Medical Claims Resolution Analyst - Remote US
Gainwell Technologies —Maine
- $26,500 - $37,800 a year
- Full-time
- Remote
- Customer service
- Research
- Mid-level
- Travel reimbursement
- Profit sharing
2d
Medicare Part B Operations Coordinator, Revenue Cycle
CVS Health —Maine
- $17.00 - $34.15 an hour
- Full-time
- Remote
- HIPAA
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
Medicare Part B Operations Supervisor, Revenue Cycle
CVS Health —Maine
- $43,888 - $102,081 a year
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Continuous improvement
- Health insurance
- Dental insurance
Social Worker
The Family Center of Maine —Scarborough, ME
- $55 - $80 an hour
- Choose your own hours
- Hybrid work
- LMFT
- Licensed Clinical Social Worker
- Outpatient experience
- 401(k)
- Paid time off
Quick Apply
11d
Mental Health Therapist
The Family Center of Maine —Gorham, ME
- $55 - $80 an hour
- Choose your own hours
- Hybrid work
- LMFT
- Licensed Clinical Social Worker
- Outpatient experience
- 401(k)
- Paid time off
Quick Apply
11d
Outpatient Therapist
The Family Center of Maine —Falmouth, ME
- $55 - $80 an hour
- Choose your own hours
- Hybrid work
- LMFT
- Licensed Clinical Social Worker
- Mid-level
- 401(k)
- Paid time off
Quick Apply
11d
PT Pharmacy Technician I & II
Hannaford —Damariscotta, ME
- $16 - $27 an hour
- Part-time
- Background check
- Basic math
- Criminal background check
- Paid training
- 401(k)
Quick Apply
Sr. Manager, Pricing - Pharmacy Appeals
CVS Health —Maine
- $67,900 - $182,549 a year
- Full-time
- Remote
- 7 years
- Microsoft Access
- Office
- Health insurance
- Dental insurance
10d
Senior Director, Claims & Payment Integrity - Remote
Martin's Point Health Care —Portland, ME
- Full-time
- Remote
- Inventory management
- Research
- Master's degree
Authorization Specialist
New England Life Care —Scarborough, ME
- $21 - $22 an hour
- Full-time
- Microsoft Word
- Microsoft Excel
- Customer service
- Disability insurance
- Health insurance
Quick Apply
Provider Enrollment Specialist I
Northern Light Health —Brewer, ME
- Full-time
- Word processing
- Computer literacy
- Writing skills
6d
Office Manager
Wildflower Pediatric Therapy —Waterville, ME
- Full-time
- Inventory management
- Word processing
- Mid-level
- Dental insurance
- Paid time off
Quick Apply
12d
Business Office Coordinator
MAINE VETERANS HOMES —Caribou, ME
- $20 - $25 an hour
- Full-time
- Mid-level
- 3 years
- Administrative experience
- 403(b) matching
- Health insurance
Quick Apply
Medical Technician - Phlebotomy
US Veterans Health Administration —Portland, ME
- $53,102 - $69,036 a year
- Part-time
- Background check
- Psychiatry
- High school
4h
Patient Care Scheduling Coordinator (PCSC)
Bangor Audiology and Waterville Audiology —Waterville, ME
- $20 - $24 an hour
- Multiple hires
- Sales
- HIPAA
- Mid-level
Quick Apply
1d
A/R Specialist
New England Life Care —Scarborough, ME
- $21 - $23 an hour
- Full-time
- Hybrid work
- Microsoft Word
- Microsoft Excel
- Writing skills
- Disability insurance
- Health insurance
Quick Apply
Provider Enrollment Specialist II
Northern Light Health —Brewer, ME
- Full-time
- Word processing
- Computer literacy
- Writing skills
6d
Pharmacy Technician I
Northern Light Health —Ellsworth, ME
- PRN
- No experience needed
- High school diploma or GED
- Driver's License
Pharmacy Technician I
Northern Light Pharmacy —Bangor, ME
- $18.50 - $22.10 an hour
- Full-time
- Background check
- No experience needed
- High school diploma or GED
- Health savings account
- Health insurance
Quick Apply
4d
Patient Access Representative - Per-Diem
Cary Medical Center —Caribou, ME
- Weekends as needed
- Hospital
- High school diploma or GED
- Typing
- Health insurance
- Dental insurance

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Medical Claims Resolution Analyst - Remote US

Gainwell Technologies -
Maine

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Job Details

Full-time
$26,500 - $37,800 a year
2 days ago

Benefits

Travel reimbursement
Profit sharing
Stock options
Paid holidays
Health insurance
Tuition reimbursement
401(k) matching
Life insurance

Qualifications

Confidential information handling
Customer service
Regulatory compliance in claims processing
Dental insurance
Research
Mid-level
Health insurance knowledge
Healthcare billing investigations
Productivity software
Communication skills
Technical Proficiency
Medical claim status updates
Medical billing insurance follow-up

Full Job Description

Medical Claims Resolution Analyst - Remote US

Date: Jul 24, 2026

Location:

Any city, ME, US, 99999

Req ID: 37118

Work Mode: Virtual (Exception only)

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

Gainwell Technologies is responsible for Claims Operations and Management functions supporting Federal and State Medical Assistance Services programs. As a Claims Resolution Analyst, you will play a key role in researching, resolving, and processing provider claims while ensuring accuracy, compliance, and exceptional customer support.

Your role in our mission

Review, research, and resolve medical and dental claims in accordance with established processing guidelines and procedures.
Analyze claims issues and collaborate with internal departments to ensure timely and accurate resolution.
Manage multiple priorities while maintaining productivity, accuracy, and service-level expectations.
Communicate claim status, workload updates, and potential issues to leadership and business partners as appropriate.

What we're looking for

Experience in healthcare insurance, medical claims processing, claims resolution, or a related healthcare operations environment.
Strong attention to detail, analytical thinking, and problem-solving skills.
Ability to multitask, prioritize work, and meet deadlines in a fast-paced environment.
Proficiency with Microsoft Office applications and the ability to navigate multiple systems to research and process claims.
Strong written and verbal communication skills, along with the ability to interpret policies, procedures, and operational guidelines.

What you should expect in this role

Work in a fast-paced healthcare operations environment focused on claims research and resolution.
Utilize multiple systems and tools to investigate and process claim-related issues.
Collaborate with internal teams to ensure accurate and timely claim outcomes.
Handle sensitive and confidential information in accordance with company policies and procedures.

Standard work schedule of Monday through Friday

Eastern Time (ET): 8:00 AM – 5:00 PM
Pacific Time (PT): 8:00 AM – 5:00 PM PT (11:00 AM – 8:00 PM ET)
We try to schedule employees to work 8:00 AM – 5:00 PM in their local time zone whenever possible.
#LI-LS2
#LI-REMOTE

The deadline to submit applications for this posting is 8/30/26.

The pay range for this position is $26,500.00 - $37,800.00 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.

Apply Now

Refine Your Search

medical claims processing jobs in maine

Medical Claims Resolution Analyst - Remote US

Medicare Part B Operations Coordinator, Revenue Cycle

Medicare Part B Operations Supervisor, Revenue Cycle

Social Worker

Mental Health Therapist

Outpatient Therapist

PT Pharmacy Technician I & II

Sr. Manager, Pricing - Pharmacy Appeals

Senior Director, Claims & Payment Integrity - Remote

Authorization Specialist

Provider Enrollment Specialist I

Office Manager

Business Office Coordinator

Medical Technician - Phlebotomy

Patient Care Scheduling Coordinator (PCSC)

A/R Specialist

Provider Enrollment Specialist II

Pharmacy Technician I

Pharmacy Technician I

Patient Access Representative - Per-Diem

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