Provider Enrollment Quality Assurance Analyst - AR (Remote)

About the role

Performs complex standard and non-standard processing and quality tasks in support of outsourced services within a specific industry and functional area. Demonstrates knowledge and skills in a variety of assigned work processes. Understands the business of the client and related market dynamics; applies knowledge to ensure best practice procedures and continuous process improvement.

• Identifies issues and reviews, recommends, and implements modifications to procedures and workflow as necessary to ensure efficient and effective processing of transactions.
• Performs analyses and reports findings.
• Interprets, audits, and reconciles reports for accuracy or completeness.
• Maintains log records of pertinent data and provides periodic status reports.
• Prepares standard and ad-hoc reports for management and clients.
• Researches problems and follows up with the client regarding resolution.
• Interfaces with management and clients to resolve issues and assists in implementing solutions as approved.
• Supports development and documentation of new or revised standard operating procedures.
• Handles company confidential data according to policy and guidelines.
• Adheres to existing security policies and procedures.
• May provide leadership and work guidance to less experienced personnel.
• Trains and assists team members.
• Monitors daily activity of employees to ensure policy and procedures are being followed.
• Coordinates with managers and employees to ensure adequate scheduling.
• Prioritizes and delegates work.

Requirements

• High school diploma or GED required.
• Minimum of 2 years of experience in provider enrollment, healthcare operations, or quality assurance.
• Proficiency in provider enrollment systems and claims processing platforms.
• Strong proficiency in Microsoft Office Suite, particularly Excel (e.g., pivot tables, formulas) for data analysis and reporting.
• Awareness of healthcare compliance standards and regulatory guidelines (e.g., CMS, state, and federal regulations).

As part of our interview process, all candidates must complete the Harver Assessment. This assessment helps us evaluate key competencies relevant to the role, including communication skills, multitasking abilities, and problem-solving capabilities.

Schedule

This is a remote position with a Monday through Friday schedule, from 8:00 AM to 5:00 PM. Video cameras must be used during all interviews, as well as during the initial week of orientation.

To work effectively as a teleworker 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.

Pay

The pay range for this position is $27,200.00 - $38,900.00 per year. The base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.

Benefits

All salaried, full-time candidates are eligible for:

• Generous, flexible vacation policy.
• 401(k) employer match.
• Comprehensive health benefits.
• Educational assistance.

We also offer a variety of leadership and technical development academies to help build your skills and capabilities.