Remote Healthcare Customer Service Representative - Topeka, KS

Gainwell Technologies LLC•Any city, OH

1d•$27,200 - $38,900•Hybrid

About The Position

Gainwell is hiring a Healthcare Customer Service Representative to support healthcare clients and the members they serve. The position handles incoming customer calls and provides assistance with claims, eligibility, other insurance, financial concerns, and user portal issues. The role requires accurate call documentation, use of reference materials, and professional interactions with customers, teammates, and management while meeting client service-level agreements and production targets. The position is based in Topeka, Kansas. Work may initially be remote, but employees must report on-site when directed. Candidates must reside in Kansas within 20 miles of Topeka. The schedule is an eight-hour shift Monday through Friday, with shifts ending as late as 5:30 p.m. Remote or hybrid employees must have broadband internet with minimum speeds of 24 Mbps download and 8 Mbps upload. Cameras must be on during interviews and throughout the first week of orientation. Applicants must complete a Harver assessment during the interview process.

Requirements

High school diploma or G.E.D.
Two or more years of inbound telephone customer service experience.
Strong organizational, analytical, critical-thinking, and customer-service skills, with exceptional attention to detail.
Maintain confidentiality and comply with HIPAA.
Proficient with personal computers and applications including Outlook, Microsoft Word, Microsoft Excel, CRM, and OneNote.
Able to solve computer-related technical problems over the phone.
Excellent time-management, verbal, and written communication skills.
Able to talk and type simultaneously, multitask in a fast-paced environment, and retain information.
Must reside in Kansas within 20 miles of Topeka.
Available to work an eight-hour shift Monday through Friday, with shifts ending as late as 5:30 p.m.
Remote or hybrid employees must have broadband internet with minimum speeds of 24 Mbps download and 8 Mbps upload.
Must have cameras on during all interviews and throughout the first week of orientation.
Must complete the Harver assessment as part of the interview process.

Nice To Haves

Healthcare industry experience in provider, member, insurance, or claims settings.
Medicaid knowledge and experience.

Responsibilities

Answer incoming calls promptly and provide efficient, friendly customer service.
Research and analyze callers’ concerns about claims, eligibility, other insurance, and financial matters to achieve successful outcomes or resolution.
Respond to customer questions, provide comprehensive support, and forward requests to appropriate personnel in a timely manner.
Assist callers with portal navigation, registration, password resets, settings, and other user issues.
Document calls in detail, including concerns and actions taken, and complete templates to capture required information.
Use manuals, processes, guides, and OneNote to provide accurate information.
Interact professionally with team members, management, and customers.
Adhere to client service-level agreements and consistently meet production targets.
Complete the Harver assessment as part of the interview process.