Member Experience Representative - Medicaid

TEKsystems is actively hiring for FULLY REMOTE Member Experience Representatives with in-depth Medicaid knowledge

Must be a Wisconsin resident to apply

You will serve as a trusted resource, working to resolve questions efficiently while striving for first‑call resolution and maintaining a high standard of service excellence.

• Location: Remote within Wisconsin
• Hybrid Option: Brookfield or Menasha, WI (see details below
• Schedule: Monday–Friday, 8:00 AM – 4:30 PM
• Note: Role is fully remote to start. After conversion, this position becomes hybrid. Candidates must be located in Wisconsin and able to pick up equipment onsite.

Key Responsibilities

• Answer inbound phone and email inquiries from members, providers, customers, and brokers regarding:
• Coverage and benefits
• Claim status
• Billing questions
• Prior authorizations
• Investigate member accounts and take appropriate next steps to resolve concerns.
• Translate healthcare and insurance terminology into simple, easy‑to‑understand explanations.
• Document all interactions clearly and accurately within internal systems.
• Ask probing and clarifying questions during calls to ensure first‑call resolution.
• Follow up with internal departments or external resources to resolve outstanding issues.
• Escalate complex or sensitive issues to a Supervisor or appropriate team when needed.
• Adhere to organizational policies, regulatory requirements, and HIPAA standards.
• Consistently meet department performance metrics and response time standards.
• Demonstrate behaviors aligned with Network Health’s mission, values, and commitment to service.

Required Qualifications

• 2+ years of healthcare customer service or call‑center experience
• Experience with:
• Insurance verification
• Explanation of Benefits (EOBs)
• Prior authorizations
• Strong verbal and written communication skills
• Excellent attention to detail and organizational skills

Job Type & Location This is a Contract to Hire position based out of Brookfield, WI. Pay And Benefits The pay range for this position is $18.25 - $18.25/hr.

Requirements

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 May 15, 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. Apply tot his job Apply To this Job