Gainwell Technologies LLC

Gainwell Technologies LLC

Medical Claims Appeals Examiner - Onsite - West Sacramento, CA

West Sacramento, Yolo County · Full-time

Sponsorship not specified$38k-$54kDetected 11 days ago
ComplianceExcelHIPAAResearchLeadershipCollaborationProblem SolvingMicrosoft Office

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odds of building a lasting career here

39Risky
Cap-exempt (no lottery)0
Sponsors this role90
Entry-level history0
PERM / green-card track0
Lottery odds (Level I)39
Fits your clock70

Thin sponsorship signal and lottery-bound (~15% per draw). A low-probability bet with your clock running. Prioritize cap-exempt roles and proven entry-level sponsors first.

Lottery odds assume a STEM candidate.

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Employer immigration record

from this employer's Department of Labor filings

Green-card filing pattern in this occupation

Context, not a finding about this posting: of this employer's 16 green-card filings in this occupation, 100% were for a worker who already held the job.

Green-card follow-through: 100%

Of 6 labor certifications old enough to have been used, 0 expired without the employer filing the next step. Median time from filing to decision: 484 days.100% of their filings were for a worker who already held the job.Only certifications past the 180-day window are counted — recent ones cannot have expired yet.

DOL often reclassifies their job titles

The Department of Labor assigned a different occupation than this employer requested on 46% of its 13 wage determinations — against a 18% norm. The occupation sets the prevailing wage floor.Reclassification is routine and can reflect genuinely hybrid roles; it is not by itself evidence of underpayment.

Files H-1B transfers

10 transfer filings in the last year, covering 10 workers. Median labor-condition decision: 9 days. An employer that already files transfers is one that can take over an existing H-1B.

Sourced from Department of Labor LCA, PERM and prevailing-wage disclosure data. Employer matching is by name, so figures may be split across an employer's legal entities. Absence of a filing means none appears in our copy of the data, not that none exists.

Community outcomes

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About the role

  • 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.

Responsibilities

  • Review and research provider appeals using established guidelines and document appeal determinations clearly, accurately, and concisely.
  • Maintain established productivity, accuracy, and quality standards while managing assigned appeals through resolution.
  • Protect confidential information and maintain compliance with HIPAA and applicable organizational and regulatory requirements.

Requirements

  • Ability to interpret claims information, appeal documentation, policies, and procedures to determine appropriate resolution.
  • Ability to work effectively in a production-focused environment while meeting established quality and productivity expectations.
  • Proficiency with Microsoft Outlook, Word, Excel, Teams, and related business systems.

Compensation

  • $38k-$54k

Benefits

  • Analyze medical claims, appeal documentation, payment information, and supporting records to ensure all aspects of an appeal have been appropriately addressed.
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This listing is sourced directly from Gainwell Technologies LLC's careers page and normalized into a canonical job model.