Healthcare Contact Center Agent

🕒 5 days ago

🦞 Maine – Remote

🦞 Maine – Remote

💵 $27.2k - $38.9k / year

⏰ Full Time

🟢 Junior

📞 Call Center Representative

🚫👨‍🎓 No degree required

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Gainwell Technologies

WebsiteLinkedInAll Job Openings

10,000+ employees

⚕️ Healthcare Insurance

💰 Grant on 2023-06

Healthcare Insurance • Human Services • Healthcare

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 incoming calls promptly and professionally, addressing member or provider inquiries, and make outbound calls as needed. • Accurately document all interactions in the system, ensuring records are updated and complete. • Maintain confidentiality and comply with HIPAA and other healthcare regulations. • Escalate complex issues to supervisors or appropriate departments when necessary. • Meet or exceed performance metrics including adhering to standardized call scripting and quality guidelines, call handle time, customer satisfaction and adhere to a daily work, lunch and break schedule.

🎯 Requirements

• High school diploma or equivalent required; associate degree or healthcare certification preferred. • 1+ year of experience in a call center or customer service role, preferably in a healthcare setting. • Knowledge of Medicaid/Medicare programs, state healthcare guidelines, or willingness to quickly learn complex program policies. • Strong communication with ability to show empathy and active listening skills to understand member and provider concerns and respond with compassion and clarity. • Demonstrate high attention to detail for compliance-driven processes, along with conflict resolution skills when speaking to frustrated providers or members. • Must be able to speak, read and write proficient English. Bilingual is a plus. • Ability to multitask and navigate multiple systems simultaneously and proficiency in Microsoft office and call center software. • Familiarity with medical terminology and insurance processes is a plus.

🏖️ Benefits

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