Healthcare Call Center Representative

🔥 0 minutes ago

🦀 Maryland – Remote

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💵 $35k - $50k / year

⏰ Full Time

🟢 Junior

📞 Call Center Representative

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

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👻 Ghost score 0%

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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

• Provide exceptional customer service by telephone to Medicaid providers and members • Assist with coverage, claims, and benefit-related inquiries • Accurately interpret Medicaid benefits and policy provisions • Research and resolve disputed claims • Ensure timely follow-up to achieve prompt resolution • Answer inbound calls within 30 seconds • Use multiple monitors/screens and systems to service calls • Be a productive member of the team • Comply with contract requirements, business unit rules, and related legal regulations • Maintain time management, attendance, and punctuality

🎯 Requirements

• At least one year of call center experience, preferably in healthcare, human services, or Medicaid • Experience working in a metric driven environment • Experience using an auto answer system • Experience working in the Healthcare Industry / Medicaid specifically • Experience meeting Service Level Agreements and contractual obligations • Prior office or clerical experience • Ability to learn and ask questions to be independent • Ability to follow written policies, procedures, and procedural guidelines • Ability to access and retrieve information using a PC • 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 • Dedicated home office or private workspace with a door • Availability Monday through Friday, 8:00 AM to 5:00 PM • Punctuality and reliable attendance

🏖️ Benefits

• Work flexibility • Learning and career development • Generous, flexible vacation policy • 401(k) employer match • Comprehensive health benefits • Educational assistance • Leadership and technical development academies

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