Call Center Representative - Warwick, RI - Hybrid at Gainwell Technologies LLC

Warwick, Rhode Island, United States -

Full Time

Start Date

Immediate

Expiry Date

25 Mar, 26

Salary

41600.0

Posted On

25 Dec, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Customer Service, Communication, Active Listening, Problem Solving, Detail Oriented, Data Entry, Medical Billing, Eligibility Inquiries

Industry

IT Services and IT Consulting

Description

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 Join a team that drives healthcare service excellence for Rhode Island Medicaid members and providers. As a Call Center Representative, you’ll respond to claims, billing, and eligibility inquiries from physicians, hospitals, and other healthcare providers. This position combines customer service expertise with problem-solving skills to deliver timely, accurate support. You’ll also assist members with benefit plan selections, premium updates, and related program inquiries while maintaining a strong commitment to quality and professionalism. Your role in our mission 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. What we're looking for 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. What you should expect in this role Hybrid work environment based in Warwick, RI. Standard schedule: Monday through Friday, 8:30 a.m. – 5:00 p.m. On-site presence required during initial training period before transitioning to hybrid. Structured performance goals with opportunities for development and career growth. Supportive team culture focused on collaboration, learning, and continuous improvement. #LI-HYBRID #LI-LS2 The pay range for this position is $29,100.00 - $41,600.00 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.

Responsibilities

As a Call Center Representative, you will respond to claims, billing, and eligibility inquiries from healthcare providers and members. You will also assist with benefit plan selections and maintain a commitment to quality and professionalism.