Healthcare Call Center Representative Remote U.S.
Gainwell Technologies LLC•Any city, OH
•$35,000 - $50,000•Remote
About The Position
Provide exceptional customer service by telephone to Medicaid providers and members by assisting with coverage, claims, and benefit-related inquiries. Accurately interpret Medicaid benefits and policy provisions, research and resolve disputed claims, and ensure timely follow-up to achieve prompt resolution. The ideal candidate has at least one year of call center experience, preferably in healthcare, human services, or Medicaid, along with strong customer service, communication, problem-solving, and computer skills.
Requirements
- At least one year of call center experience, preferably in healthcare, human services, or Medicaid
- Strong customer service skills
- Strong communication skills
- Strong problem-solving skills
- Strong computer skills
- Experience working in a metric driven environment
- Experience using an auto answer system
- Experience working in the Healthcare Industry / Medicaid specifically
- Experience Meeting Service Level Agreements and contractual obligations
- Ability to learn and ask questions to be independent
- Prior office or clerical experience
- Ability to follow written policies and procedures
- Ability to access and retrieve information using a PC and basic understanding of Microsoft Office products
- Ability to follow procedural guidelines
- Ability to work on assignments with limited instructions from leadership
- Good written and verbal communication skills, including professional telephone skills
- Dedicated home office or private workspace with a door to ensure a professional, distraction-free work environment
- Broadband Internet connections should have a minimum speed of 24MBS download and 8 MBS upload
Responsibilities
- Answer inbound calls within 30 seconds
- Use of multiple monitors/screens and systems to service calls
- Be a productive member of the team
- Comply with contract requirements, business unit rules and related legal regulations
- Time management, attendance, and punctuality
Benefits
- Flexible vacation policy
- 401(k) employer match
- Comprehensive health benefits
- Educational assistance
- Leadership and technical development academies
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
