Medical Claims Processor

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 Medicaid Claims Resolution clerk, 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

Help create the power in Gainwell’s processes as we develop purpose-built technologies and solutions that yield better health and human services outcomes.

• Share your expertise as you support the WI Claims team in claims processing which adheres to policy guidelines
• Meet production and quality requirements established by clients for timely claims processing
• Use policy guidelines and criteria established by leadership to evaluate why a claim errored and make an adjudication decision

What we're looking for

• Knowledge of the fundamental concepts and principles in the medical and/or insurance fields
• Basic reading and analysis skills to evaluate claims and make adjudication decisions
• Basic computer use skills
• Ability to multi-task across multiple claims to work efficiently
• Ability to work independently to meet individual production goals

What you should expect in this role

Hybrid Madison, Wisconsin

Hours 7:00-3:30, 7:30-4:00, or 8:00-430

The pay range for this position is $35,000 - $50,000 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.

Job Type: Full-time

Pay: $35,000.00 - $50,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Work setting:

• Hybrid work

Ability to commute/relocate:

• Madison, WI 53714: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Medical billing: 2 years (Required)

Work Location: Hybrid remote in Madison, WI 53714

Salary : $35,000 - $50,000