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Finance (Claims Resolution) Clerk

Company: Gainwell
Location: Reno
Posted on: November 22, 2021

Job Description:

Supports the business process services team in delivering efficient and effective outsourced processes and services within a specific industry and functional area to meet objectives and quality standards for clients. Demonstrates business knowledge and skills developed through formal job-related training or work experience. Works within established procedures with a moderate degree of supervision. Identifies issues and all contributing factors in straightforward situations, assesses each using standard procedures, and makes sound decisions. Location Hiring one clerk in Reno, NV and one clerk in Denver, CO. Both will do the same job, but will be in different offices. Essential Job Functions Performs standard, recurring processing and quality tasks in support of outsourced services within a specific industry and functional area. Demonstrates knowledge and skill in assigned work processes. Develops understanding of the client's business and applies knowledge to support efficient procedures and adherence to service level agreements. Contributes to problem identification and resolution. Interprets, audits and reconciles reports for accuracy or completeness. Prepares and maintains standard reports for management and clients. Handles company confidential data according to policy and guidelines. Adheres to existing security policies and procedures. Basic Qualifications High school diploma or G.E.D. Two or more years of experience with business process service delivery and improvement, preferably in an outsourcing environment Experience working with client company product and/or services Experience working with client company industry and/or functional area Experience working with business solutions software Other Qualifications Communication skills Personal computer and business solutions software skills Organization skills to balance and prioritize work Ability to multi-task Ability to work independently and as part of a team Work Environment Office environment Compensation for this position starts at $18.00 an hour based on individual skills and experience. At Gainwell Technologies, we---re committed to your total well-being. In addition to monetary compensation, we---re proud to offer meaningful health and financial benefits that allow you to create a personalized benefits package to meet your needs and those of your family! These benefits include a variety of medical, dental and vision plans from which to choose, company-matched 401(k) plan, flexible PTO, 11 paid holidays per year, paid sick time, and employee wellness and discount programs. How to Apply Please go to our career site to apply with us directly by following this link for the Denver location: https://jobs.gainwelltechnologies.com/Gainwell Technologies LLC/job/Denver-Senior-Assistant-Business-Process-Services-%2851006877%29-CO-80202-5267/793267000/ Please go to our career site to apply with us directly by following this link for the Reno location : https://jobs.gainwelltechnologies.com/Gainwell Technologies LLC/job/Reno-Finance-Clerk-NV-89521-3103/793278600/ Job Requirements:

  • Processing insurance claims, expediting billing and payments for insurance claims
  • Denied claims with insurance carriers
  • Assemble appropriate information regarding claims
  • Resolve claims issues to ensure prompt and accurate claims adjudication
  • Adjusting health claims in accordance with claims policies and procedures
  • Examining and resolving medical claims
  • Perform complex healthcare payer claims processing
  • Approved payments in the claims system
  • Process standard claims or adjustments
  • Negotiate claims resolution within granted authority
  • Monitor training and ensure accurate claims processing
  • Resolve any open issues with claims
  • Settle cargo claims from shippers
  • Protect operations by keeping claims information
  • Maintain paper claims and on-line claim data
  • Negotiate settlements on some claims
  • Assist customers throughout the claims process and settle undisputed non-injury claims
  • Assist claims department as needed withinventory and complex claim issues
  • Ensure any changes required to claims
  • Submit claims on a daily basis

Keywords: Gainwell, Reno , Finance (Claims Resolution) Clerk, Accounting, Auditing , Reno, Nevada

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