Healthcare Contact Center Agent

Gainwell Technologies

Healthcare Call Center Agent providing exceptional customer service to members and providers. Involves handling calls, researching claims, and ensuring compliance with healthcare regulations.

Posted 6/19/2026full-timeRemote • 🇺🇸 United StatesJunior💰 $27,200 - $38,900 per yearWebsite

About the role

Key responsibilities & impact

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.

Requirements

What you’ll need

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. Bilingual is a plus.
Ability to multitask and navigate multiple systems simultaneously and proficiency in Microsoft Office and call center software.
Familiarity with medical terminology and insurance processes is a plus.

Benefits

Comp & perks

Flexible vacation policy
401(k) employer match
Comprehensive health benefits
Educational assistance
Leadership and technical development academies

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

call center experiencecustomer servicedocumentationHIPAA complianceMedicaid knowledgeMedicare knowledgemedical terminologyinsurance processesmultitaskingMicrosoft Office proficiency

Soft Skills

communicationempathyactive listeningattention to detailconflict resolutionprofessionalismcalmness under pressurecompassionclaritytime management

Certifications

high school diplomaassociate degreehealthcare certification