Job Details

Job Opportunity

Responsibilities include answering incoming calls related to eligibility, benefits, claims, and authorization of services from members or providers. Respond accurately to inbound calls and process inquiries from providers and members. Resolve customer service or billing issues under general supervision, using sound judgment. Contact customers to address complex inquiries or inform them of claim investigation outcomes. Refer unresolved grievances, appeals, and claim resolutions to appropriate departments. Maintain records of customer interactions and transactions. Listen actively and probe callers to understand the purpose of their calls. Research and communicate information regarding member eligibility and claim status. Educate providers on claim submission processes and treatment plan requirements. Perform follow-up tasks to ensure member or provider needs are fully met.

Skills: Customer service, Microsoft office, Call Center, Benefits customer service, Bilingual English/Spanish

Additional Skills & Qualifications Required Qualifications: High School Diploma Strong computer, technical, and data entry skills Experience with computer applications, such as Microsoft Word and PowerPoint. Previous customer service/call center experience is required.

Work Environment

This position is fully remote. Training Schedule: MondayFriday on a 1st shift schedule. Post-Training: Candidates may be assigned to multiple shifts, including required weekend shifts. Availability: Must be available for any shift between 8:00 AM 8:00 PM in their time zone. Equipment: All necessary equipment will be provided.

Experience Level

This is a Contract to Hire position based out of McLean, VA.

Pay and Benefits

The pay range for this position is $17.20 - $18.20/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 Jan 30, 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.