Call Center Representative - Healthcare - Remote US

It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.

Summary

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

• 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
  
  

What We're Looking For

• 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
  
  

What You Should Expect In This Role

• 100% work from home (remote) position (must reside in Idaho)
• Scheduled 8-hour shifts between 7:00 AM – 7:00 PM MST, Monday–Friday
• High-volume call environment requiring extended periods on the phone
• Full-time (40 hours/week) with structured training and onboarding
• Video camera required during interviews and initial training
• Minimum internet requirement: 24 Mbps download / 8 Mbps upload
  
  

The pay range for this position is $28,500.00 - $40,700.00 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 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.