Provider Field Representative - Jackson, MS

Gainwell Technologies LLC • Ridgeland, MS

12d • $42,100 - $60,100 • Hybrid

About The Position

As a Provider Field Representative - Jackson, MS 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.

Requirements

• Bachelor’s degree or a minimum of 5 years of relevant experience in the healthcare industry.
• Strong knowledge of claims processing and provider relations.
• Proficiency in delivering presentations and public speaking.
• Familiarity with federal and state healthcare regulations.
• In-depth understanding of Medicaid policies and procedures.

Responsibilities

• Analyzes inquiries through use of personal knowledge of the particular functional subject matter. Augments knowledge with reference materials as needed.
• Provides response and takes appropriate action to resolve. May interact directly with original requestor, advise others on how to respond or escalate to a higher level if needed.
• Contributes to a shared knowledge database to facilitate response consistency and to document complex issue resolution.
• Monitors customer inquiries for a specific functional area, tracks progress and resolution of escalated inquiries.
• Assists less experienced staff in developing appropriate responses.

Benefits

• 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.
• Flexible vacation policy after 90 days of employment.
• Career growth and advancement opportunities are encouraged and supported.
• A company-provided computer is supplied for work use.
• Educational assistance.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level