Remote Medical Benefits Representative
19 hours ago
Spokane
Professional Summary This role provides highquality customer support to health plan members, providers, and other stakeholders by resolving inquiries and complaints related to medical coverage, claims, eligibility, and healthcare services. This role requires strong communication skills, attention to detail, and the ability to navigate multiple systems in a fastpaced, regulated call center environment. The ideal candidate has prior highvolume call center experience, preferably in healthcare or insurance, and is comfortable working remotely while meeting strict performance, compliance, and confidentiality standards. • Resolve member, provider, and stakeholder inquiries and complaints via phone, written correspondence, and inperson interactions when required., • Provide accurate information regarding medical coverage, claims processing, referrals, eligibility, billing, and health plan benefits., • Address delivery system concerns, including appointment access, physician selection, medical center service issues, and fee or billing inquiries., • Utilize dual monitors and Microsoft Windows-based applications to efficiently access, document, and manage member information across multiple systems., • Troubleshoot and deescalate complex or sensitive member concerns while maintaining professionalism and empathy., • Ensure all interactions and documentation meet regulatory, compliance, and privacy standards within a healthcare or insurance environment., • Communicate effectively with internal departments, providers, employer groups, brokers, attorneys, and other external representatives to resolve issues., • High School Diploma or GED (highest degree must be verifiable)., • Minimum of 1 year of highvolume call center experience., • Prior experience working from home in a call center environment., • Experience in a regulated industry such as healthcare, insurance, banking, credit, or similar., • Medical, dental & vision, • 401(k)/Roth, • Insurance (Basic/Supplemental Life & AD&D), • Short and long-term disability, • Health and Dependent Care Spending Accounts (HAS & DCFSA), • Transportation benefits, • Employee Assistance Program, • 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 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 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.