Healthcare Call Center Agent

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

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.

Your role in our mission

• Answer incoming calls promptly and professionally, addressing member inquiries, and make outbound calls as needed. Ability to remain calm and professional in high pressure situations.
• 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.
  
  

What We're Looking For

• 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.
  
  

What You Should Expect In This Role

• Candidates must be available to work Monday through Friday 8:00AM to 4:30PM ET
• A fast-paced, metrics driven environment
• Location Remote
  
  

The pay range for this position is $35,000.00 - $50,000.00 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.