Provider Field Representative - Jackson, MS

Gainwell Technologies LLC•Jackson, MS

1d•$42,100 - $60,100•Hybrid

About The Position

As a Provider Field Representative 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.

Nice To Haves

Potential for hybrid work after 90 to 120 days
Ability and willingness to travel with occasional overnight stays (approximately 50% within territory).

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.