Insure Oklahoma Eligibility Specialist - Oklahoma City, OK

Date: Nov 21, 2023

Location:

Oklahoma City, OK, US, 73107-2411

Req ID: 21324

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

Under the direction of the Insure Oklahoma Manager this position: determines employee and employer eligibility; enrolls employee and employers; and researches and resolves member and employer issues related to the Insure Oklahoma program promptly. This position will work with Insure OK members, independent insurance agents, employers, and other stakeholders to research and resolve issues related to the program, individual eligibility, employer eligibility, premium payments, etc., promptly.

Required schedule: Monday through Friday 8 am to 5 pm CST.

Your role in our mission

Answers incoming telephone inquiries from employees, employers, insurance agents and providers. Requires individual research and interpretation of federal rules and procedures and agency rules in relation to the Insure OK program
Researches, analyzes, and resolves employee and employer issues related to the Insure OK program as identified in inquiries, access to care issues, complaints, e-mail, written correspondence, and telephone calls. Initiates action necessary to resolve issues which encompasses outbound calling
Determines eligibility, verifies and enters data. Researches and resolves any problems relating to enrollment and premium payments. Identifies potential operational and contractual issues and participates in the formulation of procedures to resolve conflicts or provide clarification
Processes enrollment, plan changes and corrections to member enrollment data system
Other duties as assigned

What we're looking for

Knowledge of principles and practices of the Insure OK program; Ability to work with the general public, health care professionals, and health advocacy and consumer groups is needed. Problem-solving skills and an ability to communicate effectively with others both orally and in writing are needed.
Eighteen months of experience in Insure Oklahoma, SoonerCare or call center OR
An equivalent combination of education and/or experience totaling 3 ½ years

PREFERENCE MAY BE GIVEN TO CANDIDATES WITH:

Direct experience with Insure Oklahoma
Bilingual in Spanish and English

What you should expect in this role

Office environment
Communication skills
Personal computer and business solutions software skills
Organization skills to balance and prioritize work
Ability to multi-task and work independently and as part of a team

#LI-ONSITE #LI-JW1

The pay range for this position is $24,700.00 - $35,300.00 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 committed to a diverse, equitable, and inclusive workplace. We are proud to be 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), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.