Contact Center Provider Services

🔥 13 hours ago

⚔️ Virginia – Remote

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💵 $29.1k - $41.6k / year

⏰ Full Time

🟢 Junior

📞 Call Center Representative

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

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👻 Ghost score 0%

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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

• Engage promptly and professionally with providers and members through inbound/outbound calls, emails, live chat, and other platforms • Address inquiries with empathy, accuracy, and composure • Provide clear and accurate information aligned with company policies and procedures • Escalate complex issues to leadership when appropriate • Document interactions, feedback, and resolutions in the CRM or case management system • Share insights on recurring issues to support process improvement • Collaborate with team members and supervisors to coordinate support and route issues appropriately • Meet or exceed KPIs including call quality, handle time, customer satisfaction, script adherence, quality standards, and scheduled work hours • Research claims and verify insurance coverage • Resolve member, provider, and stakeholder inquiries while ensuring compliance with healthcare regulations

🎯 Requirements

• High school diploma/GED required • 1–2 years of experience in customer service, preferably healthcare • Strong organizational and communication skills • High attention to detail • Ability to actively listen, show empathy, and respond to member and/or provider concerns with compassion and clarity • Ability to multitask and navigate multiple systems simultaneously • Ability to work 8:00AM–4:30PM or 8:30AM–5:00PM EST

🏖️ Benefits

• Work flexibility • Professional growth through training and mentorship • Generous, flexible vacation policy • 401(k) employer match • Comprehensive health benefits • Educational assistance • Leadership and technical development academies

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