Remote Healthcare Claims Analyst & Invoicing Specialist

Gainwell Technologies LLC; Ohio; À distance; USD 45 000 - 64 000; Plein temps

Avantages offerts par ce poste

Education assistance

Leadership academies

Generous vacation policy

Résumé du poste

Gainwell Technologies LLC, HMS, a Gainwell Company, seeks an Early Career Operations Business Analyst to support posting payments and AR reconciliation for medical claims across paper and electronic EOBs. This remote role emphasizes collaboration with client teams and adherence to SLAs while building your technical credentials.

You will generate monthly invoices via PeopleSoft, analyze posting errors, and participate in requirements gathering to improve business processes.

Qualifications

• Bachelor’s degree in Business, Healthcare Administration, Finance, or a related field; OR 3–5 years of experience in medical claims posting and reconciliation.
• Solid understanding of medical and pharmacy claims adjudication and Medicaid reclamation claims.
• Proficiency in SQL and ability to extract and analyze data from relational databases.
• Familiarity with PeopleSoft Finance or similar enterprise financial systems.
• Experience working with healthcare data analytics or reporting tools.
• Prior experience in a remote or hybrid work environment.
• Knowledge of healthcare payment cycles and insurance reimbursement processes.

Responsabilités

• Post payments to medical and pharmacy claims from paper and electronic EOBs daily.
• Identify, analyze, and resolve errors in claim postings and payments.
• Participate in meetings with client engagement to gather and document requirements and explore potential solutions.
• Assist in analyzing and documenting client's business requirements and processes following established approach and methodology; Plans and designs standard business processes following established approach and methodology; assists in formulating recommendations to improve and support business activities.
• Generate and distribute monthly invoices using PeopleSoft Finance based on claims posted during the reporting period.
• Create, run, and deliver posting and reconciliation reports; Maintain accurate documentation for audit and compliance purposes.
• Collaborate with other departments to resolve issues related to claims and payments.
• Work independently in a remote environment while meeting deadlines and service level agreements (SLAs).

Connaissances

SQL

PeopleSoft Finance

Healthcare data analytics

Remote work experience

Formation

Bachelor’s degree in Business/Healthcare Administration/Finance

3–5 years of experience in medical claims posting and reconciliation

Outils

PeopleSoft Finance

Description du poste

Gainwell Technologies LLC, HMS, a Gainwell Company, seeks an Early Career Operations Business Analyst to support posting payments and AR reconciliation for medical claims across paper and electronic EOBs. This remote role emphasizes collaboration with client teams and adherence to SLAs while building your technical credentials.

You will generate monthly invoices via PeopleSoft, analyze posting errors, and participate in requirements gathering to improve business processes.