Justice Involved Outreach Specialist - Remote CA jobs in United States
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Gainwell Technologies · 1 day ago

Justice Involved Outreach Specialist - Remote CA

Gainwell Technologies is an industry leader in healthcare solutions, and they are seeking a Justice Involved Outreach Specialist to enhance communication and support the provider community. This role involves managing inquiries, conducting training sessions, and analyzing data to improve processes and provider experiences.

Health CareInformation Technology

Responsibilities

Under minimal supervision, using independent judgement, respond to inquiries from clients, providers, and internal stakeholders with professionalism and accuracy. Handle claims research, billing support, and issue resolution to build trust and maintain strong relationships. Apply knowledge of policies and procedures to resolve issues and ensure adherence to program standards
Plan and deliver training sessions (including workshops, seminars, program specific group events)—both virtual and in-person—covering billing processes, policy updates, and program requirements. Act as a liaison between providers and internal departments to develop training material and implement initiatives that support program goals
Provide one on one billing support, claim research and analysis. Coordinate the flow of correspondence, ensuring clarity, accuracy, and timely responses. Maintain organized communication channels to support collaboration across teams
Research claim trends, analyze data, and provide actionable insights to improve processes and provider experience
Support schedule development, track/own progress of training and outreach deadlines. Escalate risks or delays to keep initiatives on track

Qualification

Healthcare industry experienceClaims processing knowledgeTraining delivery skillsAnalytical skillsProject management capabilitiesIndependent judgementCommunication skillsOrganizational skills

Required

Excellent verbal and written communication, presentation, and training skills for diverse audiences (virtual and in person settings), with a focus on simplifying complex billing and policy topics
Three or more years' experience in the healthcare industry in insurance, provider support, IT and operations
Ability to work independently and exercise judgement
Hands-on experience with researching, resolving, educating providers on claims processing, billing, and reimbursement
Strong analytical and organizational skills with the ability to manage multiple priorities; including basic project management capabilities for scheduling and progress tracking of training and outreach tasks
Willingness to travel within one or more geographic regions to support outreach and training needs
Must be a resident of the state of California
Travel required throughout one or more geographic regions to support outreach, training and other provider and account needs
For positions assigned to WFH, reliable high-speed internet connectivity is required

Preferred

Provider billing experience and working knowledge of CMS-1500 and UB-04 claim forms
Medi-Cal or Medicaid experience

Benefits

Generous, flexible vacation policy
401(k) employer match
Comprehensive health benefits
Educational assistance

Company

Gainwell Technologies

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Gainwell Technologies is a provider of Information Technology & Services. It is a sub-organization of Veritas Capital.

Funding

Current Stage
Late Stage
Total Funding
$1M
2023-06-06Grant· $1M

Leadership Team

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Paul N. Saleh
President and Chief Executive Officer
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Gary Call
Chief Medical Officer
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Company data provided by crunchbase