Healthcare Call Center Representative

🕒 August 19

🏰 Missouri – Remote

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💵 $27.2k - $38.9k / year

⏰ Full Time

🟢 Junior

📞 Call Center Representative

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

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👻 Ghost score 5%

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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

• Handle inbound and/or outbound calls related to healthcare services, Medicaid, eligibility, claims, billing, and provider inquiries • Assess customer needs and resolve questions or concerns during the first interaction whenever possible • Research inquiries using job aids, knowledge bases, contact center platforms, and other system tools • Escalate complex or unresolved issues through established escalation paths • Document customer interactions completely and accurately in required systems • Meet productivity and quality standards, including Average Handle Time, Quality Assurance scores, and schedule adherence • Identify recurring customer concerns, trends, and themes and communicate them to appropriate team members • Follow HIPAA, data privacy, security, and confidentiality requirements • Collaborate with peers, supervisors, and team leads to resolve customer inquiries and support operational objectives • Participate in cross-training, knowledge-sharing activities, and other auxiliary functions as necessary • Support the Ohio Fiscal Intermediary account remotely

🎯 Requirements

• At least one year of contact center or customer service experience • Experience supporting Medicaid, provider services, healthcare operations, or a related healthcare environment preferred • Experience using contact center platforms such as NICE, CXone, Avaya, Verint, or similar tools • Basic to intermediate proficiency in Microsoft Office • Ability to navigate multiple systems simultaneously • Strong verbal communication and active listening skills • Strong attention to detail and organizational skills • Ability to manage multiple tasks accurately in a fast-paced environment • Effective problem-solving and critical-thinking skills • Ability to meet remote-work technology requirements, including a wired Ethernet connection and minimum internet speed of 150 Mbps • Must complete the required assessment • Video camera required during interviews and initial week of orientation • Ability to work Monday through Friday, 8:00 a.m. to 4:30 p.m. Eastern Time, or as required by business needs

🏖️ Benefits

• Work flexibility • Learning and career development opportunities • Flexible vacation policy • 401(k) employer match • Comprehensive health benefits • Educational assistance • Leadership and technical development academies • Equal employment opportunity

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