Hybrid Medicaid Claims & Data Capture Specialist

Gainwell Technologies LLC; Tallahassee (FL); Hybrid; USD 33,000 - 47,000; Full time

Benefits offered by this job

Health benefits (medical, dental, and视

401(k) with company match

Flexible vacation policy

Career growth and development

Company-provided computer

Job summary

Gainwell Technologies LLC in Tallahassee, FL is seeking a hybrid Claims Adjustments and Data Capture Clerk. You will process Florida Medicaid adjustment requests and support data capture operations using FormWorks, ensuring accurate entry into processing systems.

The role emphasizes attention to detail, strong communication, and the ability to meet daily deadlines while collaborating with teams across Claims Adjustments and Data Capture to support client needs.

Qualifications

• High school diploma or equivalent required.
• Experience with Florida Medicaid or healthcare claims preferred.
• Strong attention to detail and accuracy in processing.
• Excellent verbal and written communication skills and reliability.

Responsibilities

• Process Florida Medicaid Claims Adjustment requests including expenditures, AR, claim history, and denials.
• Support Data Capture operations and data entry using FormWorks.
• Review source documents and accurately capture claim information.
• Process daily Data Capture reports on time and meet deadlines.
• Assist with high-dollar force-pay claims and priority workloads.
• Cross-train between Claims Adjustments and Data Capture as needed.

Skills

High school diploma

Healthcare claims experience

Attention to detail

Excellent communication

Basic computer skills

Education

High school diploma or equivalent

Job description

Gainwell Technologies LLC in Tallahassee, FL is seeking a hybrid Claims Adjustments and Data Capture Clerk. You will process Florida Medicaid adjustment requests and support data capture operations using FormWorks, ensuring accurate entry into processing systems.

The role emphasizes attention to detail, strong communication, and the ability to meet daily deadlines while collaborating with teams across Claims Adjustments and Data Capture to support client needs.