Customer Service Representative - Provider and Member Support - Warwick, RI (Hybrid)

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

Provide customer service support to Rhode Island Medicaid providers and members by answering claims, eligibility, billing, and benefit questions. Responsibilities include researching policy requirements, resolving calls and follow-ups, performing manual enrollment data entry, supporting claims resolution, and assisting with Provider Enrollment mailings and quality control.

Your role in our mission

• Answer an estimated 40-50 inbound calls daily from the Rhode Island Medicaid provider network and member beneficiaries. Providing excellent oral communications with quality customer service. Follow through and resolving all calls.
• Address billing and eligibility questions with your commitment to follow up as necessary to resolve.
• Create and manage computer call logs/references.
• Provide excellent customer service to include offering added assistance as appropriate. This includes becoming familiar with web service offerings in order to direct a provider to these offerings.
• Train and support peers and new team members

What we're looking for

• Minimum of a high school diploma or GED.
• Two or more years of customer service experience in a professional setting. 
• Detail oriented and reliable
• Good typing and computer skills
• Excellent verbal communication 

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.

The deadline to submit applications for this posting is October 13, 2026. 

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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 , 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 and visit our 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.