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Contact Center Provider Services
Gainwell Technologies. Engage promptly and professionally with providers and members through inbound/outbound calls, emails, live chat, and other platforms .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates strong customer service skills with a focus on empathy and clarity in communication, while ensuring compliance with healthcare regulations and achieving established KPIs. Proficient in documenting interactions and collaborating effectively with team members to enhance service delivery.
Highest-signal resume keywords
Customer Service ExperienceHealthcare ComplianceCRM DocumentationKPI AchievementEmpathy and Active Listening
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims ResearchInsurance VerificationScript AdherenceMultitaskingCase Management
Soft Skills
Organizational SkillsCommunication SkillsAttention to DetailCompassionProblem-Solving
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
HealthcareCustomer SatisfactionInbound/Outbound CallsLive Chat SupportProcess Improvement
About the role
Key responsibilities & impact- Engage promptly and professionally with providers and members through inbound/outbound calls, emails, live chat, and other platforms
- Address inquiries with empathy, accuracy, and composure
- Listen to questions and concerns and provide clear, accurate information aligned with company policies and procedures
- Escalate complex issues to leadership when appropriate
- Document interactions, feedback, and resolutions in the CRM or case management system
- Share insights on recurring issues to support process improvement
- Collaborate with team members and supervisors to coordinate support
- Route issues to appropriate departments
- Meet or exceed established KPIs
- Research claims and verify insurance coverage
- Resolve inquiries and ensure compliance with healthcare regulations
- Follow established scripts and guidelines while delivering high-quality customer contact experiences
Requirements
What you’ll need- High school diploma/GED required
- 1–2 years of experience in customer service, preferably healthcare
- Strong organizational and communication skills
- High attention to detail
- Ability to actively listen, show empathy, and respond to member and/or provider concerns with compassion and clarity
- Ability to multitask and navigate multiple systems simultaneously
- Ability to work 8:00AM–4:30PM EST or 8:30AM–5:00PM EST
- Ability to meet call quality, handle time, customer satisfaction, script adherence, quality, and scheduled-hours KPIs
Benefits
Comp & perks- Work flexibility
- Professional growth through training and mentorship
- Generous, flexible vacation policy
- 401(k) employer match
- Comprehensive health benefits
- Educational assistance
- Leadership and technical development academies
- Career development opportunities