Bilingual Healthcare Customer Service Representative

🕒 May 13

🐊 Florida – Remote

🐊 Florida – Remote

💵 $37.4k - $41.6k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

💝 Customer Support

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 45%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Gainwell Technologies

WebsiteLinkedInAll Job Openings

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

• Answer telephones and respond to basic customer questions or forward inquiries to appropriate personnel • Provide consultancy using knowledge and expertise on insurance and healthcare • Develop and implement general insurance and healthcare policies in accordance with state and federal laws • Investigate and adjudicate claim characteristics that do not match policy provisions • Respond to provider appeals and meet with providers to resolve problems and issues • Advise provider review councils and state officials • Work with organized healthcare groups and associations on medical issues related to insurance and healthcare programs • Process calls to meet or exceed service level agreements • Record calls, process requests, and update account histories with inquiry results and documentation • Interface with team members, management, and customers regarding customer service issues • Review and recommend modifications to procedures and workflow to ensure efficient transaction processing

🎯 Requirements

• Bilingual proficiency in English and Spanish is required • 2 or more years of customer service experience in any industry • Knowledge of basic help desk software, computer software and Microsoft Office applications • Strong problem-solving skills to bring inquiries to effective resolution • Strong customer service skills with an emphasis on written and oral communication • Ability to understand your role on a team and identify the correct stakeholders to consult to resolve client inquiries • Must be able to work any assigned 8 hour shift between 7:00 AM and 6:00 PM • Candidates must live in the state of Florida • Video cameras must be used during all interviews and during the initial week of orientation • Broadband Internet connection with a minimum speed of 24MBS download and 8 MBS upload

🏖️ Benefits

• Work flexibility • Learning and career development • Most benefits start on first day of employment • Remote work from home • Vacation policy • 401(k) employer match • Comprehensive health benefits • Educational assistance • Leadership and technical development academies