Healthcare Customer Service Representative

March 17

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Logo of Gainwell Technologies

Gainwell Technologies

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

βš•οΈ Healthcare Insurance

πŸ’° Grant on 2023-06

πŸ“‹ Description

β€’ Answers telephones and responds to basic customer questions β€’ Develops and implements general insurance and health care policies in accordance with state and federal laws β€’ Provides expertise to investigate and adjudicate claim characteristics β€’ Responds to provider appeals and resolves problems/issues β€’ Advises provider review councils and state officials on medical issues β€’ Processes calls to meet or exceed service level agreements (SLAs) β€’ Records calls and updates account history with inquiry results β€’ Interfaces with team members and customers regarding service issues β€’ Reviews and recommends modifications to procedures and workflow

🎯 Requirements

β€’ 2 or more years of customer service experience in any industry β€’ Knowledge of basic help desk software, computer software and Microsoft Office applications β€’ Strong problem-solving skills to bring inquiries to effective resolution β€’ Strong customer service skills with an emphasis on written and oral communication to respond to inquiries professionally β€’ Ability to understand your role on a team and identify the correct stakeholders to consult to resolve client inquiries

πŸ–οΈ Benefits

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

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