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Manual Verification Specialist - Remote EST/CST

Role overview

Qualifications

  • Two years experience with insurance verification, eligibility, benefits, or Coordination of Benefits
  • Strong attention to detail with the ability to perform accurate and thorough data entry
  • Proficiency with computers, internet research, and navigating multiple websites, portals, and applications
  • Ability to work independently, manage priorities, and meet performance expectations in a remote environment

Responsibilities

  • Perform Coordination of Benefits research and insurance verification activities for assigned client accounts
  • Search insurance carrier websites and web-based portals to obtain benefit, eligibility, and coverage information
  • Contact insurance company customer service representatives to verify insurance details, including coverage effective and termination dates
  • Accurately enter, update, and maintain insurance data within designated systems

Key facts

Hard skills

Other skills

  • Detail Oriented
  • Research
  • Problem Solving
  • Web Navigation
  • Communication
  • Time Management
  • Adaptability

About the company

Gainwell Technologies LLC logo

Gainwell Technologies LLC

Digital Health & Health Tech

For 50 years, our nation’s federal Medicaid program has worked to improve the health, safety and well-being of America’s most vulnerable populations: low-income families, women and children, seniors, and those with disabilities. With positive health and cost outcomes that pierce inequities and impact economies, the success of these programs is inextricably tied to the prosperity of communities, individual states and the nation as a whole. We think that demands respect and, more importantly, is deserving of a lifetime commitment from innovators who can help those who operate within and around health and human services evolve — in any market at any stage. At Gainwell Technologies, that’s our sole focus. Built across more than five decades, Gainwell has intentionally seized opportunities to advance its digitally enabled services to meet agencies, health plans and MCOs where they are on their modernization journeys and propel them into the future of public health. Our commitment to innovation, deep experience and ability to leverage insights from customers across 50 states has allowed us to expand on next-generation, cloud-enabled technologies. Today, Gainwell offers one of the most comprehensive suites of scalable services and solutions on the market — all proven to deliver cost savings, better patient outcomes and an improved provider experience. Equally important to our expanding technologies and results: We bring ideas that bring policies to life.

Company details

Company typeLarge
IndustryDigital Health & Health Tech
Company size10001

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Job description

 

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. 

Summary

As a Manual Verification Specialist 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, 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.
In this role, you will support Coordination of Benefits activities for multiple government-funded health plan accounts. You will research, verify, and document health insurance coverage information using carrier websites, online portals, automated phone systems, and direct communication with insurance representatives.

Your role in our mission

  • Perform Coordination of Benefits research and insurance verification activities for assigned client accounts.
  • Search insurance carrier websites and web-based portals to obtain benefit, eligibility, and coverage information.
  • Contact insurance company customer service representatives to verify insurance details, including coverage effective and termination dates.
  • Navigate Interactive Voice Response systems to obtain insurance eligibility and coverage information.
  • Accurately enter, update, and maintain insurance data within designated systems.
  • Review information carefully to identify discrepancies and ensure completeness and accuracy.
  • Protect confidential member information and follow applicable HIPAA privacy and security requirements.
  • Manage assigned workloads independently while meeting established productivity, quality, and timeliness expectations.
  • Adjust quickly to changing priorities, processes, and assignments.
  • Collaborate with team members and leadership to resolve questions or issues.
  • Perform other duties as assigned.

What we're looking for

  • Two years experience with insurance verification, eligibility, benefits, or Coordination of Benefits.
  • Strong attention to detail with the ability to perform accurate and thorough data entry.
  • Proficiency with computers, internet research, and navigating multiple websites, portals, and applications.
  • Ability to quickly adapt to changing priorities, processes, and assignments.
  • Ability to work independently, manage priorities, and meet performance expectations in a remote environment.

What you should expect in this role

  • Fully remote position within the United States.
  • Candidates must reside in the Eastern or Central Time Zone, with Eastern Time Zone candidates preferred.
  • Work schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m. Eastern Time.
  • Video cameras must be used during all interviews, as well as during the initial week of orientation.

The deadline to submit applications for this posting is September 9, 2026.


#LI-REMOTE #LI-JA1 #LI-CM1

The pay range for this position is $29,100.00 - $41,600.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.

 

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Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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