Call Center Representative - Remote (USA)

Gainwell Technologies LLC • OH

84d • $25,300 - $36,200

About The Position

Gainwell Technologies makes the healthcare system work better for everyone. We fight fraud, waste, and abuse so people can access the care they need—today and in the future. Using innovative technology and powerful data analytics, we help government and commercial payers reduce costs, improve quality, and meet compliance goals. At Gainwell, you’ll build valuable skills, advance your career, and make a meaningful difference in people’s lives.

Requirements

• High school diploma or GED required; additional education preferred.
• 2+ years of call center or customer service experience preferred.
• Experience in a healthcare or insurance environment is a plus.
• Strong customer service orientation with excellent verbal and written communication skills.
• Proficient in Microsoft Outlook, Word, and Excel; familiarity with help desk or CRM systems is a plus.

Responsibilities

• Answer inbound calls and provide courteous, accurate, and efficient customer service.
• Follow established quality and compliance standards for every interaction.
• Verify caller identity and ensure all security and confidentiality procedures are followed.
• Access and review program details using internal systems (e.g., DE) to answer inquiries within program guidelines.
• Communicate clear and accurate information in every interaction.
• Provide knowledgeable responses to general client questions; escalate complex cases as needed.
• Document all interactions accurately in the system and follow up on pending inquiries.
• Meet or exceed productivity and service-level agreements (SLAs).
• Collaborate with team members, management, and clients to resolve issues effectively.
• Recommend improvements to processes or workflows to enhance efficiency.

Benefits

• Generous, flexible vacation policy
• 401(k) employer match
• Comprehensive health benefits
• Educational assistance
• Leadership and technical development academies

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees