Call Center Agent - Healthcare - Remote US

<span class="jobdescription"><p><span style="font-size:12.0pt;font-family:arial, helvetica, sans-serif">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. </span></p> <p> </p><div><div style="padding:10.0px 0.0px;border:1.0px solid transparent"><div style="font-size:18.0px;word-wrap:break-word"><h2 style="font-size:1.0em;margin:0.0px"><b>Summary</b></h2> </div><div><p><span style="font-size:11.0pt;line-height:115%;font-family:Arial, sans-serif">The <strong>Healthcare Call Center Agent</strong> is responsible for providing exceptional customer service to members, providers, and other stakeholders by handling inbound and outbound calls. This role involves researching claims, verifying insurance, resolving inquiries, and ensuring compliance with healthcare regulations. The ideal candidate is empathetic, detail-oriented, and committed to delivering a positive patient experience.</span></p></div></div><div style="padding:10.0px 0.0px;border:1.0px solid transparent"><div style="font-size:18.0px;word-wrap:break-word"><h2 style="font-size:1.0em;margin:0.0px"><b>Your role in our mission</b></h2> </div><div><ul style="margin-top:0.0in;margin-bottom:0.0in" type="disc"> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:8.0pt;line-height:115%;font-size:12.0pt;font-family:Aptos, sans-serif"><span style="font-size:11.0pt;line-height:115%;font-family:Arial, sans-serif">Answer incoming calls promptly and professionally, addressing member inquiries, and make outbound calls as needed. Ability to remain calm and professional in high pressure situations. </span></li> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:8.0pt;line-height:115%;font-size:12.0pt;font-family:Aptos, sans-serif"><span style="font-size:11.0pt;line-height:115%;font-family:Arial, sans-serif">Accurately document all interactions in the system, ensuring records are updated and complete.</span></li> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:8.0pt;line-height:115%;font-size:12.0pt;font-family:Aptos, sans-serif"><span style="font-size:11.0pt;line-height:115%;font-family:Arial, sans-serif">Maintain confidentiality and comply with HIPAA and other healthcare regulations.</span></li> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:8.0pt;line-height:115%;font-size:12.0pt;font-family:Aptos, sans-serif"><span style="font-size:11.0pt;line-height:115%;font-family:Arial, sans-serif">Escalate complex issues to supervisors or appropriate departments when necessary.</span></li> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:8.0pt;line-height:115%;font-size:12.0pt;font-family:Aptos, sans-serif"><span style="font-size:11.0pt;line-height:115%;font-family:Arial, sans-serif">Meet or exceed performance metrics including call quality, handle time, and customer satisfaction.</span></li> </ul></div></div><div style="padding:10.0px 0.0px;border:1.0px solid transparent"><div style="font-size:18.0px;word-wrap:break-word"><h2 style="font-size:1.0em;margin:0.0px"><b>What we're looking for</b></h2> </div><div><ul style="margin-top:0.0in;margin-bottom:0.0in" type="disc"> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:8.0pt;line-height:115%;font-size:12.0pt;font-family:Aptos, sans-serif"><span style="font-size:11.0pt;line-height:115%;font-family:Arial, sans-serif">High school diploma or equivalent required; associate degree or healthcare certification preferred.</span></li> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:8.0pt;line-height:115%;font-size:12.0pt;font-family:Aptos, sans-serif"><span style="font-size:11.0pt;line-height:115%;font-family:Arial, sans-serif">1+ year of experience in a call center or customer service role, preferably in a healthcare setting.</span></li> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:8.0pt;line-height:115%;font-size:12.0pt;font-family:Aptos, sans-serif"><span style="font-size:11.0pt;line-height:115%;font-family:Arial, sans-serif">Strong communication and active listening skills, ability to speak, read and write proficient English.  Bilingual is a plus. </span></li> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:8.0pt;line-height:115%;font-size:12.0pt;font-family:Aptos, sans-serif"><span style="font-size:11.0pt;line-height:115%;font-family:Arial, sans-serif">Ability to multitask and navigate multiple systems simultaneously and proficiency in Microsoft office and call center software.</span></li> <li style="margin-top:0.0in;margin-right:0.0in;margin-bottom:8.0pt;line-height:115%;font-size:12.0pt;font-family:Aptos, sans-serif"><span style="font-size:11.0pt;line-height:115%;font-family:Arial, sans-serif">Familiarity with medical terminology and insurance processes is a plus.</span></li> </ul></div></div><div style="padding:10.0px 0.0px;border:1.0px solid transparent"><div style="font-size:18.0px;word-wrap:break-word"><h2 style="font-size:1.0em;margin:0.0px"><b>What you should expect in this role</b></h2> </div><div><ul> <li><span style="font-size:14.0px"><span style="font-family:Arial, Helvetica, sans-serif">Position is 100% remote</span></span></li> </ul> <p> </p> <h1><span style="font-size:14.0px"><span style="font-family:Arial, Helvetica, sans-serif">#LI-REMOTE</span></span></h1> <p> </p></div></div></div><p> </p> <p><span style="font-size:12.0pt;font-family:arial, helvetica, sans-serif">The pay range for this position is $35,000 - $50,000 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 <a href="https://jobs.gainwelltechnologies.com/content/benefits/?locale=en_US">401(k) employer match, comprehensive health benefits</a>, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.</span></p> <p><span style="font-size:12.0pt"><span style="font-family:Calibri"> </span></span></p> <p><span style="font-size:12.0pt"><span style="font-family:Arial">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 <a href="https://www.gainwelltechnologies.com/">company website</a> and visit our <a href="https://jobs.gainwelltechnologies.com/">Careers site</a> for all available job role openings.</span></span></p> <p><span style="font-size:11.0pt"><span style="font-family:Calibri"> </span></span></p> <p><span style="font-size:12.0px;font-family:arial, helvetica, sans-serif"><em style="font-style:italic">Gainwell Technologies <span style="color:#32363a">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. </span></em></span></p> </span>