Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.
Summary
As Claims Processor, 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 mission
- Clerk will be responsible in processing and keying all Claims Adjustments work such as ARs, Expenditures, Claims history, Voids etc. as requested by Supervisor/Manager to meet SLAs for the unit.
- Clerk will be responsible to key in all claims and non-claim documents in Formworks and other duties as assigned.
- Responsible for the timely monitoring and processing of adjustment transactions in FMMIS via MFAO letters (SLA could vary from same business day to specified days in the letter)
- Clerk will be responsible in processing paper and electronic 100-150 Suspended Claims daily as requested by Supervisor/Manager to meet SLAs for the unit
- Clerk must process all the work by paying attention to detail and no typos or errors. Must be proficient in Microsoft Office Excel, Word, and Adobe
What we’re looking for
- Excellent Attendance is required to meet SLA goals
- Attention to detail and accuracy will be the key factor
- Excellent verbal and written communication skills
- Ability to meet deadlines, keep a positive attitude and work independently
- Operational discipline, Professionalism, and ability to remain calm under pressure
What you should expect in this role
- 8 am to 5 pm (Mon – Fri)
- Initial 3-6 months Onsite Position
- After 6 months of excellent performance Hybrid Schedule (Both remote and coming in office in Tallahassee as needed)
- #LI-ONSITE
The pay range for this position is $28,500 – $40,700 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 Gainwell. 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.
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.
Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.