Member Services Representative

TEKsystems

SPOKANE, WA(remote)

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JOB DETAILS

SALARY

$20–$21.62 Per Hour

SKILLS

Artificial Intelligence (AI), Banking Services, Billing, Brokerage, Business Services, Business Transformation, Call Centers, Call Volume, Candidate Screening, Communication Skills, Customer Experience, Customer Satisfaction, Customer Support/Service, Fortune 500 Customers, Genetics, HIPAA (Health Insurance Portability and Accountability Act), Health Insurance, Health Plan, Health Plan Membership, Healthcare, High School Diploma, Insurance, Maintain Compliance, Messaging Technology, Metrics, Multitasking, Performance Metrics, Problem Solving Skills, Process Improvement, Regulatory Compliance, Resolve Customer Issues, Systems Administration/Management, Team Player, Testing, Time Management, Work From Home

LOCATION

SPOKANE, WA

POSTED

7 days ago

***MUST BE LOCAL TO SPOKANE, WA OR RENTON, WA FOR EQUIPMENT PICKUP*** Professional Summary The Member Services Representative serves as a key point of contact for health plan members, providers, and external partners, delivering accurate information and resolving inquiries related to coverage, claims, eligibility, and healthcare services. This role operates in a high-volume call center environment and requires strong communication, critical thinking, and customer service skills to support a diverse population. The representative ensures timely and professional resolution of issues while maintaining compliance with healthcare regulations and organizational standards. Success in this role requires the ability to navigate complex systems, manage multiple priorities, and provide empathetic, solution-oriented support in a fast-paced, remote or hybrid environment. Key Responsibilities + Respond to a high volume of inbound and outbound calls, addressing inquiries from members, providers, brokers, and other stakeholders in a professional and timely manner. + Resolve questions and complaints related to health plan coverage, claims, eligibility, referrals, billing, and provider access. + Provide clear and accurate information regarding plan benefits, medical services, and healthcare system navigation. + Investigate and resolve member and provider issues by reviewing account details, policies, and applicable guidelines. + Document all interactions thoroughly and accurately in internal systems to ensure compliance and continuity of service. + Communicate effectively across multiple channels, including phone, written correspondence, and system messaging. + De-escalate complex or sensitive situations by demonstrating empathy, active listening, and problem-solving skills. + Collaborate with internal departments and external partners to resolve issues and ensure a positive member experience. + Maintain confidentiality of all member and plan information in accordance with HIPAA and organizational policies. + Meet or exceed performance metrics related to call handling, quality, and customer satisfaction in a structured call center environment. Qualifications Required: + High School Diploma or GED (must be verifiable) + Minimum of 1 year of experience in a high-volume call center environment + Prior experience working in a remote or work-from-home setting + Strong customer service, communication, and problem-solving skills + Ability to handle sensitive information with professionalism and confidentiality + Comfortable working in a fast-paced, metric-driven environment + Must successfully complete required interview assessments and testing Preferred: + Experience in a healthcare, health plan, or insurance call center environment + Experience supporting members with medical coverage, claims, or benefits-related inquiries + Experience in other regulated industries (e.g., banking, insurance, credit services) + Familiarity with healthcare terminology, insurance processes, and patient/member advocacy We reserve the right to pay above or below the posted wage based on factors unrelated to sex, race, or any other protected classification. 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. This temporary role may be eligible for the following: + 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 + Time off/Leave (PTO, Vacation, or Sick Leave) Job Type & Location This is a Contract to Hire position based out of SPOKANE, WA. Pay and Benefits The pay range for this position is $20.00 - $21.62/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 Jun 23, 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.

About the Company

TEKsystems

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.

COMPANY SIZE

5,000 to 9,999 employees

INDUSTRY

Other/Not Classified

WEBSITE

https://www.teksystems.com/en/

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