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Member Services Representative

fully flexible
Remote: 
Full Remote
Contract: 
Salary: 
44 - 46K yearly
Experience: 
Junior (1-2 years)
Work from: 
Minnesota (USA), United States

Offer summary

Qualifications:

High school graduate or equivalent, 1-2 years experience in call center, Experience in health insurance preferred, Proficient in Microsoft Office, Working knowledge of medical claims preferred.

Key responsabilities:

  • Resolve and document member inquiries professionally
  • Educate customers on healthcare policies
  • Communicate effectively with internal and external stakeholders
  • Research and provide solutions to customer issues
  • Utilize appropriate resources for member inquiries
TEKsystems logo
TEKsystems Management Consulting Large https://www.teksystems.com/
10001 Employees
HQ: Chicago
See more TEKsystems offers

Job description

This is a work from home position but you have to live in Iowa, Minnesota, or Wisconsin! Do not apply if you do not live in those states.

Job Description

  • 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.


Pay: $23-$24/hr

Skills

Customer service call center, Support, Css, Cms, Customer service, Call center, Health care, Data entry, Insurance, Member service, Health plan, medicare

Additional Skills & Qualifications

  • High school graduate or the equivalent.
  • 1-2 years of call center experience or two years customer service experience. Preference given to candidates with health insurance (HMO), physician group practice, or community agency.
  • Proficient PC skills required knowledge of Microsoft office.


Preferred Experience NOT REQUIRED

  • Working knowledge of medical claims and/or medical billing processes.
  • Proficient computer skills; knowledge of Microsoft office, Amisys, and MACESS type software packages.


Requirements

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)


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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.

Required profile

Experience

Level of experience: Junior (1-2 years)
Industry :
Management Consulting
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Verbal Communication Skills
  • Customer Service
  • Microsoft Office
  • Problem Solving
  • Analytical Skills
  • Computer Literacy

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