Remote Provider & Member Support Specialist

Gainwell Technologies LLC; Texas; Remote; USD 29,000 - 42,000; Full time

Benefits offered by this job

Generous vacation policy

401(k) employer match

Comprehensive health benefits

Educational assistance

Leadership and technical development**

Job summary

Gainwell Technologies LLC is seeking a dedicated customer contact professional to deliver exceptional service to members and providers. The role involves handling inbound/outbound communications via phone, email, chat, and portals, researching claims, verifying insurance coverage, and ensuring regulatory compliance.

Ideal candidates will follow scripts, demonstrate attention to detail, and provide high-quality, positive experiences.

Qualifications

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

Responsibilities

• Engage promptly with providers and members via calls, emails, live chat, and other channels with empathy and accuracy.
• Escalate complex issues to leadership when appropriate while following company policies.
• Document interactions and resolutions in the CRM or case management system.
• Collaborate with team members to route issues to appropriate departments.
• Meet or exceed KPIs for call quality, handle time, and customer satisfaction.

Skills

Customer service

Communication

Organizational skills

Education

High school diploma/GED

Job description

Gainwell Technologies LLC is seeking a dedicated customer contact professional to deliver exceptional service to members and providers. The role involves handling inbound/outbound communications via phone, email, chat, and portals, researching claims, verifying insurance coverage, and ensuring regulatory compliance.

Ideal candidates will follow scripts, demonstrate attention to detail, and provide high-quality, positive experiences.