Remote Member Services Representative (Wisconsin Only) at Tech Systems

Menasha, Wisconsin, United States -

Full Time

Start Date

Immediate

Expiry Date

02 Oct, 26

Salary

18.25

Posted On

04 Jul, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Healthcare Customer Service, Insurance Verification, Claims Processing, Benefit Interpretation, Prior Authorizations, Conflict Resolution, De-escalation, Microsoft Outlook, Microsoft Word, Microsoft Excel, Problem Solving, Verbal Communication, Written Communication, Multitasking, Data Documentation, Call Center Operations

Industry

IT Services and IT Consulting

Description

Member Experience Representative (Remote - Wisconsin) Pay: $18.25/hour Location: Remote (Wisconsin Residents Only) Schedule: Full-Time, Monday-Friday Employment Type: Contract-to-Hire Remote Opportunity with Growth Potential We are seeking customer-focused professionals to join our team as a Member Experience Representative. In this role, you will serve as the primary point of contact for members, providers, customers, and brokers, assisting with questions related to health insurance coverage, claims, benefits, billing, and authorizations. This is an excellent opportunity for individuals with healthcare customer service, insurance, or call center experience who enjoy helping others and solving problems in a fast-paced environment. Responsibilities: Answer incoming calls and emails from members, providers, customers, and brokers. Assist with questions regarding: Health insurance coverage Claims status Benefit interpretation Billing inquiries Prior authorizations Investigate and resolve member concerns while striving for first-call resolution. Clearly explain healthcare and insurance information in an easy-to-understand manner. Document all interactions accurately within company systems. Research member issues and collaborate with internal departments to resolve concerns. Escalate complex issues when appropriate. Maintain confidentiality and protect sensitive member health information. Meet quality, service, and productivity metrics. Required Qualifications Minimum of 2 years of healthcare customer service or call center experience Experience working with: Commercial insurance Insurance verification Explanation of Benefits (EOBs) Prior authorizations Strong customer service and problem-solving skills Excellent verbal and written communication abilities Ability to navigate multiple computer systems simultaneously Intermediate Microsoft Office skills, including Outlook, Word, and Excel Ability to work independently in a remote environment Preferred Qualifications Medicare experience Health plan or health insurance experience Previous call center experience Knowledge of insurance concepts and terminology Ideal Candidate Thrives in a high-volume customer service environment Demonstrates empathy and professionalism with every interaction Has strong conflict resolution and de-escalation skills Can multitask while using multiple screens and systems Is highly organized, detail-oriented, and dependable Enjoys learning and adapting to new processes and technologies Training & Schedule Training: First 6-8 weeks Monday-Friday 8:00 AM - 4:30 PM CST After Training: Monday-Friday 8:00 AM - 4:30 PM CST or 8:30 AM - 5:00 PM CST #centralpriority26 Job Type & Location This is a Contract to Hire position based out of Menasha, WI. 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 Jul 15, 2026. 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. 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. San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records. Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.

Responsibilities

Serve as the primary contact for members and providers to resolve inquiries regarding health insurance coverage, claims, and billing. Document all interactions accurately and collaborate with internal departments to ensure first-call resolution of member concerns.