Call Center Representative (US)

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

Gainwell Technologies makes the healthcare system work better for everyone. We fight fraud, waste, and abuse so people can access the care they need—today and in the future. Using innovative technology and powerful data analytics, we help government and commercial payers reduce costs, improve quality, and meet compliance goals. At Gainwell, you’ll build valuable skills, advance your career, and make a meaningful difference in people’s lives.

Your role in our mission

• Answer inbound calls and provide courteous, accurate, and efficient customer service.
• Follow established quality and compliance standards for every interaction.
• Verify caller identity and ensure all security and confidentiality procedures are followed.
• Access and review program details using internal systems (e.g., DE) to answer inquiries within program guidelines.
• Communicate clear and accurate information in every interaction.
• Provide knowledgeable responses to general client questions; escalate complex cases as needed.
• Document all interactions accurately in the system and follow up on pending inquiries.
• Meet or exceed productivity and service-level agreements (SLAs).
• Collaborate with team members, management, and clients to resolve issues effectively.
• Recommend improvements to processes or workflows to enhance efficiency.

What we’re looking for

• High school diploma or GED required; additional education preferred.
• 2+ years of call center or customer service experience preferred.
• Experience in a healthcare or insurance environment is a plus.
• Strong customer service orientation with excellent verbal and written communication skills.
• Proficient in Microsoft Outlook, Word, and Excel; familiarity with help desk or CRM systems is a plus.

What you should expect in this role

• This is a remote position in the USA. 
• This position operates Monday through Friday, with shifts scheduled within our standard office hours of 6:50 AM to 6:30 PM CST.
• Specific shift assignments will fall within this time range based on business needs.
• Requires ability to communicate clearly via phone and computer; manual dexterity for office equipment use.
• Harver Assessment Requirement: As part of our interview process, all candidates must complete the Harver Assessment. This assessment helps us evaluate key competencies relevant to the role, including communication skills, multitasking abilities, and problem-solving capabilities.
• Video cameras must be used during all interviews, as well as during the initial week of orientation. To work effectively as a teleworker or hybrid positions with Gainwell, employees must have a broadband internet connection with a minimum speed of 24 Mbps download and 8 Mbps upload. Higher speeds are recommended for optimal performance.
• To Test your internet download and upload speed:
  • Go to Google.
  • Search for Internet Speed Test or click here.

The pay range for this position is $25,300.00 – $36,200.00 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.