Gainwell Technologies · 18 hours ago
Healthcare Claims Auditor
United States
Contract
Remote
New Grad, Entry Level
$35K/yr - $50K/yrGainwell Technologies is a company that values contributions and offers opportunities for career growth. As a COB Claims Auditor, Associate, you will ensure the accuracy and compliance of insurance claims, collaborating with management and the claims processing team to uphold regulatory standards.
Health CareInformation Technology
Responsibilities
Review and verify insurance claims for accuracy, completeness, and compliance with policy terms and regulatory requirements
Audit claim files and analyze claim payment accuracy, including complex claims
Review and interpret Explanation of Benefits (EOB), Explanation of Payment (EOP), and Remittance Advice documents
Identify inconsistencies, discrepancies, or potential errors and escalate findings to the appropriate teams for resolution
Ensure claim payments align with company procedures, contractual guidelines, and regulatory standards
Collaborate with management and claims processing teams to research and resolve claim issues
Maintain current knowledge of state and federal regulations related to insurance claims and compliance requirements
Prepare audit documentation, reports, and summaries outlining findings and recommendations
Qualification
Required
Experience reviewing and verifying healthcare insurance claims for accuracy and compliance
Experience reviewing and interpreting EOB/EOP and Remittance Advice
Prior experience conducting claim audits or payment accuracy analysis
Knowledge of state and federal insurance regulations and compliance standards
Strong attention to detail with the ability to analyze complex information
Effective written and verbal communication skills
Ability to work independently in a remote environment while managing priorities and deadlines
Benefits
Generous, flexible vacation policy
A 401(k) employer match
Comprehensive health benefits
Educational assistance
Variety of leadership and technical development academies
Company
Gainwell Technologies
Gainwell Technologies is a provider of Information Technology & Services. It is a sub-organization of Veritas Capital.
Founded in 2009
10001+ employees
H1B Sponsorship
Gainwell Technologies has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (90)
2024 (78)
2023 (56)
2022 (96)
2021 (33)
Funding
Current Stage
Late StageTotal Funding
$1M2023-06-06Grant· $1M
Leadership Team
Paul N. Saleh
President and Chief Executive Officer
Gary Call
Chief Medical Officer
Recent News
bloomberglaw.com
2025-12-12
GlobeNewswire
2025-12-11
Company data provided by crunchbase