Call Center Representative - Healthcare - Remote US

Gainwell Technologies; Texas; Remote; USD 31,000 - 44,000; Full time

Benefits offered by this job

401(k) match

Health benefits

Generous vacation policy

Educational assistance

Job summary

Gainwell Technologies is seeking a Call Center Representative – Healthcare for a 100% remote, full-time role. You will handle inbound calls from members and providers, resolve inquiries about healthcare services, eligibility, and claims, and document interactions accurately while ensuring quality and compliance.

The position requires 2+ years in a high-volume call center or customer service environment, with Medicaid/healthcare experience, and strong communication skills.

Qualifications

• 2+ years of call center or customer service experience in a high-volume environment.
• Experience supporting Medicaid, healthcare, or claims inquiries.
• Strong verbal and written communication with professionalism and empathy.
• Ability to multitask, navigate multiple systems, and document while on live calls.

Responsibilities

• 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 for call quality, productivity, and attendance.
• Collaborate with team members and leadership to improve processes and customer experience.

Skills

Call center experience

Medicaid/healthcare knowledge

Communication skills

Multitasking

MS Office

Tools

Microsoft Office

Job description

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Call Center Representative - Healthcare - Remote US

Date: Oct 14, 2026

Location:

Any city, TX, US, 99999

Work Mode: Default

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

#LI-REMOTE

#LI-JT1

The pay range for this position is$30,500.00-$43,500.00 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.