Call Center Healthcare Representative

Role Overview

• Handle inbound calls from members and providers, delivering accurate information related to healthcare benefits, eligibility, and services.
• Research and resolve inquiries efficiently while following established procedures and compliance guidelines.
• Document customer interactions clearly and accurately in multiple systems during live calls.
• Meet performance expectations including quality standards, service levels, and productivity goals.
• Contribute to a collaborative team environment focused on delivering reliable and responsive support.

Requirements

• At least two (2) years of customer service experience, ideally in a call center or high-volume environment.
• Healthcare experience preferred (medical office, pharmacy, insurance, Medicaid/Medicare, or healthcare call center).
• Strong computer proficiency with the ability to navigate multiple applications and dual screens simultaneously.
• Clear and professional communication skills with the ability to manage challenging conversations calmly.
• Self-motivated and dependable, with the ability to work independently in a remote setting.

Benefits

• Access to Gainwell’s competitive benefits package in accordance with eligibility guidelines, including medical, dental, vision, and 401(k) options.
• Paid 6-week training program at approximately 30 hours per week.
• Generous, flexible vacation policy.
• Educational assistance.
• Leadership and technical development academies to help build your skills and capabilities.