About this role
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.
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Research and resolve eligibility, billing, and claim-related questions using available resources and Medicaid guidelines.
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Document all inquiries and outcomes within the system, ensuring timely follow-up and resolution.
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Support enrollment activities by processing updates, mailing provider correspondence, and assisting with quality control checks.
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Train and assist new team members to ensure consistent service delivery and knowledge sharing.
What we're looking for
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Two or more years of customer service experience, either face-to-face or by phone, preferably in a healthcare or call center setting.
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Strong communication and active listening skills with the ability to handle complex or sensitive inquiries.
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Detail-oriented, dependable, and capable of managing multiple tasks in a fast-paced environment.
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Proficient in computer systems and data entry with solid typing skills.
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Previous medical, insurance, or medical billing experience preferred but not required.
What you should expect in this role
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Hybrid work environment based in Warwick, RI.
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Standard schedule: Monday through Friday, 8:30 a.m. – 5:00 p.m.
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On-site presence required during initial training period before transitioning to hybrid.
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Structured performance goals with opportunities for development and career growth.
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Supportive team culture focused on collaboration, learning, and continuous improvement.
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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.
Other facts
About Gainwell Technologies LLC
For 50 years, our nation’s federal Medicaid program has worked to improve the health, safety and well-being of America’s most vulnerable populations: low-income families, women and children, seniors, and those with disabilities. With positive health and cost outcomes that pierce inequities and impact economies, the success of these programs is inextricably tied to the prosperity of communities, individual states and the nation as a whole. We think that demands respect and, more importantly, is deserving of a lifetime commitment from innovators who can help those who operate within and around health and human services evolve — in any market at any stage. At Gainwell Technologies, that’s our sole focus.
Built across more than five decades, Gainwell has intentionally seized opportunities to advance its digitally enabled services to meet agencies, health plans and MCOs where they are on their modernization journeys and propel them into the future of public health. Our commitment to innovation, deep experience and ability to leverage insights from customers across 50 states has allowed us to expand on next-generation, cloud-enabled technologies.
Today, Gainwell offers one of the most comprehensive suites of scalable services and solutions on the market — all proven to deliver cost savings, better patient outcomes and an improved provider experience. Equally important to our expanding technologies and results: We bring ideas that bring policies to life.
What you'll do
- 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.
Ready to join Gainwell Technologies LLC?
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