<span class="jobdescription"><p><span style="font-size:12.0pt;font-family:arial, helvetica, sans-serif">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. </span></p> <p> </p><div><div style="padding:10.0px 0.0px;border:1.0px solid transparent"><div style="font-size:18.0px;word-wrap:break-word"><h2 style="font-size:1.0em;margin:0.0px"><b>Summary</b></h2> </div><div><p>We are seeking a talented individual for a Provider Services Analyst – Medicaid who provides on-site and remote account analysis for identifying and recovering client overpayments made to healthcare providers. Responsible for provider outreach and scheduling on-site reviews. Responsible for developing and managing Provider relationships, working independently to identify and secure Provider refunds. Explains audit policies and procedures to the provider; conducts exit conferences to review findings, and reschedules subsequent audits. Responsible for providing successful field and remote performance within assigned territory. </p></div></div><div style="padding:10.0px 0.0px;border:1.0px solid transparent"><div style="font-size:18.0px;word-wrap:break-word"><h2 style="font-size:1.0em;margin:0.0px"><b>Your role in our mission</b></h2> </div><div><ul type="disc"> <li>Conduct on-site and remote reviews of provider accounts to identify potential overpayments, billing discrepancies, and credit balances.</li> <li>Review provider Aged Trial Balance and Debit Adjustment reports to assist in selecting claims for audit.</li> <li>Communicate with provider personnel throughout the audit process and document findings accurately.</li> <li>Prepare credit balance worksheets, audit summaries, and supporting documentation for internal review.</li> <li>Assist with identifying recovery opportunities and supporting provider refund efforts.</li> <li>Maintain audit records and ensure compliance with client policies, procedures, and regulatory requirements.</li> <li>Collaborate with internal teams to resolve audit-related questions and support recovery initiatives.</li> </ul></div></div><div style="padding:10.0px 0.0px;border:1.0px solid transparent"><div style="font-size:18.0px;word-wrap:break-word"><h2 style="font-size:1.0em;margin:0.0px"><b>What we're looking for</b></h2> </div><div><ul type="disc"> <li>1–3 years of healthcare billing, accounts receivable, auditing, revenue cycle, or related experience preferred.</li> <li>Basic understanding of healthcare claims processing, provider billing practices, and reimbursement methodologies.</li> <li>Strong analytical, organizational, and problem-solving skills with attention to detail.</li> <li>Proficiency in Microsoft Excel and Word; ability to learn provider accounting systems and payer requirements.</li> <li>Ability to manage multiple assignments in a fast-paced environment while meeting established deadlines.</li> <li>Effective verbal and written communication skills with the ability to interact professionally with providers and internal stakeholders.</li> <li>Knowledge of HIPAA and healthcare compliance requirements preferred.</li> <li>Willingness to travel up to 25% and work additional hours as business needs require.</li> </ul></div></div><div style="padding:10.0px 0.0px;border:1.0px solid transparent"><div style="font-size:18.0px;word-wrap:break-word"><h2 style="font-size:1.0em;margin:0.0px"><b>What you should expect in this role</b></h2> </div><div><ul type="disc"> <li>Remote within the United States.</li> <li>Video cameras must be used during all interviews, as well as during the initial week of orientation.</li> <li>To work effectively in a teleworker or hybrid position with Gainwell, employees must have a broadband internet connection with a minimum speed of 24 Mbps download and 8 Mbps upload. Higher speeds are recommended for optimal performance.</li> <li>To test your internet speed, search Google for "Internet Speed Test."</li> </ul></div></div></div><p> </p> <p><span style="font-size:12.0pt;font-family:arial, helvetica, sans-serif">The pay range for this position is $38,600.00 - $55,100.00 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 <span style="color:#cb1ac6"><a style="color:#cb1ac6" href="https://jobs.gainwelltechnologies.com/content/benefits/?locale=en_US">401(k) employer match, comprehensive health benefits</a></span>, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.</span></p> <p><span style="font-size:12.0pt"><span style="font-family:Calibri"> </span></span></p> <p><span style="font-size:12.0pt"><span style="font-family:Arial">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 <span style="color:#cb1ac6"><a style="color:#cb1ac6" href="https://www.gainwelltechnologies.com/">company website</a></span> and visit our <span style="color:#cb1ac6"><a style="color:#cb1ac6" href="https://jobs.gainwelltechnologies.com/">Careers site</a></span> for all available job role openings.</span></span></p> <p><span style="font-size:11.0pt"><span style="font-family:Calibri"> </span></span></p> <p><span style="font-size:12.0px;font-family:arial, helvetica, sans-serif"><em style="font-style:italic">Gainwell Technologies <span style="color:#32363a">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. <span style="font-size:12.0px;font-family:arial, helvetica, sans-serif">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.</span></span></em></span></p> </span>