Job Description

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
As a Call Center Representative - Remote Arkansas 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
This role falls under the Insurance/Healthcare job family and leverages call center expertise to support insurance and healthcare operations. The position is responsible for applying general insurance and healthcare policies in compliance with state and federal regulations. It serves as a subject matter expert for providers on enrollment and Credentialing Verification Organization (CVO) activities related to their submitted applications. The role involves responding to provider inquiries with a focus on issue resolution, guiding providers in navigating the GAMMIS system to access current and future information needs, and advising on the status of applications, including any outstanding documentation required for final review and disposition.

• Handle Inbound calls from providers regarding CVO/Provider Enrollment
• Creates CTN for each call as a record.
• Escalate Concerns and issues to management as needed.
• Participates productively as a member of a team.
• Completes tasks beyond general support level.
• Accepts instruction and direction from leadership. Ability to manage tasks and assignments without detailed direction.
• Identifies, prioritizes, and resolves some issues independently, and escalates more complex questions or issues appropriately.
• Complies with contract requirements, business unit rules and related legal regulations.

What we're looking for

• High School Diploma or equivalent; may hold 2-year post-high school Degree; may hold bachelor's degree.
• Prior office or clerical experience preferred with the ability to follow written policies and procedures.
• 1-2 years of working experience in Contact (Call) Center; experience with CxOne, Avaya or previous call center software is a plus
• Ability to access and retrieve information using a laptop and basic understanding of Microsoft Office products.
• Ability to follow procedural guidelines and work on assignments with limited instructions from leadership.

What you should expect in this role
Candidates must be residents of Arkansas to be eligible for the remote position based in the state.
Successful completion of Haver Assessment is required.
Video cameras must be used during all interviews, as well as during the initial week of orientation.
To work effectively as a teleworker or hybrid positions with Gainwell, employees must have a broadband internet connection with a minimum speed of 24 Mbps download and 8 Mbps upload. Higher speeds are recommended for optimal performance.
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Employee Benefits & Perks:
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.
Schedule Information:
Please note during training, the first couple of weeks the training hours will vary. The shift will be a schedule within a timeframe of 6:00 AM CST to 6 PM CST with two 15 minute breaks and a 30 minute lunch.
#LI-Remote #LI-PP1
The pay range for this position is $27,200.00 - $38,900.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.
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 and visit our for all available job role openings.
Gainwell Technologies is 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), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

Skills Required