Healthcare Call Center Agent

Gainwell Technologies LLC • OH

85d • $35,000 - $50,000

About The Position

The Healthcare Call Center Agent is responsible for providing exceptional customer service to members, providers, and other stakeholders by handling inbound and outbound calls. This role involves researching claims, verifying insurance, resolving inquiries, and ensuring compliance with healthcare regulations. The ideal candidate is empathetic, detail-oriented, and committed to delivering a positive patient experience.

Requirements

• High school diploma or equivalent required; associate degree or healthcare certification preferred.
• 1+ year of experience in a call center or customer service role, preferably in a healthcare setting.
• Strong communication and active listening skills, ability to speak, read and write proficient English. Bilingual is a plus.
• Ability to multitask and navigate multiple systems simultaneously and proficiency in Microsoft office and call center software.
• Familiarity with medical terminology and insurance processes is a plus.

Responsibilities

• Answer incoming calls promptly and professionally, addressing member inquiries, and make outbound calls as needed.
• Accurately document all interactions in the system, ensuring records are updated and complete.
• Maintain confidentiality and comply with HIPAA and other healthcare regulations.
• Escalate complex issues to supervisors or appropriate departments when necessary.
• Meet or exceed performance metrics including call quality, handle time, and customer satisfaction.

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
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees