Gainwell Technologies · 1 day ago
Provider Claims Training Specialist - San Diego, CA - Remote
United States
Full-time
Remote
Mid Level
$50K/yr - $70K/yr
3+ years expGainwell Technologies is a company that values contributions and offers career growth opportunities. The Provider Claims Training Specialist supports the provider community by delivering training and acting as a liaison between providers and internal departments, ensuring compliance with program policies.
Health CareInformation Technology
Hiring Manager
Craig Murphy
Responsibilities
Under minimal supervision, performs routine to complex tasks that are related to provider claiming, program policies, and training
Provides training (workshops, seminars, program specific group events) to the provider community and acts as liaison with our internal departments and the customer to implement programs that are necessary for the Medicaid program
Provides one-on-one billing support, claim research and analysis, and targeted outreach to providers; supports provider association inquiries and events
Applies knowledge of established policies and procedures to resolve provider issues, and to work with the customer to ensure compliance
Exercises independent judgment within defined practices and procedures to define appropriate actions; escalates areas of concern to leadership/the client as defined by procedures; evaluates unique circumstances and makes recommendations
Qualification
Required
Three or more years of medical claims processing or provider billing experience, including working knowledge of CMS-1500 and UB-04 claim forms
Hands-on experience researching, resolving, and educating providers on claim submission, denials, and reimbursement processes; Medi-Cal or Medicaid experience preferred
Strong analytical, organizational, and time management skills, with proven ability to manage multiple provider requests efficiently
Excellent communication, presentation, and training skills for both virtual and in-person settings, with a focus on simplifying complex billing and policy topics
Willingness and ability to travel within the assigned region to conduct provider visits, outreach events, and training sessions
Preferred
Medi-Cal or Medicaid experience preferred
Benefits
Generous, flexible vacation policy
A 401(k) employer match
Comprehensive health benefits
Educational assistance
Variety of leadership and technical development academies
Company
Gainwell Technologies
Gainwell Technologies is a provider of Information Technology & Services. It is a sub-organization of Veritas Capital.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$1M2023-06-06Grant· $1M
Leadership Team
Paul N. Saleh
President and Chief Executive Officer
Gary Call
Chief Medical Officer
Recent News
bloomberglaw.com
2025-12-12
GlobeNewswire
2025-12-11
Company data provided by crunchbase