Provider Field Representative - Jackson, MS

Gainwell Technologies; Ridgeland (MS); Hybrid; USD 50,000 - 70,000; Full time

Benefits offered by this job

Health benefits starting Day 1

401(k) with company match

Flexible vacation policy

Career growth opportunities

Company-provided computer

Job summary

A healthcare solutions company in Ridgeland, MS is seeking a Provider Field Representative to improve clients' health and well-being. Responsibilities include analyzing inquiries, training less experienced staff, and contributing to a knowledge database. Ideal candidates should have a Bachelor's degree or 5 years in healthcare, strong claims processing knowledge, and familiarity with Medicaid procedures. Competitive benefits and a salary range of $50,000 - $70,000 per year are offered.

Qualifications

• Strong knowledge of provider relations.
• Familiarity with federal and state healthcare regulations.
• Understanding of Medicaid policies and procedures.

Responsibilities

• Analyze inquiries using personal knowledge.
• Contribute to a knowledge database for consistency.
• Monitor customer inquiries and track resolutions.

Skills

Health industry experience

Claims processing knowledge

Public speaking proficiency

Education

Bachelor’s degree or 5 years of relevant experience

Job description

Provider Field Representative - Jackson, MS

Join Gainwell Technologies as a Provider Field Representative. Great companies need great teams to propel their operations. Working at Gainwell carries its rewards, with opportunities 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 Provider Field Representative, you will contribute your skills to help our clients improve the health and well-being of the members they serve. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges.

Your role in our mission:

• Analyzes inquiries through use of personal knowledge of the particular functional subject matter.
• Provides response and takes appropriate action to resolve.
• Contributes to a shared knowledge database to facilitate response consistency and to document complex issue resolution.
• Monitors customer inquiries for a specific functional area, tracks progress and resolution of escalated inquiries.
• Assists less experienced staff in developing appropriate responses.

What We're Looking For:

• Bachelor’s degree or a minimum of 5 years of relevant experience in the healthcare industry.
• Strong knowledge of claims processing and provider relations.
• Proficiency in delivering presentations and public speaking.
• Familiarity with federal and state healthcare regulations.
• In-depth understanding of Medicaid policies and procedures.

What You Should Expect In This Role:

• On-site position based in Jackson/Ridgeland, MS, with potential for hybrid work after 90 to 120 days.
• Work schedule is Monday – Friday, 8:00 AM to 5:00 PM CST.
• Video cameras must be used during all interviews, as well as during the initial week of orientation.
• Harver Assessment Requirement: complete the Harver Assessment as part of our interview process.

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.
• Flexible vacation policy after 90 days of employment.
• Career growth and advancement opportunities are encouraged and supported.
• A company-provided computer is supplied for work use.

The pay range for this position is $50,000 - $70,000 per year. 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, age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.