Call Center Representative - Healthcare - Remote US

Gainwell Technologies; United States; Remote; USD 32,000 - 44,000; Full time

Benefits offered by this job

Work from home

Job summary

Gainwell Technologies is seeking a Call Center Representative – Healthcare to support members with high-quality customer service in a fast-paced environment. You will handle inbound calls, document interactions, and assist with navigating healthcare services, eligibility, and claims.

This 100% remote role requires residency in Idaho, with 8-hour shifts between 7:00 AM and 7:00 PM MST, Monday through Friday. Full-time position offering structured training and opportunities for growth.

Qualifications

• 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.

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, including call quality, productivity, and attendance
• Collaborate with team members and leadership to improve processes and enhance the customer experience

Skills

Customer service

Call center

Empathy

Communication

Tools

Microsoft Office

Job description

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