Gainwell Technologies · 2 days ago
Eligibility Operations Advisor I - Remote, USA
Texas, United States
Full-time
Remote
Entry Level
$30K/yr - $44K/yr
2+ years exp
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Responsibilities
Provide enrollment assistance and HIPP/Premium Assistance program information over the phone to Medicaid eligible recipients and their family members.
Verify, document and investigate the presence of health care coverage for Medicaid recipients and their families.
Assist in the identification of members that may qualify for the HIPP/Premium Assistance program.
Complete periodic reports.
Customer service to include high volume of phone work answering questions and other inquiries regarding the HIPP/Premium Assistance program.
Data entry to include accurate and timely entry of information.
Obtain and/or verify all items related to eligibility and enrollment into the HIPP/Premium Assistance program.
Complete maintenance of active cases during open enrollment and premium review for check processing to assist with maintaining the revenue and program growth.
Qualification
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Required
Ability to organize well.
Strong Customer Service Skills
Strong Communication Skills
Ability to provide and represent professionalism in job.
Ability to practice flexibility and adaptability in the workplace.
Ability to work with Microsoft Word and Excel and navigate internet skillfully.
Ability to analyze information and use logic and process to address work-related issues and problems.
Ability to operate with strong interpersonal skills.
Ability to be careful and thorough about detail.
Ability to perform data entry accurately.
Average manual dexterity in use of a PC, phone, 10 key, sorting, filing and other office machines.
Ability to handle conflict appropriately and constructively.
Working knowledge of HIPAA privacy and Security rules.
Ability to perform well in team environment.
Ability to meet deadlines.
Ability to handle pressure and deadline-oriented project demands.
Min. 2 year of experience in insurance industry, health care or government sponsored.
Min. 2-year experience working on the phone making inquiries (outbound) and answering calls (inbound).
Preferred
MassHealth Experience Preferred
Call Center Experience Preferred
Human Resources or Health Insurance Experience preferred.
Bilingual Preferred
Knowledge of health care terminology is a plus.
Benefits
Generous, flexible vacation policy
A 401(k) employer match
Comprehensive health benefits
Educational assistance
Leadership and technical development academies
Company
Gainwell Technologies
Gainwell Technologies is a provider of Information Technology & Services. It is a sub-organization of Veritas Capital.
10,001+ employees
H1B Sponsorship
Gainwell Technologies has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2023 (37)
2022 (101)
2021 (55)
2020 (2)
Funding
Current Stage
Late StageTotal Funding
$1M2023-06-08Grant· $1M
Leadership Team
Paul N. Saleh
President and Chief Executive Officer
Jacob Sims
EVP and Chief Technology Officer
Recent News
Texas CEO Magazine
2024-06-04
Company data provided by crunchbase
