New

REMOTE TO WISCONSIN HEALTHCARE CSR

TEKsystems
$18.25 / hr
medical insurance, life insurance, sick time, 401(k), retirement plan
United States, Wisconsin, Stevens Point
May 09, 2025
TEKsystems is looking to hire several REMOTE TO WISCONSIN Healthcare CSRs for a large healthcare company out of Brookfield, WI! *if you have healthcare call center + experience verifying medical insurance and live in Wisconsin, please send your most updated resume to rsison @ teksystems.com * * Please only send your resume to me if you live in Wisconsin, candidates who apply to this job posting who do not live in Wisconsin will automatically be rejected. Hours: M-F 8a-5p CST Must haves: * Excellent verbal and written communication skills, and computer navigation and typing proficiency * High School or GED preferred * Working knowledge of MS Office Suite and working in Salesforce * Must be able to multi-task and work off multiple screens daily and within multiple different systems * 3+ years of healthcare call center experience * Proficient in one line of business, either Medicare or Group/Marketplace, translating healthcare related jargon into effective written or verbal communication for the end-user to comprehend. Job description: * The Member Experience Representative's primary focus is to answer phone calls or email inquiries from providers, members, customers or brokers regarding questions of coverage, claim status, benefit interpretation, billing and/or authorizations. * Respond to inquiries within set timeframes to adhere to department metrics and contractual standards. * During telephone call, probe and ask appropriate questions to identify specifics of what caller is inquiring about to ensure first-call resolution. * Follow up with customers or other departments on any outstanding issues or concerns, escalating appropriate issues to Supervisor or appropriate individual. * Document details of the interaction within the database, including any additional action steps taken as follow-up. * Demonstrate commitment and behavior aligned with the philosophy, mission, values and vision of Network Health, and appropriately apply all organizational, regulatory, and credentialing principles, procedures, and requirements, regulations, and policies. Training: * 8 weeks, M-F 8a-4:30p CST Pay and Benefits The pay range for this position is $18.25 - $18.25/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 remote position. Application Deadline This position is anticipated to close on May 16, 2025. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.