Healthcare Contact Center Agent

Gainwell Technologies

. Handle inbound calls from members, providers, and other stakeholders .

Posted 10/5/2026full-timeRemote • Florida • United StatesJunior💰 $28,500 - $40,700 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates proficiency in handling inbound and outbound calls while providing exceptional customer service in a healthcare environment. Possesses strong communication skills and the ability to navigate multiple systems while maintaining compliance with HIPAA regulations.

Highest-signal resume keywords

Customer Service ExperienceKnowledge of Medicaid/Medicare ProgramsProficiency in Microsoft OfficeStrong Communication SkillsAbility to Multitask

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Call Center ExperienceClaims ResearchInsurance VerificationMedical TerminologyAttention to Detail

Soft Skills

EmpathyActive ListeningConflict Resolution

Tools & Technologies

Call Center SoftwareStandard Office Equipment

Certifications & Qualifications

Healthcare CertificationAssociate Degree

Industry Keywords

HIPAA ComplianceHealthcare RegulationsCustomer SatisfactionPerformance MetricsBilingual

About the role

Key responsibilities & impact

Handle inbound calls from members, providers, and other stakeholders
Make outbound calls as needed
Respond to electronic mail and other secure correspondence
Research claims and verify insurance
Resolve member and provider inquiries
Accurately document interactions and maintain complete system records
Maintain confidentiality and comply with HIPAA and other healthcare regulations
Escalate complex issues to supervisors or appropriate departments
Meet or exceed call scripting, quality, call handle time, customer satisfaction, work schedule, and other performance metrics
Deliver exceptional customer service and a positive contact experience

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
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
Strong communication, empathy, active listening, attention to detail, and conflict resolution skills
Designated 8.5-hour shift Monday–Friday between 7am and 6pm Eastern
Ability to remain stationary for extended periods while using a computer and telephone headset
Ability to operate standard office equipment
Regular attendance and punctuality
Associate degree or healthcare certification preferred
Familiarity with medical terminology and insurance processes is a plus
Bilingual is a plus

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