Provider Field Representative - Jackson, MS

Gainwell Technologies LLC • Ridgeland, MS

1d • $42,100 - $60,100 • Onsite

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. Here are the details on this position.Your role in our mission
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.

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.
• On-site position based in Jackson/Ridgeland, MS, with potential for hybrid work after 90 to 120 days
• Work schedule is Monday – Friday, 8:00 AM to 5:00 PM CST
• Video cameras must be used during all interviews, as well as during the initial week of orientation.
• Harver Assessment Requirement: As part of our interview process, all candidates must complete the Harver Assessment. This assessment helps us evaluate key competencies relevant to the role, including communication skills, multitasking abilities, and problem-solving capabilities.
• Ability and willingness to travel with occasional overnight stays (approximately 50% within territory).
• If travel is required, transportation is covered.

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.
• 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.

What This Job Offers

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