Healthcare Contact Center Agent

Gainwell Technologies

. Answer incoming calls professionally and address member or provider inquiries .

Posted 9/18/2026full-timeRemote • United StatesJunior💰 $29,100 - $41,600 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates proficiency in handling member and provider inquiries within a healthcare call center environment, ensuring compliance with HIPAA regulations and maintaining high standards of customer satisfaction. Capable of multitasking and utilizing various systems while adhering to performance metrics.

Highest-signal resume keywords

Call Center ExperienceKnowledge of Medicaid/Medicare ProgramsStrong Communication SkillsProficiency in Microsoft OfficeAttention to Detail

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Call HandlingClaims ResearchInsurance VerificationDocumentation AccuracyMedical Terminology Familiarity

Soft Skills

EmpathyActive ListeningConflict ResolutionMultitaskingAttention to Detail

Tools & Technologies

Call Center SoftwareMicrosoft Office

Certifications & Qualifications

Healthcare CertificationAssociate Degree

Industry Keywords

HIPAA ComplianceHealthcare RegulationsCustomer SatisfactionPerformance MetricsInsurance Processes

About the role

Key responsibilities & impact

Answer incoming calls professionally and address member or provider inquiries
Make outbound calls as needed
Document all interactions accurately in the system
Maintain confidentiality and comply with HIPAA and other healthcare regulations
Research claims and verify insurance
Resolve member and provider inquiries
Escalate complex issues to supervisors or appropriate departments
Meet or exceed performance metrics, including call scripting, quality guidelines, call handle time, customer satisfaction, and schedule adherence

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, empathy, active listening, attention to detail, and conflict resolution skills
Must be able to speak, read and write proficient English
Ability to multitask and navigate multiple systems simultaneously
Proficiency in Microsoft Office and call center software
Familiarity with medical terminology and insurance processes is a plus
Availability to work a designated 8.5 hour shift Monday-Friday between 7am and 6pm Eastern
Ability to remain in a stationary position for extended periods while using a computer and telephone headset
Ability to operate standard office equipment
Regular attendance and punctuality are essential

Benefits

Comp & perks

Work flexibility
Learning and career development opportunities
Flexible vacation policy
401(k) employer match
Comprehensive health benefits
Educational assistance
Leadership and technical development academies