Provider Services Unit Lead - Remote US
Gainwell Technologies LLC•Any city, OH
•Remote
About The Position
The Provider Services Unit Lead - Remote position provides operational leadership and expert support to the Help Desk team. This role involves overseeing healthcare and insurance consultancy, resolving escalated provider issues, and ensuring compliance with state and federal regulations. The Lead fosters team development and enhances overall service delivery in a high-volume call center environment. Help create the power in Gainwell’s processes as we develop purpose-built technologies and solutions that yield better health and human services outcomes.
Requirements
- 3+ years of customer contact operations experience in healthcare, healthcare technology, or Medicaid [MMIS]-related fields.
- Proficiency with Microsoft Office suite and software tools like CxOne, Verint, and Avaya.
- Strong analytical and problem-solving skills; detail-oriented with the ability to manage multiple priorities.
- Excellent written and oral communication skills for professional client interactions.
- Ability to navigate multiple screens efficiently while typing and talking simultaneously.
- Understanding of HIPAA requirements and a commitment to maintaining confidentiality.
Responsibilities
- Provide operational leadership to ensure effective service delivery and resolution of complex issues.
- Work efficiently in a high-volume call center, maintaining professionalism and accuracy.
- Assist callers with coverage-related questions, policy interpretation, and claims processing accuracy.
- Conduct research and follow up to resolve disputed claims promptly.
- Document calls clearly and consistently while keeping resource information updated.
- Mentor team members, sharing knowledge to enhance individual and team performance.
Benefits
- Flexible work schedule
- Comprehensive benefits package starting on the first day of employment
- Dedicated home office setup with Broadband Internet (minimum 24 Mbps download and 8 Mbps upload speed)
- Opportunities for professional development and career advancement
- Collaborative and supportive virtual team environment
- 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
