Medical Claims Resolution Analyst
G
Gainwell TechnologiesHealthcare
United States, Monday through Friday, 8:00 AM to 5:00 PM MTFull-TimeMiddle
Salary35,000 - 50,000 USD per year
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Job Details
- Required Skills
- Microsoft OfficeDocumentationAnalytical SkillsProblem Solving
Requirements
- Experience in healthcare insurance, medical claims processing, claims resolution, or a related healthcare operations environment.
- Strong attention to detail, analytical thinking, and problem-solving skills.
- Ability to multitask, prioritize work, and meet deadlines in a fast-paced environment.
- Proficiency with Microsoft Office applications.
- Ability to navigate multiple systems to research and process claims.
- Strong written and verbal communication skills.
- Ability to interpret policies, procedures, and operational guidelines.
Responsibilities
- Review, research, and resolve medical claims in accordance with established processing guidelines and procedures.
- Analyze claims issues and coordinate with internal departments to ensure timely and accurate resolution.
- Prepare and process claim-related documentation, including Return to Provider (RTP) forms when required information is missing or invalid.
- Manage multiple priorities while maintaining productivity, accuracy, and service-level expectations.
- Communicate claim status, workload updates, and potential issues to leadership and business partners as appropriate.
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