Call Center Representative - Remote Arkansas

Gainwell Technologies LLC-posted 6 days ago
Full-time • Entry Level
Remote • Conway, AR
5,001-10,000 employees
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As a Call Center Representative - Remote Arkansas at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Here are the details on this position.This role falls under the Insurance/Healthcare job family and leverages call center expertise to support insurance and healthcare operations. The position is responsible for applying general insurance and healthcare policies in compliance with state and federal regulations. It serves as a subject matter expert for providers on enrollment and Credentialing Verification Organization (CVO) activities related to their submitted applications. The role involves responding to provider inquiries with a focus on issue resolution, guiding providers in navigating the GAMMIS system to access current and future information needs, and advising on the status of applications, including any outstanding documentation required for final review and disposition.

  • Handle Inbound calls from providers regarding CVO/Provider Enrollment
  • Creates CTN for each call as a record.
  • Escalate Concerns and issues to management as needed.
  • Participates productively as a member of a team.
  • Completes tasks beyond general support level.
  • Accepts instruction and direction from leadership. Ability to manage tasks and assignments without detailed direction.
  • Identifies, prioritizes, and resolves some issues independently, and escalates more complex questions or issues appropriately.
  • Complies with contract requirements, business unit rules and related legal regulations.
  • High School Diploma or equivalent; may hold 2-year post-high school Degree; may hold bachelor’s degree.
  • Prior office or clerical experience preferred with the ability to follow written policies and procedures.
  • 1-2 years of working experience in Contact (Call) Center; experience with CxOne, Avaya or previous call center software is a plus
  • Ability to access and retrieve information using a laptop and basic understanding of Microsoft Office products.
  • Ability to follow procedural guidelines and work on assignments with limited instructions from leadership.
  • Candidates must be residents of Arkansas to be eligible for the remote position based in the state.
  • Successful completion of Haver Assessment is required.
  • Video cameras must be used during all interviews, as well as during the initial week of orientation.
  • To work effectively as a teleworker or hybrid positions with Gainwell, employees must have a broadband internet connection with a minimum speed of 24 Mbps download and 8 Mbps upload. Higher speeds are recommended for optimal performance.
  • Health benefits (medical, dental, and vision) begin on Day 1 of employment.
  • 401(k) with company match and additional benefits become available within the first few months.
  • Employees can take advantage of the flexible vacation policy after 90 days of employment. Any exceptions require manager approval before the employee's start date at Gainwell.
  • Career growth and advancement opportunities are encouraged and supported.
  • A company-provided computer is supplied for work use.
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