Service Representative - Remote Wisconsin

Gainwell Technologies LLC•Any city, OH

2d•$54,300 - $77,500•Remote

About The Position

The CLTS Service Representative is integral to supporting the Wisconsin Children's Long-Term Support (CLTS) program. This role involves researching and resolving inquiries from various stakeholders, including providers, County Waiver Agencies (CWAs), and the Wisconsin Department of Health Services (DHS). The ideal candidate will effectively use internal systems to address questions and issues, ensuring customer satisfaction through timely and quality responses. This position also involves occasional training sessions, both onsite and virtual, and requires independent decision-making within a team-oriented environment.

Requirements

1-3 years of relevant work experience in a related field is desired.
A solid understanding of Wisconsin Medicaid and general knowledge of commercial and government healthcare insurance programs.
Excellent research and problem-solving skills are crucial for this role.
Ability to communicate effectively and professionally with all stakeholders.
Proficiency in using computers, including Microsoft Office, and the ability to learn organization-specific software.
MUST RESIDE in WISCONSIN.

Responsibilities

Address and resolve third-party administrator (TPA) questions and issues from providers, CWAs, and DHS staff.
Use internal software tools to research and resolve inquiries effectively.
Ensure high levels of customer satisfaction by providing timely and accurate responses.
Develop and maintain strong business relationships with all stakeholders.
Conduct occasional onsite or virtual training sessions for providers, CWAs, and DHS staff.
Manage responsibilities and make independent decisions with limited supervision.