Member Service Representative - In MN, IA, Or WI ONLY - TEKsystems

We are currently hiring healthcare call center candidates that reside in Minnesota, Iowa or Wisconsin. These candidates will join a very big healthcare organization based in Minnesota. Shifts are M-F but can be anywhere between 8am-7pm CST.

Job Duties:

·Answer, resolve, track and document telephone calls from members, providers, internal departments, and external agencies, in a timely and professional manner. Research, resolve and communicate effectively with internal and external customers regarding member/provider concerns or issues. Educate members and external customers on policies and procedures related to members’ health care program.

·Research and resolve inquiries from internal /external customers including: Enrollment, eligibility, ID cards, clinic changes, demographic changes, benefit coverage, claims, payments, member reimbursement, and demonstrated knowledge of CAG policies, procedures, and regulations. Utilize appropriate resources to respond to member inquiries.

·Answer, resolve, track and document telephone calls from members and providers in a timely and professional manner. Interpret member eligibility and coverage through thorough knowledge of the contracts, policies and procedures. Communicate with internal departments, members, providers and other customers regarding the transportation benefit in both verbal and written form, including faxing rides to providers at the appropriate times.

·Demonstrate and maintain a thorough and complete working knowledge of appropriate information management systems, and ACD telephone system.

·Maintain good working relationships and open communication with internal and external customers.

Fully Remote- Must reside in Minnesota, Iowa, or Wisconsin

Must have quiet work space free of distractions

Must have prior healthcare call center experience

Skills:

Customer service call center, Support, Customer support, Health insurance, Individual Family Plan, Scheduling, Insurance Verification, medical terminology, Medicaid, Customer service, Call center, Health care, Data entry, Insurance, Member service, Health plan, medicare

Additional Skills & Qualifications:

High school graduate or the equivalent

2+ years of call center experience

1 year health insurance call center experience

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.