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EDI Coordinator - Warwick, RI

Company: Gainwell
Location: Warwick
Posted on: January 15, 2022

Job Description:

Gainwell Technologies LLC

Job Description Position Overview: Under minimal supervision performs routine to complex tasks that are related to various healthcare claims and transactions. -Provide training to the provider community and work as a liaison with our customer to implement programs that are necessary for the Medicaid program. -Apply knowledge of established policies and procedures to resolve provider issues and work with our customer to ensure we are compliant. Exercise independent judgment within defined practices and procedures to determine appropriate action. Evaluates unique circumstances and makes recommendations. - Examples of work performed will include: --- - - -A visit to a provider's office to install software and instruct the provider on how to use the software in compliance with the services they are providing--- - - -Trouble shooting inbound and outbound files for compliance and acceptance--- - - -Call center support ---- - - -Updating and Maintaining documentation--- - - -Analysis of expected volumes versus actuals--- - - -Training of peers, providers and our customer--- - - -Lead in areas of expertise--- - - -Other duties as the business needs require Education Requirements: College Graduate: Healthcare or insurance experience helpful. -Demonstrates strong analytical skills and customer relations skills. Prerequisites: --- - - -Excellent oral and written communication skills--- - - -Self motivated with excellent time management and organizational skills, ability to work independently as well as part of a team--- - - -Ability to effectively prioritize and handle multiple tasks and work under aggressive time constraints--- - - -Ability to apply previously learned knowledge or skills to future situations/issues--- - - -Ability to provide excellent customer service--- - - -Excellent problem solving, decision making and analytical skills--- - - -PC Skills

Keywords: Gainwell, Warwick , EDI Coordinator - Warwick, RI, Other , Warwick, Rhode Island

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