Associate Nurse Technician - Baton Rouge - job 745997

Gainwell Technologies

Date: 05/04/2021

City: Baton Rouge, Louisiana

Employment type: Full-time

Job Description:

Review of claims utilizing records and system reports to determine proper documentation, utilization and appropriateness of services to identify possible fraud, waste and abuse.


  • Duties and Responsibilities (List all essential duties and responsibilities in order of importance)

    • Post payment review of claims and records

    • Prepare reports and correspondence

    • Research Policy/Standards with ability to apply to case review

    • Demonstrate an understanding of SURS process; clear communication written and verbal

    • Participate on unit Teams to assist in meeting goals of the unit

    • Meets established production requirements consistently

  • State Plan / Department Specific Duties and Responsibilities (List all essential duties other than those listed above in order of importance)

    • Close assigned cases timely

    • Demonstrate consistent movement of cases towards closure

    • Demonstrate good quality work in conjunction with efficient and effective case movement

    • Demonstrate expanded expertise as experience is gained

  • Knowledge, Skills and Abilities ( List all knowledge, skills and abilities that are necessary to perform the job satisfactorily)

    • Current professional certification/license if applicable

    • Strong analytical skills

    • Coding/Billing experience

    • Record review/audit experience

    • Computer knowledge including Microsoft word and Excel, Office 365

    • Demonstrate self-motivation and ability to work independently

    • Excellent verbal and written communication skills

    • Ability to abide by Gainwell Technologies policies

    • Maintain regular attendance per schedule

    • Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA)

    • Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers


Required Education:

Bachelor Degree /Associate Degree

Preferred Education:

Required Experience:

At least 2 years’ experience in related field

Preferred Experience:

Knowledge of Medicaid Programs/Billing

Coding experience

Required Licensure/Certification:

Current License if applicable

Preferred Licensure/Certification:

Registered Nurse

Licensed Practical Nurse

Social Worker

Case Manager

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