Appeals Administrator- Anchorage, AK (Onsite)

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 Appeals Administrator- Anchorage, AK (Onsite), 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. Responsible for reviewing appeal requests for complete information, and returning incomplete requests to providers; researching appeal requests and making decisions on type of appeals; logging appeals into the existing tracking system. Responsible for performing job functions within the allotted timeframe in order to meet client requirements.

Your role in our mission

• Review and research suspended medical claim appeals
• Log appeals into the tracking system
• Maintain necessary documentation
• Participate in meetings and process improvements sessions as necessary
• Train as a back-up for other areas, such as document control, courier, and customer service desk
  
  

What We're Looking For

• Ability to work both independently and as part of a team
• Strong communication skills, with the ability to communicate clearly and effectively in writing and verbally
• Intermediate understanding of Microsoft Office products.
• Organizational, analytical and problem-solving skills
  
  

What You Should Expect In This Role

• Onsite role based in the Anchorage, AK office, requiring in-person attendance five days a week, Monday through Friday, from 8:00 AM to 5:00 PM.
  
  

The pay range for this position is $37,500.00 - $53,500.00 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 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), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.