New

Member Services Representative (Medicare)

TEKsystems
$20.00 - $23.00 / hr
life insurance, sick time, 401(k), retirement plan
United States, Wisconsin, Menasha
Apr 03, 2025
Description: Must have previous call center experience to be considered ideally within the healthcare industry . This position is responsible to apply knowledge of Company's business, products, members and operations to accurately and effectively fulfill member service requests and inquiries. Ensure adherence to policies and procedures and meet service level expectations by following established guidelines and standards. Achieve fluency in at least one core product or service line Answer, resolve, track and document telephone calls from members, providers, internal departments, and external agencies, in a timely and professional manner. Research, resolve and communicate effectively with internal and external customers regarding member/provider concerns or issues. Educate members and external customers on policies and procedures related to members' health care program. Research and resolve inquiries from internal /external customers including- Enrollment, eligibility, ID cards, clinic changes, demographic changes, benefit coverage, claims, payments, member reimbursement, and demonstrated knowledge of CAG policies, procedures, and regulations. Utilize appropriate resources to respond to member inquiries. Required Experience * 2 + years of call center experience more recent within the healthcare industry and or health insurance (HMO), physician group practice, or community agency. Proficient PC skills required knowledge of Microsoft office. * Working knowledge of medical claims and/or medical billing processes. Proficient computer skills; knowledge of Microsoft office, Amisys, and MACESS type software packages. Main Position Details: Start: 5/05 Pay: $20-$24 Schedule: Must be available Monday - Sunday between 8:00am - 8:00pm CST * Location: 100% remote. Equipment will be provided * Ideally required to Live and reside in WI, Mn, IA or KS Pay and Benefits The pay range for this position is $20.00 - $23.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: * 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) Workplace Type This is a fully onsite position in Menasha,WI. Application Deadline This position is anticipated to close on Apr 16, 2025. About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.