Healthcare Call Center Representative Remote U.S.

Date: Aug 4, 2026 Location: Req ID: 37185 Work Mode: Virtual (Exception only) 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 Provide exceptional customer service by telephone to Medicaid providers and members by assisting with coverage, claims, and benefit-related inquiries. Accurately interpret Medicaid benefits and policy provisions, research and resolve disputed claims, and ensure timely follow-up to achieve prompt resolution. The ideal candidate has at least one year of call center experience, preferably in healthcare, human services, or Medicaid, along with strong customer service, communication, problem-solving, and computer skills. Your role in our mission Answer inbound calls within 30 seconds Use of multiple monitors/screens and systems to service calls Be a productive member of the team Comply with contract requirements, business unit rules and related legal regulations Time management, attendance, and punctuality What we're looking for Experience working in a metric driven environment Experience using an auto answer system Experience working in the Healthcare Industry / Medicaid specifically Experience Meeting Service Level Agreements and contractual obligations Ability to learn and ask questions to be independent What you should expect in this role Prior office or clerical experience. Ability to follow written policies and procedures. Ability to access and retrieve information using a PC and basic understanding of Microsoft Office products. Ability to follow procedural guidelines.' Ability to work on assignments with limited instructions from leadership. Good written and verbal communication skills, including professional telephone skills. This is a fully remote position that requires a dedicated home office or private workspace with a door to ensure a professional, distraction-free work environment. Employees must be available to work Monday through Friday, 8:00 AM to 5:00 PM, with punctuality and reliable attendance being essential. The role requires the ability to maintain focus, meet performance expectations, and adhere to company policies while working remotely. Remote positions employees' Broadband Internet connections should have a minimum speed of 24MBS download and 8 MBS upload. Greater speeds will of course provide better performance. The deadline to submit applications for this posting is September 01, 2026. Remote role – required to have a home office or room with a door to separate from anyone in the house. Hours are 8am-5pm punctuality is a must. #LI-REMOTE #LI-LS2 The pay range for this position is $35,000.00 - $50,000.00 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.