Job Description
Job Description
Description
Responsibilities include answering incoming calls related to eligibility, benefits, claims, and authorization of services from members or providers.
- Respond accurately to inbound calls and process inquiries from providers and members.
- Resolve customer service or billing issues under general supervision, using sound judgment.
- Contact customers to address complex inquiries or inform them of claim investigation outcomes.
- Refer unresolved grievances, appeals, and claim resolutions to appropriate departments.
- Maintain records of customer interactions and transactions.
- Listen actively and probe callers to understand the purpose of their calls.
- Research and communicate information regarding member eligibility and claim status.
- Educate providers on claim submission processes and treatment plan requirements.
- Perform follow-up tasks to ensure member or provider needs are fully met.
Skills
Customer service, Microsoft office, bilingual
Additional Skills & Qualifications
Required Qualifications:
High School Diploma
Strong computer, technical, and data entry skills
Experience with computer applications, such as Microsoft Word and PowerPoint.
Previous customer service/call center experience is required.
Pay and Benefits
The pay range for this position is $17.20 - $18.20/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 Jun 21, 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.