Impactful Healthcare Claims Resolution Analyst

Gainwell Technologies LLC; United States; On-site; USD 35,000 - 50,000; Full time

Benefits offered by this job

Health benefits

401(k) match

Flexible vacation policy

Educational assistance

Job summary

Gainwell Technologies is seeking a Claims Resolution Analyst to research, resolve, and process provider claims with a focus on accuracy and compliance. You will support Medical Assistance Services programs and work with multiple systems to research and process claims.

This role operates in a fast-paced healthcare operations environment, requiring strong attention to detail, effective communication, and the ability to manage competing priorities.

Qualifications

• Experience in healthcare insurance, medical claims processing, or related healthcare operations.
• 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 and navigating multiple systems to research and process claims.
• Strong written and verbal communication skills and the ability to interpret policies and procedures.

Responsibilities

• Review, research, and resolve medical claims following processing guidelines.
• Analyze claims issues and coordinate with internal teams for timely resolution.
• Prepare and process claim documentation, including RTP forms when needed.
• Manage multiple priorities while maintaining productivity, accuracy, and SLAs.
• Communicate claim status and updates to leadership and business partners.

Skills

Healthcare claims experience

Claims processing

Attention to detail

Multitasking

Communication skills

MS Office proficiency

Tools

Microsoft Office

Job description

Gainwell Technologies is seeking a Claims Resolution Analyst to research, resolve, and process provider claims with a focus on accuracy and compliance. You will support Medical Assistance Services programs and work with multiple systems to research and process claims.

This role operates in a fast-paced healthcare operations environment, requiring strong attention to detail, effective communication, and the ability to manage competing priorities.