Help Desk Representative - Healthcare - Remote US

Gainwell Technologies; Town of Texas (WI); Remote; USD 29,000 - 42,000; Full time

Job summary

Join a forward-thinking company as a Help Desk Representative in Healthcare, where your expertise will help tackle complex healthcare challenges. This role offers the chance to work flexibly while providing consultancy on insurance and health policies. You'll be responsible for investigating claims and resolving issues with providers, making a significant impact on healthcare delivery. The company values work-life balance and offers opportunities for career growth and development. If you're passionate about making healthcare better for everyone, this is the perfect opportunity for you.

Benefits

Flexible Vacation Policy

401(k) Employer Match

Comprehensive Health Benefits

Educational Assistance

Leadership Development Academies

Technical Development Academies

Qualifications

• 2-4 years of experience in customer service and office administration.
• Excellent communication skills, both written and verbal.

Responsibilities

• Provide consultancy on insurance and healthcare policies.
• Investigate claim characteristics and resolve provider appeals.

Skills

Customer Service

Office Administration

Time Management

Organizational Skills

Written Communication

Verbal Communication

Knowledge of Operating Systems

Job description

Help Desk Representative - Healthcare - Remote US

Date: Jan 24, 2025

Location: Any city, TX, US, 99999

It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.

Summary

The Help Desk Representative - Healthcare - Remote US job contains positions associated with providing consultancy utilizing knowledge and expertise on insurance and healthcare. Develops and implements general insurance and health policies in accordance with state and federal laws. Provides expertise to investigate and adjudicate claim characteristics that do not match policy provisions. Responds to provider appeals and meets with trading partners and providers to resolve problems/issues. Provides directions for utilization review. Approves any remedial or recoupment actions associated with escalated claims. Advises provider review councils, state officials, and works with organized healthcare groups and associations on various issues related to insurance and healthcare programs.

Your role in our mission

• Completes complex tasks, assignments, and defined processes with some level of independence.
• Works on multiple assignments simultaneously as directed by leadership.
• Identifies, prioritizes, and resolves most questions and issues independently. Answers questions of peers and escalates more complex questions or issues appropriately.
• Complies with contract requirements, business unit rules, and related industry and legal regulations.

What we're looking for

• 2-4 years of working experience in customer service.
• Office administrative experience and skills.
• Ability to follow written policies, procedures, and guidelines, and give feedback to leadership.
• Intermediate-level knowledge of operating systems.
• Self-motivated with time management and organizational skills.
• Ability to read and interpret basic to moderately complex documents such as operation and maintenance instructions, procedure manuals, and government/healthcare guidelines.
• Excellent written and verbal communication skills and customer service skills, including professional telephone skills.

What you should expect in this role

• Video cameras must be used during all interviews, as well as during the initial week of orientation.
• Full-time (40 hours a week).
• Most benefits start on the first day of employment.
• Remote (work from home).
• Employees must have a broadband internet connection with a minimum speed of 24 Mbps download and 8 Mbps upload.

The pay range for this position is $29,100.00-$41,600.00 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 401(k) employer match, comprehensive health benefits, and educational assistance.

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.

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.