Medicare Member Experience Representative

Job not on LinkedIn

🔥 2 minutes ago

🧀 Wisconsin – Remote

🧀 Wisconsin – Remote

💵 $18 / hour

⏳ Contract/Temporary

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

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TEKsystems

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1983

💼 Consulting

🎯 Recruiter

🏢 Enterprise

Consulting • Recruitment • Enterprise

TEKsystems is a global IT and business services firm that provides technology consulting, talent solutions, managed services and workforce recruitment to enterprise clients. The company delivers cloud, digital and data services (including AI/ML and automation), application innovation, Agile/DevOps transformation, technology operations and digital experience work, and operates large-scale talent and managed service programs. TEKsystems works across industries (financial services, healthcare, public sector, telecommunications, retail/manufacturing, energy and more), maintains technology partnerships with major cloud and software providers, and reports more than $7B in annual revenue and 100+ locations worldwide.

📋 Description

• Answer inbound phone calls and email inquiries from members, providers, customers, and brokers. • Assist with questions regarding: • - Health insurance coverage • - Claims status • - Benefits interpretation • - Billing inquiries • - Prior authorizations • Research and resolve member concerns while striving for first-call resolution. • Clearly explain health insurance terminology and benefits in a way customers can easily understand. • Document all interactions accurately in company systems. • Collaborate with internal departments to resolve issues and ensure a positive member experience. • Navigate multiple systems and applications simultaneously while assisting callers. • Protect confidential member information and maintain HIPAA compliance. • Meet department service metrics and quality standards.

🎯 Requirements

• Minimum of 2 years of healthcare customer service and/or call center experience. • Experience handling high volumes of phone calls and customer inquiries. • Proficiency with Microsoft Office applications, including Outlook, Excel, and Word. • Ability to multitask across multiple computer applications and dual monitors.

🏖️ Benefits

• Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)