Call Center Representative

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

Job summary

Join a leading provider of business and technology services as a remote customer service representative. In this role, you'll engage with members and providers, addressing inquiries related to eligibility, benefits, and claims. Your expertise in customer service and strong technical skills will be essential in resolving issues and ensuring satisfaction. This position offers a competitive hourly wage and a comprehensive benefits package, including medical, dental, and retirement plans. Be part of a dynamic team that values collaboration and innovation, making a positive impact in the community while advancing your career.

Benefits

Medical, dental & vision

401(k) Retirement Plan

Life Insurance

Short and long-term disability

Health Spending Account (HSA)

Transportation benefits

Employee Assistance Program

Time Off/Leave (PTO, Vacation or Sick Leave)

Qualifications

• Strong computer, technical, and data entry skills.
• Previous customer service/call center experience is required.

Responsibilities

• Respond accurately to inbound calls and process inquiries.
• Maintain records of customer interactions and transactions.
• Educate providers on claim submission processes.

Skills

customer service

microsoft office

medicare

health insurance

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, medicare, health insurance

*Top Skills Details*

customer service,microsoft office

*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.

*Experience Level*

Intermediate Level
*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 May 12, 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.