• Medicaid Customer Service Representative

    TEKsystems (Brookfield, WI)


    Member Experience Representative – Healthcare Customer Service

    Remote (First 90 Days) → Hybrid in Brookfield or Menasha, WI

    Are you passionate about helping others navigate the complexities of healthcare? Do you thrive in a fast-paced, service-driven environment?

    Job Description

    As a Member Experience Representative, you’ll be the first point of contact for members, providers, and brokers—resolving inquiries related to:

    + Coverage and benefits

    + Claims and billing

    + Authorizations and prior approvals

    + Medicare, Medicaid, and Marketplace plans

    + You’ll handle calls and emails with empathy and accuracy, striving for first-call resolution while documenting interactions and collaborating with internal teams to ensure member satisfaction.

    + Answer inbound calls and emails regarding insurance coverage, claims, billing, and authorizations

    + Translate healthcare jargon into clear, member-friendly language

    + Investigate and resolve issues, escalating when necessary

    + Document all interactions and follow-up actions in the system

    + Stay current on policies, procedures, and insurance regulations

    + Use dual monitors and multiple systems to research and resolve inquiries

    + Protect member privacy and comply with HIPAA standards

    Qualifications:

    + 2+ years of healthcare customer service or call center experience

    + Experience with Medicare, Medicaid, or insurance verification

    + Ability to multitask in a high-volume environment

    + Intermediate Microsoft Office skills (Outlook, Excel, Word)

    + Comfortable with hybrid work (3 days onsite in Brookfield or Menasha after 90 days)

    Position Details:

    + Remote for first 90 days

    + Hybrid after conversion: 3 days onsite, 2 days remote

    + Locations:

    + Brookfield

    + Menasha

    + Start: 8/11

    + Schedule: Monday–Friday, 8:00 AM–4:30 PM

    + Dress Code: Business casual (business professional on first day)

    + $2.50/hour in-office stipend (for full-week onsite support)

     

    Why Join Us?

     

    + Career Growth: Internal mobility and advancement opportunities beyond Member Services

    + Wage Escalator: Performance-based raises after hire

    + Continuous Learning: Stay current with insurance trends and systems

    + Mission-Driven Culture: Work for a company that values service, integrity, and community

    Important Notes

    + This is a contract-to-hire role with conversion after 90 business days

    + Candidates must be open to hybrid work in either Brookfield or Menasha

    + We are ramping up to support new Medicaid and Dental lines of business launching in 2026

     

    Ready to make a difference in healthcare?

     

    Apply today and help us deliver exceptional experiences to the members who count on us.

    Pay and Benefits

    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)

     

    Workplace Type

     

    This is a hybrid position in Brookfield,WI.

     

    Application Deadline

     

    This position is anticipated to close on Jul 30, 2025.

    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.