Health Plan Specialist - Commercial (100% Remote)

TEKsystems

Madison (WI)

Remote

USD 29,000 - 30,000

Full time

6 days ago
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Benefits offered by this job

Company-provided equipment
100% remote work
Healthcare industry experience

Job summary

TEKsystems is seeking Health Plan Specialists for a 100% remote role focused on helping health plan members understand benefits and resolve billing concerns during Open Enrollment.

You will handle inbound calls, assist with enrollment questions, and collaborate with teammates in a fast-paced healthcare environment. Remote work requires a dedicated workspace, camera use, and company-provided equipment.

Qualifications

  • Minimum of 2 years of call center experience.
  • Ability to navigate multiple systems and screens simultaneously.
  • Reliable attendance history and ability to work independently in a remote environment.

Responsibilities

  • Handle 100% inbound customer service calls from health plan members.
  • Manage 50-70 calls per day during peak enrollment periods.
  • Assist members with benefits, billing, enrollment, and coverage questions.
  • Research and resolve complex member concerns from start to finish.
  • Document all interactions accurately and thoroughly.
  • Utilize multiple applications and online resources simultaneously.
  • Provide timely follow-up and ownership of member issues.
  • Deliver compassionate, professional customer service.
  • Collaborate with team members to ensure a positive member experience.

Skills

Call center experience
Remote work
Multitask across systems

Education

High School Diploma

Job description

We're seeking customer-focused professionals to join our team as Health Plan Specialists. In this fully remote position, you'll help health plan members understand their benefits, resolve billing concerns, answer enrollment questions, and provide exceptional service during the busy Open Enrollment season.

If you have call center experience, enjoy helping others, and thrive in a fast-paced environment, this could be an excellent opportunity to grow your career in healthcare and health insurance.

Location: Remote (Eligible States: AR, AZ, FL, GA, IA, IL, KS, KY, MI, MN, MO, ND, NE, OK, SD, TN, VA, WI)

What You'll Do
  • Handle 100% inbound customer service calls from health plan members
  • Manage approximately 50-70 calls per day during peak enrollment periods
  • Assist members with benefits, billing, enrollment, and coverage questions
  • Research and resolve complex member concerns from start to finish
  • Document all interactions accurately and thoroughly
  • Utilize multiple applications and online resources simultaneously
  • Provide timely follow-up and ownership of member issues
  • Deliver compassionate, professional customer service
  • Collaborate with team members to ensure a positive member experience
  • Participate in virtual meetings and training sessions
Required Qualifications
  • High School Diploma, GED, or equivalent work experience
  • Minimum of 2 years of call center experience
  • Ability to navigate multiple systems and screens simultaneously
  • Reliable attendance history
  • Ability to work independently in a remote environment
Remote Work Requirements

Candidates must have:

Hard-wired internet connection via Ethernet cable

Dedicated professional workspace free from distractions

Ability to be on camera during meetings and training

Willingness to use company-provided equipment, including:

  • Headset
  • Dual monitors
  • Additional equipment as provided
Schedule Expectations

Candidates must be available to work within:

Monday-Friday

  • 8:00 AM - 8:00 PM CST

Saturday

  • 9:00 AM - 3:00 PM CST

Preference is for candidates who are open to later shifts.

Why You'll Love This Opportunity
  • 100% Remote Work
  • Company-provided equipment
  • Opportunity to gain experience in health insurance
  • Fast-paced and engaging environment
  • Supportive team culture
  • Growth opportunities within the healthcare industry
  • Meaningful work helping members navigate their healthcare benefits

If you're passionate about customer service, healthcare, and making a difference in people's lives, we'd love to connect with you!

Job Type & Location

This is a Contract position based out of Madison, WI.

Pay and Benefits

The pay range for this position is $21.00 - $22.00/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

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 Oct 20, 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

Were 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. Were 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. Were strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. Were 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.

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