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
A minimum of 1 year’s experience in a call center environment is required. Experience in health/human services and knowledge of Medicaid preferred. Provide excellent customer service primarily by telephone to Medicaid Providers and/or Members. Assist customers with coverage/claims-related questions. Accurately interpret benefits and policy provisions for beneficiaries for the providers. Conduct appropriate research and follow-up for prompt resolution of disputed claims.
Your role in our mission
Work efficiently in a high-volume call center while maintaining a professional, polite manner. Assist callers with coverage-related questions; accurately interpret policy Analyze customer’s inquiries and determine steps for resolution, interpret benefit information, and claims processing accuracy. Keep resource information up to date and organized. Document calls clearly and consistently in the computer system. Conduct appropriate research and follow-up for prompt resolution of disputed claims. Relay information to appropriate departments and personnel using established communication channels and procedures. Must be able to type and talk at the same time and navigate through multiple screens Ability to maintain confidentiality and adhere to HIPAA requirements.
What we’re looking for
Experience working in the Healthcare Industry or Medicaid.
Ability to follow written policies and procedures.
Ability to access and retrieve information using a PC and a basic understanding of Microsoft Office products.
Ability to work on assignments with limited instructions from leadership.
Good written and verbal communication skills, including professional telephone skills.
What you should expect in this role
Onsite with the option for hybrid after 90 days of training.
Completes tasks beyond the general support level.
Accepts instruction and direction from leadership. Ability to manage tasks and assignments without detailed direction.
Identifies, prioritizes, and resolves some issues independently, and escalates more complex questions or issues appropriately.
Complies with contract requirements, business unit rules, and related legal regulations.
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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 committed to a diverse, equitable, and inclusive workplace. We are proud to be 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), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.