Contact Center Provider Services Remote USA

RemoteFetch; Difficult Run (VA); Remote; USD 29,000 - 42,000; Full time

Benefits offered by this job

Flexible vacation policy

401(k) employer match

Comprehensive health benefits

Educational assistance

Job summary

Gainwell Technologies is seeking a dedicated customer service professional to join our team in a member, provider, and stakeholder facing role. You will handle inbound and outbound communications by phone, email, chat, portals and secure messaging, delivering empathetic, accurate information.

The role emphasizes following scripts, meeting KPIs, and maintaining documentation in the CRM. We offer professional growth, remote-friendly schedules, and comprehensive benefits including flexible

Qualifications

• High school diploma or GED required.
• 1–2 years of experience in customer service, preferably healthcare.
• Strong organizational and communication skills with attention to detail.
• Ability to multitask and navigate multiple systems.

Responsibilities

• Engage promptly and professionally with providers and members through inbound/outbound calls, emails, live chat, and other platforms, addressing inquiries with empathy, accuracy, and composure.
• Listen carefully to questions and concerns, providing clear and accurate information in alignment with company policies and procedures, and elevate complex issues to leadership when appropriate.
• Document all interactions, feedback, and resolutions accurately in the CRM or case management system, and share insights on recurring issues to support process improvement
• Collaborate effectively with team members and supervisors to coordinate support, maintain a positive work environment, and ensure issues are routed to the appropriate departments.
• Meet or exceed established KPIs, including call quality, handle time, customer satisfaction, and adherence to scripts, quality standards, and scheduled work hours.

Skills

Customer service

Active listening

Communication skills

Multitasking

Education

High school diploma/GED

Job description

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

We are seeking a dedicated and empathetic professional to join our team in a customer contact role focused on delivering exceptional customer service to members, providers, and other stakeholders. This position involves managing inbound and/or outbound communications via phone, email, chat, portals, and secure correspondence systems. Responsibilities include researching claims, verifying insurance coverage, resolving inquiries, and ensuring compliance with healthcare regulations. The ideal candidate will follow established scripts and guidelines, demonstrate strong attention to detail, and consistently provide high-quality, positive contact experiences.

Your role in our mission

• Engage promptly and professionally with providers and members through inbound/outbound calls, emails, live chat, and other platforms, addressing inquiries with empathy, accuracy, and composure.
• Listen carefully to questions and concerns, providing clear and accurate information in alignment with company policies and procedures, and elevate complex issues to leadership when appropriate.
• Document all interactions, feedback, and resolutions accurately in the CRM or case management system, and share insights on recurring issues to support process improvement
• Collaborate effectively with team members and supervisors to coordinate support, maintain a positive work environment, and ensure issues are routed to the appropriate departments.
• Meet or exceed established KPIs, including call quality, handle time, customer satisfaction, and adherence to scripts, quality standards, and scheduled work hours.

What we're looking for

• High school diploma/GED required
• 1-2 years of experience in customer service, preferably healthcare
• Demonstrate strong organizational and communication skills, with high attention to detail and the ability to actively listen, show empathy, and respond to member and/or provider concerns with compassion and clarity.
• Ability to multitask and navigate multiple systems simultaneously.

What you should expect in this role

• Professional growth through training and mentorship
• A fast-paced role in a metrics driven environment with direct impact on providers serving the Medicaid programs and benefits
• Ability to work either 8:00AM - 4:30PM or 8:30AM - 5:0PM EST.
• #LI-REMOTE
• #LI-LS2

The pay range for this position is $29,100.00 - $41,600.00 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.