Healthcare Call Center Representative - Remote Texas

About the role

Gainwell Technologies is seeking a COB Support Assistant to support our Third-Party Recovery (TPR) operations. This role combines inbound call support and back-office processing activities to help ensure accurate coordination of benefits information while supporting cost containment and regulatory compliance initiatives.

Responsibilities

• Respond to inbound calls from Medicaid providers and members regarding insurance verification and coordination of benefits inquiries.
• Verify, update, and document health insurance information using Medicaid and internal systems.
• Process emails, faxes, SharePoint requests, and other correspondence related to TPR operations.
• Perform data entry and administrative support activities while meeting productivity and quality standards.
• Navigate multiple databases, carrier systems, and software platforms to research and validate information.
• Provide professional, accurate, and timely customer service while handling sensitive healthcare information.
• Adhere to HIPAA requirements, company policies, and security guidelines.
• Identify opportunities to improve processes and support operational efficiency initiatives.
• Support Florida TPR operations and perform additional duties as assigned.

Requirements

• High school diploma or GED required.
• 1+ years of call center or phone-based customer service experience.
• 1+ years of health insurance verification experience, including medical, dental, vision, or pharmacy coverage.
• 1+ years of data entry or administrative support experience with strong attention to detail.
• Working knowledge of HIPAA privacy and security regulations.
• Proficiency with Microsoft Excel and the ability to navigate multiple systems and software applications simultaneously.

Qualifications

• High school diploma or GED required.
• 1+ years of call center or phone-based customer service experience.
• 1+ years of health insurance verification experience, including medical, dental, vision, or pharmacy coverage.
• 1+ years of data entry or administrative support experience with strong attention to detail.
• Working knowledge of HIPAA privacy and security regulations.
• Proficiency with Microsoft Excel and the ability to navigate multiple systems and software applications simultaneously.

Skills

• Detail-oriented.
• Customer-focused.
• Thrive in a fast-paced healthcare environment.

Benefits

• Remote position open to candidates located anywhere within the Dallas-Fort Worth, TX area.
• Monday–Friday work schedule, with shifts of 7:00 AM–3:30 PM or 7:30 AM–4:00 PM.
• Frequent interaction with Medicaid members, providers, insurance carriers, and internal business partners.
• Support the TPR Florida (FL) account.
• Training on Gainwell systems, processes, and healthcare programs.
• Opportunity to contribute to programs that help improve healthcare integrity, reduce costs, and support regulatory compliance.
• Occasional extended hours may be required based on business needs.

Pay

The pay range for this position is $26,500.00 - $37,800.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.