Call Center Representative- Reno, Nevada- Remote

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

As a Call Center Representative- Reno, Nevada- Remote at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Here are the details on this position. The Medical Management Prior Authorization (PA) call center handles Nevada Medicaid calls related to prior authorizations, level of care determinations, Pre-admission screening and resident reviews (PASRR) screenings, and personal care service intakes. The call center staff also complete supported tasks outside of answering calls such as PASRR portal issues, email inquiries, and limited provider appeal processes. The call center representatives work to resolve caller issues and concerns and escalate as appropriate to the prior authorization voicemail lines for the specific authorization type, or to management for follow up. Your role in our mission Handle inbound calls, providing professional and accurate assistance to members, providers, and partners. Research and resolve inquiries in a timely manner using multiple systems and resources. Document all call interactions clearly and accurately. Manage multiple responsibilities at once (taking calls, entering notes, navigating systems). Contribute to a positive, supportive, and performance-driven team culture. What we're looking for 2+ years of customer service experience (call center or healthcare background preferred). Knowledge of basic help desk software, computer software and Microsoft Office applications Strong written and verbal communication skills. Detail-oriented, problem-solving mindset with eagerness to learn. Strong problem-solving skills to bring inquiries to effective resolution Ability to understand your role on a team and identify the correct stakeholders to consult to resolve client inquirie Medicaid or insurance experience is a plus, but not required. What you should expect in this role Work Schedule: 8:00 AM – 5:00 PM PST, Monday through Friday. Pay: Starting at $18.50/hr with potential adjustments based on experience. Remote Setup: Fully remote role, must reside in the US and be able to work PST hours. Technology: Stable internet connection required — minimum 24 Mbps download / 8 Mbps upload. Environment: Fast-paced, supportive, and mission-driven culture where accountability and teamwork matte 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. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. Apply To This Job