Health Plan Specialist - Medicare (100% Remote)

TEKsystems • Madison, WI

7d • $21 - $22 • Remote

About The Position

We are seeking experienced Health Plan Specialists to support members during Medicare enrollment and benefit seasons. In this fully remote role, you'll assist members with questions related to benefits, billing, enrollment, and healthcare coverage while delivering a positive and professional customer experience. This is a high-volume inbound call center position supporting Medicare members. Successful candidates will be comfortable handling 50-70 calls per day, navigating multiple systems simultaneously, and resolving complex member concerns with empathy and accuracy.

Requirements

• High School Diploma or GED
• Minimum of 2 years of call center experience
• Strong customer service skills
• Ability to multitask across multiple systems and screens
• Reliable attendance history
• Ability to work independently in a remote environment
• Dedicated, professional workspace free from distractions
• Hardwired internet connection (Wi-Fi, hotspots, and satellite internet are not permitted)
• Ability to connect directly to company equipment via Ethernet cable
• Stable internet meeting the following minimum requirements: Download Speed: 25 Mbps or higher, Upload Speed: 5 Mbps or higher, Ping: Less than 100 ms
• Ability to be on camera for meetings and training
• Willingness to use company-provided equipment, including dual monitors and headset

Nice To Haves

• Experience in Medicare
• Experience in health insurance
• Experience in healthcare customer service
• Experience in call center support

Responsibilities

• Handle 50-70 inbound customer calls daily during peak enrollment periods
• Assist members with questions regarding benefits, enrollment, billing, and coverage
• Research and resolve member concerns from start to finish
• Accurately document all interactions and case details
• Utilize multiple computer applications and resources simultaneously
• Provide timely follow-up and thorough issue resolution
• Deliver outstanding customer service with professionalism and empathy
• Collaborate with team members and support organizational goals
• Participate in virtual meetings and training sessions

Benefits

• Medical
• dental
• vision
• Critical Illness
• Accident
• Hospital
• 401(k) Retirement Plan
• Pre-tax and Roth post-tax contributions
• 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)

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED