Provider, Member Call Center Agent

🔥 14 minutes ago

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Logo of Gainwell Technologies

Gainwell Technologies

10,000+ employees

💼 Consulting

📦 Logistics

⚕️ Healthcare Insurance

💰 Grant on 2023-06

Consulting • Logistics • Healthcare Insurance

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.

📋 Description

• Answers telephone calls using an automated system and responds to basic to moderately complex member and provider questions and/or forwards calls to appropriate personnel. • Research provider and member calls/inquiries and responds to appropriate parties in accordance with service level agreements (SLAs). • Records calls in a customer relationship management (CRM) ticketing solution, resolves written member requests/inquiries and updates member history with results of inquiry to include proper documentation. • Interfaces with team personnel, management, and customers in reference to customer service issues. • Conducts outbound calls to members in response to voicemail inquiries, customer direction, or other business needs.

🎯 Requirements

• High school diploma or G.E.D. • Two to three years of customer service or other telephone experience • Experience working with organizational functions and personnel • Experience working with fax machines, computer software, and telephone technology • Experience working with and skilled in the use of help desk software

🏖️ Benefits

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

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