Member Services Representative

 Posted 2 hours ago
     
2-5 years experience
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AI Summary

Manage a high volume of inbound insurance-related tickets and inquiries via email and phone for members and providers. Support users with billing discrepancies, insurance updates, and payor status investigations.

Location: Fully Remote (All U.S. time zones supported; no California candidates at this time)

About the Role

We’re looking for a detail-oriented and customer-focused Member Services Representative to join a growing team within a leading mental health organization. This is a fully remote opportunity where you’ll play an important role in supporting both providers and members with insurance-related inquiries.

If you enjoy problem-solving, working in a fast-paced environment, and helping people navigate healthcare billing and insurance questions, this could be a great fit!

What You’ll Do

You’ll manage a high volume of inbound tickets and inquiries, primarily via email, with some phone support over time.

Key responsibilities include:

  • Respond to insurance-related tickets from both members and providers
  • Support providers with questions such as:
    • Accepted insurance plans
    • Client volume inquiries
    • Status with payors
  • Assist customers with:
    • Insurance discrepancies
    • Adding or updating insurance information
    • Billing questions, system-related issues, and more complex investigations
  • Communicate primarily through email, with limited phone support as you progress
  • Manage a fast-paced workload (team currently handles 250–300 tickets daily, and growing)

What to Expect

This role offers a clear progression path:

  • Start with email-based support
  • Gradually take on more complex cases
  • Transition into limited phone support once comfortable

What We’re Looking For

Required Qualifications:

  • 2+ years of experience in healthcare
  • Experience working with health plans
  • Strong knowledge of:
    • Medical billing processes
    • EOBs (Explanation of Benefits)
    • Deductibles, copays, and coinsurance

Soft Skills:

  • Adaptable and flexible in a fast-changing environment
  • Open to feedback and continuous improvement
  • Comfortable with shifting priorities and evolving processes
  • Strong written communication skills

Interview Process

To ensure success in this role, candidates will be asked to complete a brief writing prompt as part of the screening process. This helps us evaluate communication skills and approach to customer support scenarios before moving forward to the interview stage.

Schedule & Training

Training:

  • Monday–Friday for a minimum of 4 weeks (includes shadowing)

Post-Training Schedule (choose one):

  • Tuesday–Saturday OR
  • Sunday–Thursday

Hours:

  • Start times between 7:00 AM – 9:00 AM (local time)

Additional expectations:

  • Weekly team meeting: Wednesdays at 2:00 PM EST
  • Weekend coverage is required after training
  • Candidates must confirm their preferred schedule and start time during the hiring process
Job Type & Location

This is a Contract to Hire position based out of Tampa, FL.

Pay and Benefits

The pay range for this position is $23.00 - $23.00/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 Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Jul 8, 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.

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