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Call Center Representative

4 months ago

Warwick, United States Gainwell Technologies Full time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.

**Summary**

Customer service professional responsible for answering claims and eligibility-related questions from physicians, hospitals, and other medical providers that participate in Rhode Island Medicaid. Additionally, providing updates to members on Benefit Plan Choice Selection and Premium payment status. Answering customer inquiries to ensure processing is by billing procedures. Follow up with supervisor on more complex, non-routine customer inquiries, including member requests and concerns. Responsible for follow-up and call resolution including callbacks and closing call references. Excellent verbal communication skills are required. Previous medical or medical billing experience is a plus, but not necessary.

**Your role in our mission**
- Answer an estimated 40-50 inbound calls daily from the Rhode Island Medicaid provider network and member beneficiaries. Providing excellent oral communications with quality customer service. Follow through and resolve calls.
- Address billing and eligibility questions and commit to follow-up necessary to resolve.
- Create and manage computer call logs/references.
- Provide excellent customer service including offering added assistance as appropriate. This includes becoming familiar with web service offerings to direct a provider to these offerings.
- Train and support peers and new team members

**What we're looking for**
- Two years or more of customer service experience, either face-to-face or by phone.
- Detail oriented
- Prompt and reliable
- Good typing and computer skills
- Excellent verbal communication and Customer Service skills

**What you should expect in this role**
- Hybrid in RI

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.
- Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees._

Pay: $30,500.00 - $43,500.00 per year

**Benefits**:

- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Employee discount
- Flexible schedule
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Tuition reimbursement
- Vision insurance

Schedule:

- 8 hour shift
- Day shift
- Monday to Friday

**Experience**:

- Call center: 1 year (required)

Ability to Commute:

- Warwick, RI 02886 (required)

Work Location: Hybrid remote in Warwick, RI 02886