Provider Enrollment Analyst – Remote US

Remote from: USA
Annual salary: Undisclosed
Salary information is not provided for this position. Check our Salary Directory to estimate the average compensation for similar roles.
Department: Healthcare & Medical
Employment type: Full Time,
Job posted: 17 Jun 2026
Apply before: 17 Jul 2026
Experience level: Midweight
Views / Applies: 42 / 7

Empowering health and human services through innovative technology solutions.

Actively Hiring

AI Summary

This role as a Provider Enrollment Analyst at Gainwell involves supporting the Business Process Services team in claims processing, ensuring adherence to policy guidelines and meeting production and quality requirements. The analyst will evaluate claims for errors and make adjudication decisions, requiring knowledge of medical/insurance fields and basic analysis skills. The position is remote within the US and offers opportunities for minimal travel. Ideal candidates should have the ability to multi-task, work independently, and meet individual production goals.

Role DNA

Job Complexity

Easy Hard

Pace & Pressure

Relaxed Fast-paced

Autonomy Level

Guided Full Ownership

Communication Load

Independent Highly Collaborative

AI Insight The role requires fundamental knowledge of medical/insurance concepts and basic analysis skills, but does not demand advanced expertise or complex problem-solving, making it moderately easy.

Salary Analysis

AI Insight The job listing does not specify a salary, but based on market data for Provider Enrollment Analyst roles in the US, the estimated median salary is $55,000, which is within the typical range of $40,000 to $65,000. This is competitive for an entry to mid-level position with remote flexibility.

Key Skills

Provider Enrollment Claims Processing Medical Billing Insurance Knowledge Data Analysis Attention to Detail Multi-tasking Healthcare Regulations Remote Work Production Goals

Cover Letter Sample

Dear Hiring Manager,

I am excited to apply for the Provider Enrollment Analyst position at Gainwell. With a solid foundation in medical billing and claims processing, I am confident in my ability to support your team in achieving production and quality goals. My experience includes analyzing claims for errors and making adjudication decisions, ensuring compliance with policy guidelines. I thrive in remote work environments and possess the multi-tasking and independent work skills required for this role. I look forward to contributing to Gainwell’s mission of improving health outcomes.

Sincerely,
[Your Name]

Possible Interview Questions

Can you describe your experience with claims processing and how you ensure accuracy while meeting production targets?

In my previous role, I processed an average of 50 claims per day while maintaining a 98% accuracy rate. I used checklists and cross-referenced policy guidelines to minimize errors, and I regularly reviewed feedback from quality audits to improve my performance.

How do you prioritize and multitask when handling multiple claims simultaneously?

I prioritize claims based on their pending dates and complexity. I break down tasks into smaller steps, such as reviewing documentation first, then entering data, and finally making the adjudication decision. I also use timers to stay on track and ensure I meet deadlines without sacrificing quality.

What steps do you take to stay updated on changing healthcare regulations and policy guidelines?

I subscribe to industry newsletters and attend webinars from organizations like CMS. I also participate in internal training sessions and maintain a personal knowledge base of updates. Regularly reviewing the company's policy manual helps me stay compliant.

Describe a time you identified a recurring error in claims and how you addressed it. What was the outcome?

I noticed a pattern of claims being denied due to missing modifier codes. I documented the issue and proposed a checklist for providers to include correct modifiers. After implementing this, the denial rate for those claims dropped by 30% within two months.

How do you handle a situation where you are unsure about the correct adjudication decision for a complex claim?

I first review the policy guidelines thoroughly. If still uncertain, I consult with a senior analyst or supervisor and present my findings. I believe in collaborative problem-solving to ensure accurate decisions, and I document any clarification I receive for future reference.

Summary

As Provider Enrollment Analyst – Remote US, 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 — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Here are the details on this position.

Your role in our mission

Help create the power in Gainwell’s processes as we develop purpose-built technologies and solutions that yield better health and human services outcomes.

Share your expertise as you support the Business Process Services team in claims processing that adheres to policy guidelines
Meet production and quality requirements established by clients for timely claims processing
Use policy guidelines and criteria established by leadership to evaluate why a claim errored and make an adjudication decision

What we’re looking for

Knowledge of the fundamental concepts and principles in the medical and/or insurance fields
Basic reading and analysis skills to evaluate claims and make adjudication decisions
Basic computer use skills
Ability to multi-task across multiple claims to work efficiently
Ability to work independently to meet individual production goals