Remote Claims Examiner: Healthcare Processing

Gainwell Technologies; Idaho; Remote; USD 29,000 - 41,000; Full time

Benefits offered by this job

Health benefits

Dental benefits

Vision benefits

401(k) matching

Flexible vacation policy

Educational assistance

Gainwell University

Job summary

Gainwell Technologies is seeking a Claims Examiner to join a team dedicated to accurate and timely processing of healthcare claims. You will analyze claims data, review and process claims to ensure compliance with policies and service standards.

Remote work from a secure US location is available, with 5-day work week, growth opportunities through Gainwell University, and comprehensive benefits from day one.

Qualifications

• Experience in claims processing or related field.
• Strong organizational skills with attention to detail and accuracy.
• Excellent written and verbal communication to interact with the team.

Responsibilities

• Review and process healthcare claims per policies and regulations.
• Document claim status, decisions, and follow-up actions for audits.
• Participate in quality control to ensure timely, accurate processing.
• Identify discrepancies and coordinate with teams to resolve issues.
• Stay updated on claims policies, regulations, and service requirements.

Skills

Inclaims processing

Strong organizational skills

Written and verbal communication

Time management in high-paced env

Microsoft Office Suite

Claims processing software

Tools

Microsoft Office Suite

Claims processing software

Job description

Gainwell Technologies is seeking a Claims Examiner to join a team dedicated to accurate and timely processing of healthcare claims. You will analyze claims data, review and process claims to ensure compliance with policies and service standards.

Remote work from a secure US location is available, with 5-day work week, growth opportunities through Gainwell University, and comprehensive benefits from day one.