Bilingual Call Center Agent – Healthcare

October 1

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Gainwell Technologies

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Healthcare Insurance • Human Services • Healthcare

Gainwell Technologies is the nation’s leading provider of digital and cloud-enabled solutions across the human services and public health ecosystem. With a mission-driven approach, Gainwell serves clients in all 50 U. S. states, focusing on improving health outcomes and delivering intuitive, human-centered experiences. Their comprehensive suite of solutions includes Medicaid Enterprise modernization, data analytics, provider services, and pharmacy solutions, all designed to advance the future of healthcare and enhance community well-being.

10,000+ employees

⚕️ Healthcare Insurance

💰 Grant on 2023-06

📋 Description

• Handle inbound and outbound calls from members, providers, and other stakeholders • Research claims, verify insurance, and resolve inquiries • Accurately document all interactions in the system and ensure records are updated and complete • Maintain confidentiality and ensure compliance with HIPAA and other healthcare regulations • Escalate complex issues to supervisors or appropriate departments when necessary • Meet or exceed performance metrics including call quality, handle time, and customer satisfaction • Provide exceptional customer service and a positive patient experience

🎯 Requirements

• Bilingual (English/Spanish) with ability to speak, read and write proficient English/Spanish • High school diploma or equivalent required; associate degree or healthcare certification preferred • 1+ year of experience in a call center or customer service role, preferably in a healthcare setting • Ability to multitask and navigate multiple systems simultaneously • Proficiency in Microsoft office and call center software • Familiarity with medical terminology and insurance processes is a plus • Ability to remain calm and professional in high pressure situations • Maintain confidentiality and comply with HIPAA and other healthcare regulations

🏖️ Benefits

• generous, flexible vacation policy • 401(k) employer match • comprehensive health benefits • educational assistance • leadership and technical development academies • work flexibility