Healthcare Customer Service Representative

TEKsystems; Madison (WI); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading technology services firm is seeking a Customer Service Representative I to assist members with health insurance inquiries. This fully remote role requires strong customer service experience and knowledge of health insurance. Ideal candidates will thrive in a fast-paced environment and demonstrate the ability to support members with their benefits and claims. Flexible work arrangements and a supportive team environment are provided.

Benefits

Medical, dental & vision insurance

401(k) Retirement Plan

Paid Time Off

Qualifications

• 2+ years of customer service experience.
• 1+ year in a health insurance call center environment.

Responsibilities

• Respond to member inquiries regarding benefits.
• Assist with provider referrals and care coordination.
• Document all interactions accurately in internal systems.

Skills

Customer Service Experience

Health Insurance Knowledge

Education

High School Diploma or equivalent

Job description

We are seeking a Customer Service Representative I to assist members with benefit questions, claims, and coverage inquiries. This role is ideal for someone who thrives in a fast-paced, service-oriented environment and is passionate about helping others navigate their health insurance needs.

Key Details:

• Eligible States for Remote Work: WI, MI, VA, NC, SC, GA, FL, MS, LA, AR, MO, IA, IN, OH, ND, SD, NE, KS, OK, MT, WY, ID, UT, or NV.
• Schedule: Training: Monday-Friday, 8:00 AM - 4:30 PM CT. Post-training: Variable shifts between 8:00 AM - 9:00 PM CT, Monday-Friday, with potential weekend shifts.
• Internet Requirement: Reliable high-speed internet is required for remote candidates.

Key Responsibilities:

• Respond to member inquiries regarding benefits, coverage, premiums, and claims via phone.
• Assist with provider referrals and coordinate care outside the SHP service area.
• Support members with CMS and ACA compliance, including financial and subsidy updates.
• Document all interactions accurately in internal systems.
• Troubleshoot portal and secure email access issues.
• Guide members through complaint and grievance processes.
• Participate in ongoing coaching and training to meet performance and compliance standards.
• May assist with Medicare Advantage plan changes using CMS-approved scripts.

Qualifications:

• High School Diploma or equivalent.
• 2+ years of customer service experience.
• 1+ year in a health insurance call center environment.

Why Join Us?

• Opportunity for contract-to-hire based on performance and business needs.
• Flexible work arrangements.
• Supportive team environment with ongoing training and development.
• Make a meaningful impact by helping members access the care they need.

Pay and Benefits

The pay range for this position is $20.00 - $20.00/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).

This is a fully remote position. 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.