Member Experience Representative (Remote – Wisconsin)

About the Role

We are seeking a detail-oriented and customer-focused Member Experience Representative to join our team. In this role, you will serve as the primary point of contact for members, providers, and brokers—handling inquiries related to benefits, claims, billing, and authorizations.

This is an excellent opportunity for someone with healthcare call center experience who thrives in a fast-paced environment and is passionate about delivering exceptional customer service.

Key Responsibilities

• Answer inbound calls and respond to email inquiries regarding:
  • Coverage and benefits
  • Claims status and billing questions
  • Prior authorizations and insurance verification
• Translate complex healthcare and insurance terminology into clear, easy-to-understand information
• Document detailed interactions and follow-up steps in internal systems
• Perform insurance verification and review EOBs (Explanation of Benefits)
• Probe effectively during calls to ensure first-call resolution
• Collaborate with internal departments to resolve outstanding issues
• Escalate concerns appropriately when needed
• Maintain compliance with all regulatory and organizational policies
• Protect and handle sensitive member health information (PHI) responsibly

Required Qualifications

• 2+ years of healthcare customer service or call center experience
• Experience with:
  • Commercial insurance
  • Insurance verification
  • EOBs and prior authorizations
• Proficiency with Microsoft Office (Outlook, Word, Excel)

Training & Schedule

• Training: 6–8 weeks (Monday–Friday, 8:00 AM – 4:30 PM CST)
• Post-Training Schedule Options:
  • Monday–Friday, 8:00 AM – 4:30 PM
  • Monday–Friday, 8:30 AM – 5:00 PM

Work Environment

• Fully remote (must reside in Wisconsin)
• Equipment pickup required in Brookfield or Menasha, WI
  • Shipping available for candidates living 90+ miles away
• Optional onsite work in Brookfield after 6 months (with pay incentive)
• Fast-paced, high-volume call center environment

Compensation

• Competitive hourly pay
• +$5/hour onsite incentive after 6 months (if working onsite in Brookfield)

This is a Contract to Hire position based out of Menasha, WI.

The 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)

This is a fully remote position.

This position is anticipated to close on Jul 14, 2026.

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.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.