Healthcare Contact Center Agent

Gainwell Technologies

. Answer incoming calls from members and providers .

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 while maintaining compliance with HIPAA regulations. Possesses strong communication skills and the ability to multitask effectively in a fast-paced call center environment.

Highest-signal resume keywords

Call Center ExperienceKnowledge of Medicaid/Medicare ProgramsProficiency in Microsoft OfficeStrong Communication SkillsAttention to Detail

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ResearchInsurance VerificationMedical TerminologyCall ScriptingQuality AssuranceCustomer Satisfaction MetricsConflict ResolutionMultitaskingDocumentation AccuracySystem Navigation

Soft Skills

EmpathyActive Listening

Tools & Technologies

Call Center SoftwareStandard Office Equipment

Industry Keywords

HIPAA ComplianceHealthcare RegulationsCustomer ServiceHealthcare Guidelines

About the role

Key responsibilities & impact

Answer incoming calls from members and providers
Make outbound calls as needed
Respond to electronic mail and secure correspondence
Research claims and verify insurance
Resolve member and provider inquiries
Document all interactions accurately in the system
Maintain confidentiality and comply with HIPAA and other healthcare regulations
Escalate complex issues to supervisors or appropriate departments
Meet performance metrics for call scripting, quality, call handle time, customer satisfaction, and schedule adherence

Requirements

What you’ll need

High school diploma or equivalent required
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
Must be available to work a designated 8.5-hour shift Monday–Friday between 7am and 6pm Eastern
Ability to remain stationary while using a computer and telephone headset for extended periods
Ability to operate standard office equipment
Regular attendance and punctuality are essential

Benefits

Comp & perks

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