**Experienced Call Center Representative – USA Remote – Healthcare Industry**

About Gainwell Technologies

Gainwell Technologies is a leading provider of innovative healthcare solutions, dedicated to improving the lives of millions of individuals across the United States. Our mission is to harness the power of technology to help our clients deliver better health and human services outcomes, while fostering a culture of collaboration, innovation, and inclusion. As a remote Call Center Representative, you will play a vital role in our mission, working from the comfort of your own home to support our clients and their members.

Job Summary

We are seeking an experienced Call Center Representative to join our team, working remotely from the USA. As a key member of our Business Process Services team, you will be responsible for supporting claims processing, adhering to policy guidelines, and providing exceptional customer service to our clients and their members. If you are passionate about making a difference in the lives of others, have excellent communication skills, and are proficient in using technology, we encourage you to apply for this exciting opportunity.

Your Role in Our Mission

As a Call Center Representative, you will be an integral part of our team, contributing to the success of our clients and their members. Your key responsibilities will include:

• Supporting the Business Process Services team in claims processing, adhering to policy guidelines
• Meeting production and quality requirements established by clients for timely claims processing
• Using policy guidelines and criteria established by leadership to evaluate why a claim errored and make an adjudication decision
• Providing exceptional customer service to clients and their members, resolving issues and concerns in a timely and professional manner
• Collaborating with internal stakeholders to ensure seamless communication and efficient claims processing

What We're Looking For

We are seeking a highly motivated and experienced Call Center Representative who possesses the following qualifications:

• Knowledge of the fundamental concepts and principles in the medical and/or insurance fields
• Basic reading and analysis skills to evaluate claims and make adjudication decisions
• Basic computer use skills, including proficiency in using software applications and technology
• Ability to multi-task across multiple claims to work efficiently
• Ability to work independently to meet individual production goals
• Excellent communication and interpersonal skills, with the ability to build strong relationships with clients and internal stakeholders

What You Can Expect in This Role

As a remote Call Center Representative, you can expect:

• A competitive salary, ranging from $35,000 to $50,000 per year, depending on experience and qualifications
• A comprehensive benefits package, including health insurance, 401(k) employer match, and educational assistance
• A flexible vacation policy, allowing you to take time off when needed
• Opportunities for career growth and development, including leadership and technical development academies
• A dynamic and inclusive work environment, where collaboration, innovation, and inclusion fuel our growth

Why Join Gainwell Technologies?

At Gainwell Technologies, we believe that our employees are our greatest asset. We offer a range of benefits and opportunities that will help you grow your career and achieve your goals. Some of the reasons why you should join our team include:

• Opportunities for career growth and development, including leadership and technical development academies
• A comprehensive benefits package, including health insurance, 401(k) employer match, and educational assistance
• A dynamic and inclusive work environment, where collaboration, innovation, and inclusion fuel our growth
• A competitive salary, ranging from $35,000 to $50,000 per year, depending on experience and qualifications
• A flexible vacation policy, allowing you to take time off when needed

How to Apply

If you are passionate about making a difference in the lives of others, have excellent communication skills, and are proficient in using technology, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, to our website. We look forward to hearing from you!

Take the Next Step

Are you ready for this challenge? Apply now and let's discuss how you can become a vital part of our success story.