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Conlan Analyst - West Sacramento, CA - Hybrid

Company

Gainwell Technologies

Location

North Highlands, United States

Type

Full-time

Summary

As a Conlan Analyst at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve. In this role you will be assisting with reviewing incoming correspondence and processing Conlan Reimbursement Claims for the Member community of Medi-Cal. This combines your passion for helping others with purpose, teaming with people who thrive on finding innovative solutions.

Your role in our mission

  • Process Conlan Claims in accordance with existing Court Order Guidelines.

  • Ensure all Member Reimbursement request letters, incomplete, approvals, and denials are reviewed for completeness, accuracy, and compliance prior to release.

  • Conduct Letter Review and Analysis for received correspondence.

  • Generate acknowledgment and claim status letters to submitters-Correspondence.

  • Maintain and submit weekly pro...
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