Case Management Specialist, Remote - USA @ Gainwell Technologies | Jobright.ai
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Case Management Specialist, Remote - USA jobs in WI
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Gainwell Technologies · 14 hours ago

Case Management Specialist, Remote - USA

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Health CareInformation Technology
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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

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Customer Service SkillsData EntryMicrosoft WordMicrosoft ExcelHIPAA KnowledgeInsurance Industry ExperienceCall Center ExperienceBilingualHealth Care TerminologyDeadline ManagementMath Related ExperienceManual Dexterity

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
Call Center Experience
Human Resources or Health Insurance Experience
Bilingual
Knowledge of health care terminology is a plus.

Benefits

Generous, flexible vacation policy
A 401(k) employer match
Comprehensive health benefits
Educational assistance
Variety of leadership and technical development academies

Company

Gainwell Technologies

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Gainwell Technologies is a provider of Information Technology & Services. It is a sub-organization of Veritas Capital.

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 Stage
Total Funding
$1M
2023-06-08Grant· $1M

Leadership Team

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Paul N. Saleh
President and Chief Executive Officer
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Jacob Sims
EVP and Chief Technology Officer
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Company data provided by crunchbase
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