EDI Helpdesk Call Center Representative

Gainwell Technologies LLCJob Description EDI Helpdesk Call Center Representative Job Description The Help Desk Call Center Representative responsible for answering inbound calls from members and providers related to Georgia Medicaid Responsibilities include, but are not limited to:o 1st Tier Help Desk Support for Web Portal Navigation and Password Assistanceo Claims Rejectionso File Rejections o Participates productively as member of team, possibly in a team lead role.o Completes complex tasks, assignments and defined processes with some level of independence.o Multiple assignments worked and completed simultaneously as directed by leadership.o Identifies, prioritizes and resolves most questions and issues independently. Answers questions of peers. Escalates more complex questions or issues appropriately.o Complies with contract requirements, business unit rules and related industry and legal regulationsKnowledge and Skills:o At least 2 years of Medicaid claims/policies and procedures knowledge preferredo Experience resolving and following up on claimso Strong Customer Service skillso Strong Presentation skillso Ability to work independentlyo Office administrative experience and skills.o Ability to follow written policies, procedures and guidelines, and give feedback to leadership.o Intermediate-level knowledge of operating systems.o Self-motivated with good time management and organizational skills.o Ability to read and interpret basic to moderately complex documents such as operating and maintenance instructions, procedure manuals, and government/healthcare guidelines.o Excellent written and verbal communication skills and customer service skills, including professional telephone skills.Education and Experience:o High School Diploma or equivalent; may hold 2 year post-high school Degree; may hold Bachelor''s degree.o Typically, 2-4 years of working experience in related fields.Knowledge and Skills:o Office administrative experience and skills.o Ability to follow written policies, procedures and guidelines, and give feedback to leadership.o Intermediate-level knowledge of operating systems.o Self-motivated with good time management and organizational skills.o Ability to read and interpret basic to moderately complex documents such as operating and maintenance instructions, procedure manuals, and government/healthcare guidelines.o Excellent written and verbal communication skills and customer service skills, including professional telephone skills.

Created: 2021-11-29