New

Healthcare Member Representative

TEKsystems
$18.25 / hr
dental insurance, life insurance, sick time, 401(k), retirement plan
United States, Wisconsin, Brookfield
Apr 17, 2026
Member Experience Representative Location: Remote within Wisconsin* (Hybrid after 90 days - Menasha or Brookfield, WI)* Schedule: Monday-Friday, 8:00 AM-4:30 PM Pay Rate: $18.25/hour Employment Type: Contract-to-Hire (90 days) About the Role We're seeking a Member Experience Representative who is passionate about helping people navigate the healthcare system. In this role, you'll be on the front lines-supporting members, providers, and partners by answering questions, resolving issues, and ensuring a positive, high-quality experience with every interaction. This role is ideal for someone with a strong healthcare customer service background, especially with Medicaid or Medicare, who thrives in a fast-paced, call-center environment and values first-call resolution. What You'll Do * Handle inbound phone calls and emails from members, providers, and brokers regarding: * Coverage questions * Claims status * Benefits explanation * Billing and authorizations * Specialize in one line of business (Medicare or Group/Marketplace) and clearly explain complex healthcare information in a way members can understand * Strive for first-call resolution by asking thoughtful, probing questions * Accurately document all interactions, outcomes, and follow-up steps in internal systems * Collaborate with internal departments and external partners to resolve outstanding issues * Escalate complex concerns to leadership when appropriate * Protect member Personal Health Information (PHI) at all times * Stay current on plans, systems, and insurance trends through ongoing training What We're Looking For Required Experience & Skills * 2+ years of Medicaid experience (strongly preferred) * 2+ years of healthcare customer service or call center experience * Healthcare or insurance background required * Experience with: * Insurance verification * Medicare * Explanation of Benefits (EOBs) * Prior authorizations Nice to Have * Dental insurance background Key Qualifications * Strong verbal and written communication skills * Ability to de-escalate situations and resolve conflicts professionally * Comfort navigating multiple systems with dual monitors * Intermediate Microsoft Office skills (Outlook, Excel, Word) * Highly organized, adaptable, and able to work independently or as part of a team * Experience working in metrics-driven environments a plus Work Environment & Schedule * Remote for first 90 days * After conversion: * Hybrid schedule: 3 days onsite / 2 days remote * Onsite rotation approximately once every 4-6 weeks * Must be able to pick up equipment onsite (Menasha or Brookfield) Onsite Pay Incentives * Additional $2.50/hour for weeks worked onsite * After 6 months, option for a $5/hour onsite stipend for those willing to work onsite more regularly Dress Code * Business casual (business professional on your first day) Growth & Compensation Perks * Wage increases tied to performance metrics * Strong internal mobility and career growth opportunities after hire * Supportive, member-focused culture with a commitment to learning and development Job Type & LocationThis is a Contract to Hire position based out of Brookfield, WI. Pay and BenefitsThe pay range for this position is $18.25 - $18.25/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) Workplace TypeThis is a fully remote position. Application DeadlineThis position is anticipated to close on Apr 30, 2026. h4>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 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.