Gainwell Technologies LLC
State Hearing Analyst- Hybrid Roseville, - Hybrid Roseville, CA
Gainwell Technologies LLC, Roseville, California, United States, 95678
Overview
Talent Acquisition Leader | Strategic Disruptor in Recruiting | Building High-Impact Teams with Intentional Engagement | Evolving Beyond "Post & Pray" 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 Correspondence Specialist, you are responsible for researching and analyzing incoming Member Complaints, Member Reimbursement requests, Billing and Enrollment inquiries, miscellaneous member correspondences, and determining appropriate paths to follow. You will create supporting documentation, process claims/TARs on final determinations, and engage in extensive communication with members, providers, and other internal and external customers. Your role in our mission Research member appeals and grievances and obtain additional information. Create various types of written communication including letters, emails, and memos. This requires a strong command of language and an understanding of the target audience. Each piece must be tailored to reflect the appropriate tone and context. Handle queries from clients, stakeholders, and team members in a professional and timely manner. This requires excellent writing skills and the ability to remain composed under pressure. Providing prompt responses builds trust and rapport with stakeholders. Adhere to organizational policies and legal requirements regarding communication and correspondence. This includes understanding privacy regulations and confidentiality agreements. Compliance protects the organization from potential liabilities. Oversee the flow of correspondence to ensure timely responses and follow-ups. This includes prioritizing urgent messages and routing them to the appropriate parties. A well-managed communication system enhances the organization’s efficiency. What We're Looking For Excellent time management skills Ability to think critically to problem-solve Excellent verbal and written communication skills Medi-Cal Dental Program experience Ability to read dental radiographs. Medi-Cal Dental Claim/TAR processing experience preferred What You Should Expect In This Role Must be a resident of the state of California Hybrid role requires reporting onsite for meetings, special training requests, or other business needs. The office is in Roseville, CA Compensation and Benefits The pay range for this position is $46,800.00 - $66,900.00 per year. The base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. Gainwell provides 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. 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, disability status, or other legally protected characteristics. Seniority level
Entry level Employment type
Full-time Job function
Business Development and Sales Industries: IT Services and IT Consulting
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Talent Acquisition Leader | Strategic Disruptor in Recruiting | Building High-Impact Teams with Intentional Engagement | Evolving Beyond "Post & Pray" 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 Correspondence Specialist, you are responsible for researching and analyzing incoming Member Complaints, Member Reimbursement requests, Billing and Enrollment inquiries, miscellaneous member correspondences, and determining appropriate paths to follow. You will create supporting documentation, process claims/TARs on final determinations, and engage in extensive communication with members, providers, and other internal and external customers. Your role in our mission Research member appeals and grievances and obtain additional information. Create various types of written communication including letters, emails, and memos. This requires a strong command of language and an understanding of the target audience. Each piece must be tailored to reflect the appropriate tone and context. Handle queries from clients, stakeholders, and team members in a professional and timely manner. This requires excellent writing skills and the ability to remain composed under pressure. Providing prompt responses builds trust and rapport with stakeholders. Adhere to organizational policies and legal requirements regarding communication and correspondence. This includes understanding privacy regulations and confidentiality agreements. Compliance protects the organization from potential liabilities. Oversee the flow of correspondence to ensure timely responses and follow-ups. This includes prioritizing urgent messages and routing them to the appropriate parties. A well-managed communication system enhances the organization’s efficiency. What We're Looking For Excellent time management skills Ability to think critically to problem-solve Excellent verbal and written communication skills Medi-Cal Dental Program experience Ability to read dental radiographs. Medi-Cal Dental Claim/TAR processing experience preferred What You Should Expect In This Role Must be a resident of the state of California Hybrid role requires reporting onsite for meetings, special training requests, or other business needs. The office is in Roseville, CA Compensation and Benefits The pay range for this position is $46,800.00 - $66,900.00 per year. The base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. Gainwell provides 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. 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, disability status, or other legally protected characteristics. Seniority level
Entry level Employment type
Full-time Job function
Business Development and Sales Industries: IT Services and IT Consulting
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