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 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
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
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 $46,800 - 66,900 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. Youll 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 , and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.
Provider Claims Training Specialist - San Diego, CA - Remote • Rancho Cucamonga, CA, US
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