Medicaid Resolutions Specialist - Tucker. GA

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 a Medicaid Resolutions Specialist - Tucker. GA at Gainwell, 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

• Demonstrated ability to work independently as well as collaboratively within a team environment.
• Excellent verbal and written communication skills, with the ability to convey information clearly and effectively.
• Proficiency in using a PC to access, retrieve, and manage information.
• Strong organizational skills with the ability to prioritize tasks and manage workloads efficiently.
• Analytical and problem-solving skills to address challenges and develop effective solutions.
• A strong work ethic paired with effective time management abilities.
• Proficiency in Microsoft Office Suite (e.g., Word, Excel, Outlook, and PowerPoint).
• Willingness to participate in meetings as needed to support team and organizational goals.
• Utilize various system data bases in order to appropriately adjudicate a suspended claim.
• Respond to emails quickly and precisely.

What we're looking for

• High School Diploma or GED.
• Minimum of 2 years of experience in customer service or claims processing, or a related field.
• Review and research suspended Medicaid claims and adjudicate them per DCH policy.
• Adhere to strict guidelines including HIPAA, company security, and company ethics.
• Intermediate understanding of Microsoft Office products.

What you should expect in this role

• This is a remote position based in Tucker, GA.
• Training must be completed on-site (2 weeks).
• The work and training schedule is Monday through Friday, from 8:00 AM to 4:30 PM EST.
• Video cameras must be used during all interviews, as well as during the initial week of orientation.

Work/Training Location:

Gainwell Technologies
100 Crescent Centre Parkway, Suite 1100
Tucker, GA 30084
 

#LI-REMOTE #LI-JA1 #LI-CM1
 

The pay range for this position is $30,500.00 - $43,500.00 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 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.