Senior Business Analyst

Gainwell Technologies uses leading-edge technologies to help improve the health and well-being of vulnerable communities. The Senior Business Analyst will support healthcare claims operations by posting and reconciling payments, resolving discrepancies, and documenting client business requirements and processes.

Responsibilities:

• Post payments to medical and pharmacy claims from paper and electronic EOBs daily
• Reconcile AR and correct any discrepancies or posting issues
• Identify, analyze, and resolve errors in claim postings and payments
• Participates in meetings with client engagement to gather and document requirements and explore potential solutions
• Assists in analyzing and documenting client's business requirements and processes following established approach and methodology; communicates these requirements to technical personnel
• Reconcile AR and correct any discrepancies or posting issues
• Identify, analyze, and resolve errors in claim postings and payments
• Participates in meetings with client engagement to gather and document requirements and explore potential solutions
• Assists in analyzing and documenting client's business requirements and processes following established approach and methodology; communicates these requirements to technical personnel

Requirements:

• Bachelor's degree in Business, Healthcare Administration, Finance, or a related field; OR 3–5 years of experience in medical claims posting and reconciliation
• Solid understanding of medical and pharmacy claims adjudication and Medicaid reclamation claims
• Proficiency in SQL and ability to extract and analyze data from relational databases
• Familiarity with PeopleSoft Finance or similar enterprise financial systems
• Strong critical thinking and problem-solving skills; able to troubleshoot independently
• Experience with FTP protocols and secure file transfer
• Excellent written and verbal communication skills
• Strong attention to detail and organizational skills