Call Center Representative

2 weeks ago


Warwick, United States Gainwell Technologies Full time

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 , and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.



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