Eligibility Operations Advisor

March 12

🤠 Texas – Remote

Although this job is listed in Texas, this company may be open to hiring remote in other states.

💵 $26.5k - $37.8k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

⚙️ Operations

🚫👨‍🎓 No degree required

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Gainwell Technologies

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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.

10,000+ employees

⚕️ Healthcare Insurance

💰 Grant on 2023-06

📋 Description

• Provide enrollment assistance and HIPP/Premium Assistance program information over the phone to Medicaid eligible recipients and their family members. • Verify, document and investigate the presence of health care coverage for Medicaid recipients and their families. • Assist in the identification of members that may qualify for the HIPP/Premium Assistance program. • Complete periodic reports. • Customer service to include high volume of phone work answering questions and other inquiries regarding the HIPP/Premium Assistance program. • Data entry to include accurate and timely entry of information. • Obtain and/or verify all items related to eligibility and enrollment into the HIPP/Premium Assistance program. • Complete maintenance of active cases during open enrollment and premium review for check processing to assist with maintaining the revenue and program growth.

🎯 Requirements

• Ability to organize well. • Strong Customer Service Skills • Strong Communication Skills • Ability to provide and represent professionalism in job. • Ability to practice flexibility and adaptability in the workplace. • Ability to work with Microsoft Word and Excel and navigate internet skillfully. • Ability to analyze information and use logic and process to address work-related issues and problems. • Ability to operate with strong interpersonal skills. • Ability to be careful and thorough about detail. • Ability to perform data entry accurately. • Average manual dexterity in use of a PC, phone, 10 key, sorting, filing and other office machines. • Ability to handle conflict appropriately and constructively. • Working knowledge of HIPAA privacy and Security rules. • Ability to perform well in team environment. • Ability to meet deadlines. • Ability to handle pressure and deadline-oriented project demands. • Min. 2 year of experience in insurance industry, health care or government sponsored. • Min. 2-year experience working on the phone making inquiries (outbound) and answering calls (inbound).

🏖️ Benefits

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