suspended Medicaid claims and adjudicate them per DCH policy.
Adhere to strict guidelines including HIPAA, company security, and company ethics.
Intermediate understanding of Microsoft Office products.
Benefits
Flexible vacation policy
401(k) employer match
Comprehensive health benefits
Educational assistance
Company
Gainwell Technologies
Gainwell Technologies is a provider of Information Technology & Services. It is a sub-organization of Veritas Capital.
10,001+ employees
H1B Sponsorship
Gainwell Technologies has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2023 (37)
2022 (101)
2021 (55)
2020 (2)
Funding
Current Stage
Late StageTotal Funding
$1M2023-06-08Grant· $1M
Leadership Team
Paul N. Saleh
President and Chief Executive Officer
Jacob Sims
EVP and Chief Technology Officer
Recent News
Texas CEO Magazine
2024-06-04
Company data provided by crunchbase
