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Contact Center Provider Services
Gainwell Technologies. Engage 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 accuracy while addressing inquiries. Proficient in navigating multiple systems and ensuring compliance with healthcare regulations.
Highest-signal resume keywords
Customer Service ExperienceHealthcare KnowledgeCRM DocumentationKPI AchievementOrganizational Skills
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 VerificationProcess ImprovementDocumentationMultitasking
Soft Skills
EmpathyActive ListeningCommunicationAttention to DetailCollaboration
Tools & Technologies
CRM SystemCase Management System
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
Healthcare RegulationsCustomer SatisfactionCall QualityHandle TimeQuality Standards
About the role
Key responsibilities & impact- Engage with providers and members through inbound/outbound calls, emails, live chat, and other platforms
- Address inquiries with empathy, accuracy, and composure
- Provide clear and accurate information according to 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 KPIs including call quality, handle time, customer satisfaction, and adherence to scripts, quality standards, and scheduled hours
- Research claims and verify insurance coverage
- Ensure compliance with healthcare regulations
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 or 8:30AM–5:00PM EST
Benefits
Comp & perks- Professional growth through training and mentorship
- Work flexibility
- Learning and career development
- Generous, flexible vacation policy
- 401(k) employer match
- Comprehensive health benefits
- Educational assistance
- Leadership and technical development academies