Member Services Representative

Job not on LinkedIn

🔥 0 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 incoming calls and email inquiries regarding: • - Coverage and benefits • - Claim status • - Billing questions • - Prior authorizations • - Insurance authorizations • Resolve member concerns with a focus on first-call resolution. • Research and troubleshoot complex issues while providing accurate information. • Document customer interactions and follow-up actions in internal systems. • Communicate healthcare and insurance information clearly and effectively. • Collaborate with internal departments to resolve outstanding issues. • Escalate concerns appropriately when necessary. • Maintain confidentiality and protect sensitive member information. • Meet departmental performance and service standards.

🎯 Requirements

• Minimum of 2 years of healthcare customer service and/or call center experience. • Experience with: • - Commercial Insurance • - Insurance Verification • - Explanation of Benefits (EOBs) • - Prior Authorizations • Strong verbal and written communication skills. • Ability to de-escalate challenging situations and provide effective resolutions. • Strong organizational and multitasking abilities. • Comfortable working independently and as part of a team. • Proficiency with Microsoft Outlook, Word, and Excel. • Ability to navigate multiple computer applications simultaneously.

🏖️ 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)