Note: The job is a remote job and is open to candidates in USA. Gainwell Technologies is an industry leader in healthcare solutions, seeking a Healthcare Contact Center Agent to provide exceptional customer service. This role involves handling inbound and outbound calls, researching claims, and ensuring compliance with healthcare regulations while delivering a positive contact experience.
Responsibilities
- Answer incoming calls promptly and professionally, addressing member or provider 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 adhering to standardized call scripting and quality guidelines, call handle time, customer satisfaction and adhere to a daily work, lunch and break schedule
Skills
- 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
- Knowledge of Medicaid/Medicare programs, state healthcare guidelines, or willingness to quickly learn complex program policies
- Strong communication with ability to show empathy and active listening skills to understand member and provider concerns and respond with compassion and clarity
- Demonstrate high attention to detail for compliance-driven processes, along with conflict resolution skills when speaking to frustrated providers or members
- Must be able to speak, read and write proficient English
- Ability to multitask and navigate multiple systems simultaneously and proficiency in Microsoft office and call center software
- Ability to remain calm and professional in high pressure situations
- Ability to operate standard office equipment, including computer, keyboard, mouse, and telephone
- Regular attendance and punctuality are essential to meet adherence and service level requirements
- Associate degree or healthcare certification
- Bilingual is a plus
- Familiarity with medical terminology and insurance processes is a plus
Benefits
- All salaried, full-time candidates are eligible for our generous, flexible vacation policy
- A 401(k) employer match
- Comprehensive health benefits
- Educational assistance
- A variety of leadership and technical development academies to help build your skills and capabilities
Company Overview
Gainwell Technologies is a provider of Information Technology & Services. It is a sub-organization of Veritas Capital. It was founded in 2009, and is headquartered in Irving, Texas, USA, with a workforce of 10001+ employees. Its website is https://www.gainwelltechnologies.com/.Company H1B Sponsorship
Gainwell Technologies has a track record of offering H1B sponsorships, with 13 in 2026, 90 in 2025, 78 in 2024, 56 in 2023, 96 in 2022, 33 in 2021. Please note that this does not guarantee sponsorship for this specific role.