Hybrid Call Center Representative

at Gainwell Technologies

• Job title: Call Center Representative
• Job type: Full Time
• Experience level: Junior, Mid level
• Salary: $29,100 - $41,600 per year
• Degree requirement: No Education Requirement
• Location requirements: Hybrid, Warwick, United States

About the role

• Call Center Representative handling healthcare service inquiries for Rhode Island Medicaid members and providers. Supporting claims, billing, and eligibility requests with strong customer service focus.

Responsibilities

• Answer 40–50 inbound calls daily from providers and Medicaid members, delivering clear, accurate, and empathetic assistance.
• Research and resolve eligibility, billing, and claim-related questions using available resources and Medicaid guidelines.
• Document all inquiries and outcomes within the system, ensuring timely follow-up and resolution.
• Support enrollment activities by processing updates, mailing provider correspondence, and assisting with quality control checks.
• Train and assist new team members to ensure consistent service delivery and knowledge sharing.

Requirements

• Two or more years of customer service experience, either face-to-face or by phone, preferably in a healthcare or call center setting.
• Strong communication and active listening skills with the ability to handle complex or sensitive inquiries.
• Detail-oriented, dependable, and capable of managing multiple tasks in a fast-paced environment.
• Proficient in computer systems and data entry with solid typing skills.
• Previous medical, insurance, or medical billing experience preferred but not required.

Benefits

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