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Customer Support Specialist
Location
United States
Posted
89 days ago
Salary
$25 - $35 / hour
Seniority
Senior
Job Description
Customer Support Specialist
Commutatus
• Provide users with tier 3 platform and technical support • Assist other teams by gathering and reporting on account data • Efficiently resolve customer inquiries on the first contact • Build proactive relationships with high-priority clients
Job Requirements
- 4-year college degree
- Outstanding verbal and written communication skills
- Computer proficiency
- A data-driven approach to problem-solving
- Experience working in customer support or the SaaS industry
Benefits
- Health insurance
- Flexible vacation policy
- Opportunities to work with other departments
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Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary As a Healthcare Customer Service Representative - Tallahassee, FL - Hybrid at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Here are the details on this position. Your role in our mission - Answers telephones and responds to basic customer questions and/or forwards to appropriate personnel and provides consultancy utilizing knowledge and expertise on insurance and healthcare. - Develops and implements general insurance and health care policies in accordance with state and federal laws and provides expertise to investigate and adjudicate claim characteristics that do not match policy provisions. - Responds to provider appeals and meets with providers to resolve problems/issues. Advises provider review councils, state officials and works with organized healthcare groups and associations on various medical issues related to insurance and healthcare programs. - Processes calls in a manner that ensures service level agreements (SLAs) are met or exceeded. 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Greater speeds will of course provide better performance. - To Test your internet download and upload speed: - Go to Google - Search for Internet Speed Test or click here. “This posting is intended for pipelining. We will accept applications on an ongoing basis.” #LI-HYBRID #LI-PP1 The pay range for this position is $37,440 - $41,600 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings. Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.
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RESPONSIBILITIES: - Locate Critical Incident Health Care Providers for the Critical Incident Stress Management (CISM) cases handled by the Employee Assistance Consultant (EAC) staff. - Educates providers regarding protocols for CISM services, including maintaining appropriate communications with client contacts, providing information on Employee Assistance Program (EAP) benefits, and reviewing billing reimbursement procedures. - Find EAP providers for urgent appointment requests, management referrals, and for crisis calls/crisis situations handled by the EAC and CN&S teams. - Assists with Telephonic Consultation Scheduling, including managing the Outlook calendar, Outlook bin, TruCare bin, and inbound call queue. - Conduct outreach calls for scheduled appointment telephonic consultations. - Conduct EAP Ad Hoc searches for EAC management referral cases when indicated. - Outreach EAP Participants to conduct an EAP Participant Survey. - Process and file ROIs, SAP Claims, EAP Case Closure Requests, and more. - Process Critical Incident Provider Reimbursement forms for Accounts Payable and troubleshoot payment inquiries from providers as needed. - Maintain all documentation in Aster and DG for CISM requests and provider reimbursements. - Maintain documentation for Telephonic Consultations and Management Referrals in TruCare and/or CAMS. - Assist clinicians with administrative needs & 911 calls. - Conduct outreach attempts on MDLive & EBCG Referrals to connect customers to behavioral health resources. - Process restricted account administrative handoff requests by consistently monitoring a TruCare Bin, Outlook Bin and Webex Chat. - Complete assigned projects for process improvements. - Consistently meet handle time, wrap up, and quantity goals currently in place for the year. QUALIFICATIONS: - Bachelor’s degree; mental health field preferred - Minimum of two years related work experience - Strong attention to detail required - Strong interpersonal skills - Ability to independently problem solve - Ability to be a self-starter - Takes initiative with a team-oriented attitude - Excellent organizational skills are necessary to ensure all related paperwork is accurate and processed in a timely manner. - Able to pivot between tasks quickly - Technical knowledge of automated databases, tracking systems, and spreadsheet applications - Excellent PC skills - Strong numeric skills - Proven customer service skills If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. 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The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.




