Call Center Representative

TEKsystems, Inc.; Harrisburg (Dauphin County); Remote; USD 10,000 - 60,000; Full time

Job summary

A leading company is seeking a remote Customer Service Representative to handle calls regarding eligibility, benefits, and claims. Responsibilities include addressing inquiries and resolving issues while providing support to members and providers. Candidates with a High School Diploma and prior customer service experience are encouraged to apply.

Benefits

Medical, dental & vision

401(k) Retirement Plan

Life Insurance

Short and long-term disability

Health Spending Account (HSA)

Transportation benefits

Employee Assistance Program

Paid time off

Qualifications

• Required experience in a customer service or call center role.
• Strong computer, technical, and data entry skills.
• Ability to handle customer inquiries effectively.

Responsibilities

• Answer inbound calls related to eligibility, benefits, claims, and authorization.
• Resolve customer service or billing issues under supervision.
• Educate providers on claim submission processes.

Skills

Customer service

Microsoft office

Bilingual

Education

High School Diploma

Tools

Microsoft Word

Microsoft PowerPoint

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.