Insurance Verification Specialist $18.25

TEKsystems; Milwaukee (WI); Remote; Full time

Job summary

A leading provider of business and technology services is seeking a Member Experience Representative in Milwaukee, WI. This role involves handling inquiries related to coverage and claims, requiring proficiency in Medicare or Group/Marketplace. The representative will document interactions and ensure efficient call handling while adhering to departmental metrics. This position offers a competitive pay range and comprehensive benefits.

Benefits

Medical, dental, vision

401(k) with pre-tax and Roth options

Life insurance and AD&D

Short/long-term disability

HSA

Transportation benefits

Employee assistance program

PTO, vacation, sick leave

Qualifications

• Proficient in Medicare or Group/Marketplace, translating healthcare jargon.
• Document interaction details and follow-up actions.

Responsibilities

• Handle inquiries regarding coverage, claim status, and benefits.
• Answer incoming calls efficiently and probe for specifics.
• Follow up on unresolved issues and escalate as necessary.

Skills

Call center experience

Insurance knowledge

Medicare experience

Group insurance

Benefit interpretation

Claims processing

Job description

*Description:*

* The Member Experience Representative primarily handles inquiries from providers, members, customers, or brokers regarding coverage, claim status, benefit interpretation, billing, and authorizations via phone or email.
* Proficient in one line of business, either Medicare or Group/Marketplace, translating healthcare jargon into clear communication.
* Document interaction details in the database, including follow-up actions.
* Demonstrate commitment aligned with the mission, values, and vision of Network Health.
* Apply organizational, regulatory, and credentialing principles, procedures, requirements, and policies appropriately.
* Answer incoming calls efficiently, adhering to departmental metrics and standards.
* Probe during calls to identify specifics for first call resolution.
* Follow up on unresolved issues and escalate as necessary.
*Top Skills:*
* Call center experience
* Insurance knowledge
* Medicare experience
* Group insurance
* Benefit interpretation
* Claims processing
*Pay:*
* $17 to $18.25/hr
*Training:*
* Monday to Friday, 8am to 4pm, for 6-8 weeks
*Shift:*
* Monday to Friday, 8:30am to 5pm or 9am to 5:30pm
*Location:*
* Remote in Wisconsin
*Pay Range:*
* $19.00/hr
*Benefits:*
* Medical, dental, vision
* Critical illness, accident, hospital coverage
* 401(k) with pre-tax and Roth options
* Life insurance and AD&D
* Short/long-term disability
* HSA
* Transportation benefits
* Employee assistance program
* PTO, vacation, sick leave
*Workplace:*
* Fully onsite in Milwaukee, WI
*Application Deadline:*
* May 26, 2025

About TEKsystems:
We're a leading provider of business and technology services, working with over 6,000 customers globally, including 80% of the Fortune 500. We focus on strategy, design, execution, and operations to deliver business value and positive community impacts. TEKsystems and TEKsystems Global Services are part of Allegis Group.

The company is an equal opportunity employer and considers all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, or any characteristic protected by law.