Call Center Representative - Healthcare - Remote US
About The Position
As a Call Center Representative – Healthcare at Gainwell, you will support members by delivering high-quality customer service in a fast-paced, high-volume environment. You will handle inbound calls, resolve inquiries, and ensure accurate documentation while helping improve access to critical healthcare services. This role is ideal for individuals who thrive in structured environments, enjoy helping others, and can manage multiple tasks efficiently. Your role in our mission is to handle high-volume inbound calls from members, providers, and stakeholders, resolve inquiries related to healthcare services, eligibility, and claims, escalating complex cases as needed, accurately document interactions in systems while maintaining quality and compliance standards, meet or exceed performance metrics, including call quality, productivity, and attendance, and collaborate with team members and leadership to improve processes and enhance the customer experience.
Requirements
- 2+ years of call center or customer service experience, preferably in a high-volume environment
- Experience supporting Medicaid, healthcare, or claims-related inquiries
- Strong verbal and written communication skills with a focus on professionalism and empathy
- Ability to multitask, navigate multiple systems, and document while on live calls
- Basic proficiency with Microsoft Office and computer systems
- Minimum internet requirement: 24 Mbps download / 8 Mbps upload
Responsibilities
- Handle high-volume inbound calls from members, providers, and stakeholders
- Resolve inquiries related to healthcare services, eligibility, and claims, escalating complex cases as needed
- Accurately document interactions in systems while maintaining quality and compliance standards
- Meet or exceed performance metrics, including call quality, productivity, and attendance
- Collaborate with team members and leadership to improve processes and enhance the customer experience
Benefits
- flexible vacation policy
- 401(k) employer match
- comprehensive health benefits
- educational assistance
- leadership and technical development academies
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
