Talent.com
Provider Claims Training Specialist - San Diego, CA - Remote
Provider Claims Training Specialist - San Diego, CA - RemoteGainwell Technologies LLC • Rancho Cucamonga, CA, US
Provider Claims Training Specialist - San Diego, CA - Remote

Provider Claims Training Specialist - San Diego, CA - Remote

Gainwell Technologies LLC • Rancho Cucamonga, CA, US
30+ days ago
Job type
  • Full-time
  • Remote
Job description

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

The Provider Claims Training Specialist also known as Regional Representatives, support the provider community in a variety of areas including but not limited to virtual and onsite visits, claims follow up and research support, as well as virtual and face-to-face training development and delivery. These positions act as liaisons between providers and internal departments. The appropriate individuals for these positions will possess strong communication skills, have experience delivering training in-person and virtually, and be available for limited overnight travel. These positions work with providers, provider associations, and directly with the client in support of the Medi-Cal program.

Your role in our mission

  • Under minimal supervision, performs routine to complex tasks that are related to provider claiming, program policies, and training.
  • Provides training (workshops, seminars, program specific group events) to the provider community and acts as liaison with our internal departments and the customer to implement programs that are necessary for the Medicaid program.
  • Provides one-on-one billing support, claim research and analysis, and targeted outreach to providers; supports provider association inquiries and events
  • Applies knowledge of established policies and procedures to resolve provider issues, and to work with the customer to ensure compliance.
  • Exercises independent judgment within defined practices and procedures to define appropriate actions; escalates areas of concern to leadership/the client as defined by procedures; evaluates unique circumstances and makes recommendations.

What we're looking for

  • Three or more years of medical claims processing or provider billing experience, including working knowledge of CMS-1500 and UB-04 claim forms.

  • Hands-on experience researching, resolving, and educating providers on claim submission, denials, and reimbursement processes; Medi-Cal or Medicaid experience preferred.

  • Strong analytical, organizational, and time management skills, with proven ability to manage multiple provider requests efficiently.

  • Excellent communication, presentation, and training skills for both virtual and in-person settings, with a focus on simplifying complex billing and policy topics.

  • Willingness and ability to travel within the assigned region to conduct provider visits, outreach events, and training sessions.

What you should expect in this role

  • Work from Home, in the San Diego area
  • Travel required throughout the assigned geographic region to support training and other provider and account needs.
  • For positions assigned to WFH, reliable high-speed internet connectivity is required. Employees working-from-home may be required to report to the office, at times, to support work efforts.

This posting is intended for pipelining. We will accept applications on an ongoing basis.

#LI-REMOTE #LI-MA1 #LI-CM1

The pay range for this position is [[salaryMin]] - [[salaryMid]] 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 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. 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.

Create a job alert for this search

Provider Claims Training Specialist - San Diego, CA - Remote • Rancho Cucamonga, CA, US

Similar jobs

Flexible Remote Work – Get Paid to Share Your Opinions on Top Brands

OCPAPhelan, California, us
Remote
Part-time +1

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet...Show more

 • Promoted

Provider Claims Specialist - Remote - Southern CA

Kinetic Personnel Group, Inc.Ontario, CA, United States
Remote
Permanent +1

Pay range:$26-$28/hr Kinetic Personnel Group is recruiting for a Provider Claims Specialist for a $5 billion/year Public Health Plan in the Ontario California area.This government agency is renowne...Show more

 • Promoted

Help a Family Grow via IVF: $60,000-$100,000+ Compensation

The Genesis GroupPinon Hills, CA, US
Full-time +1

You have the power to make miracles for our families.If you’ve previously had a healthy pregnancy, you may qualify to help intended parents grow their family via IVF and receive $60,000-$100,000+ i...Show more

 • Promoted

Claims Specialist II - Provider Claims

Alura Workforce SolutionsRancho Cucamonga, CA, United States
Temporary

Position Type: Temporary Schedule: M-F, 8:00 am - 5:00 pm Assignment Length: Approximately 6-Months, possibly longer.The Claims Specialist II Provider Claims is responsible for fulfilling the techn...Show more

 • Promoted

Survey Taker: Earn up to $25 per survey (Remote)

Earn HausPhelan, CA, US
Remote
Full-time +1

Looking for people to participate in taking online surveys for Fortune 500 brands.All you need to do is complete online surveys by sharing your opinion.You will help influence brand decisions on se...Show more

 • Promoted

Become a Surrogate, give the miracle of life, and earn up to $115,000 from home!

Giving Tree SurrogacyPinon Hills, CA, US
Full-time +1

We are looking for a passionate individual with a sense of responsibility and willingness to help create families to join us as a surrogate.In this role, you will be instrumental in supporting indi...Show more

 • Promoted

Sr. Corporate Claims Specialist

Golden State FoodsIrvine, CA, United States
Full-time

Golden State Foods is a distinguished leader in the foodservice industry, offering an extensive array of products and services to a diverse clientele.Rooted in the values of quality service and int...Show more

 • Promoted

Work-From-Home Product Advisor - $45 per hour

Great LionDiamond Bar , California
Remote
Part-time +1

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of bet...Show more

 • Promoted

Appointment Setter - Work From Home - 60k/Year

Spade Recruiting USAPhelan, California
Remote
Full-time
Quick Apply

We’re looking for enthusiastic, self-driven, individuals to assist existing and prospective clients within our organization.This position will work with multiple clients throughout the day providin...Show more

 • Promoted

Closing Support Specialist

Loan DepotIrvine, CA, United States
Full-time

Position Summary: Responsible for providing support to the Closing department with a focus on either Wires, Funding or Scheduling.Ensures the performance of all duties in accordance with the compan...Show more

 • Promoted • New!

Clinical Testing Psychologist (PsyD, PhD) - Mt Baldy, CA

LifeStance HealthMt Baldy, CA, US
Full-time

At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better.Our mission is to help people lead healthier, more fulfilling lives...Show more

 • Promoted

Claims Specialist II - Provider Claims 26-00106

Alura Workforce SolutionsRancho Cucamonga, CA, United States
Temporary

Position Type: Temporary Schedule: M-F, 8:00 am - 5:00 pm Assignment Length: Approximately 6-Months, possibly longer.The Claims Specialist II Provider Claims is responsible for fulfilling the techn...Show more

 • Promoted

Window Clerk/Customer Service - No Experience Required

Postal Jobs AssistPinon Hills, California, United States
Full-time

USPS is accepting applications for PSE Sales & Services/Distribution Associate nationwide.This role ensures the smooth distribution of mail while offering professional customer support.USPS provide...Show more

 • Promoted

Loss Prevention Clerk

Costco Wholesale CorporationYorba Linda, CA, United States
Full-time

California applicants: Please click here to review the Costco Applicant Privacy Notice.The jobs listed are examples of the typical kinds of positions that Costco may hire for when openings exist.Th...Show more

 • Promoted

Claims Specialist - Los Angeles, CA

Insurance ReliefCorona, CA, United States
Full-time

Claims Specialist - Los Angeles, CA.Join a leading and rapidly growing independent insurance brokerage with a proven track record of over 20 years in the insurance space.Deeply committed to fosteri...Show more

 • Promoted

Provider Claims Training Specialist - San Diego, CA - Remote

Gainwell TechnologiesRancho Cucamonga, CA, United States
Remote
Full-time

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.Youll have a...Show more

 • Promoted

Travel Physical Therapist (PT) - $1,749 to $3,413 per week in Montclair, CA

AlliedTravelCareersMontclair, CA, US
Full-time

Interested in this assignment? Or maybe you still have not found what you are looking for? Contact one of our specialty-specific recruiters to get access to our vast network of open jobs, including...Show more

 • Promoted

URGENT: House Sitter Wanted - Reliable House Sitter Needed In Mile High, California Earn $45 Per Hour! Flexible Dates Available

HouseSitter.comMile High, California, USA
Full-time

Hello there! My name is Chad, and I'm a homeowner in the lovely Mile High, California.I'm currently on the lookout for a responsible and trustworthy house sitter to help me out while I'm away.This ...Show more