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Gainwell Technologies LLC
EDI Help Desk Camp Hill, PA (Hybrid)
Entry-Level JobVerifiedNo experience needed
Career Insights for Healthcare Customer Service Representative
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Based on Pennsylvania data
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What they do
A Healthcare Customer Service Representative responds to customer inquiries about healthcare and provides information about healthcare plans, providers, policies and coverage. Assists customers with questions about healthcare insurance and premiums. Keeps records of customer communications and transactions.
$39,610 / year median in Pennsylvania
-13% projected decline
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
The Provider Services/Customer Service Representative supports healthcare and Medicaid providers through telephone, written, and system-based communications. This role is responsible for resolving provider inquiries, processing updates, maintaining accurate records, and delivering excellent customer service while meeting established performance standards.
Your role in our mission Answer incoming provider calls and resolve basic to moderately complex inquiries, routing calls when necessary. Conduct outbound calls to follow up on and resolve provider requests. Process member updates and verify the accuracy and completeness of records for audit and reporting purposes. Meet client Service Level Agreements (SLAs) and production goals while maintaining accuracy. Collaborate with team members, management, and customers to resolve service issues and maintain professional communication. What we're looking for High school diploma or equivalent. Strong verbal and written communication skills. Proficiency with Microsoft Office applications and basic computer software. Ability to work independently, follow written and verbal instructions, and manage multiple priorities. Healthcare, Medicaid, call center, customer service, provider services, or member services experience preferred. What you should expect in this role Hours of operation: 7:00 AM to 5:30 PM. Employees participate in a rotating schedule and work the late shift until 5:30 PM approximately once per month. This position may require some on-site in PA/Camp Hill for training purposes. Ability to multitask, following assignments worked and completed simultaneously as directed by leadership #
Your role in our mission Answer incoming provider calls and resolve basic to moderately complex inquiries, routing calls when necessary. Conduct outbound calls to follow up on and resolve provider requests. Process member updates and verify the accuracy and completeness of records for audit and reporting purposes. Meet client Service Level Agreements (SLAs) and production goals while maintaining accuracy. Collaborate with team members, management, and customers to resolve service issues and maintain professional communication. What we're looking for High school diploma or equivalent. Strong verbal and written communication skills. Proficiency with Microsoft Office applications and basic computer software. Ability to work independently, follow written and verbal instructions, and manage multiple priorities. Healthcare, Medicaid, call center, customer service, provider services, or member services experience preferred. What you should expect in this role Hours of operation: 7:00 AM to 5:30 PM. Employees participate in a rotating schedule and work the late shift until 5:30 PM approximately once per month. This position may require some on-site in PA/Camp Hill for training purposes. Ability to multitask, following assignments worked and completed simultaneously as directed by leadership #