REMOTE Medical Claims Representative

Remote Customer Service Representative – Medical Claims (Contract‑to‑Hire) Preferred Time Zones: Mountain or PacificCandidates in Central or Eastern Time Zone must have experience working a later shift. Schedule Monday–Friday8:30 AM – 5:00 PM Pacific Time or 9:30 AM – 6:00 PM Mountain TimeCandidates in CST/EST must be comfortable working 11:30 AM – 8:00 PM EST Position Overview The Remote Customer Service Representative (CSR) provides timely, accurate, and customer‑focused benefit and claim support for a variety of supplemental health insurance products. These products include SB Medical, Accident, Critical Illness, Hospital Indemnity, Prescription, Dental, Vision, and MEC plans.This role is heavily focused on claims intake and customer support , requiring strong medical claims knowledge, high attention to detail, and the ability to manage a high call volume in a remote call‑centre environment. Key Responsibilities Customer Service & Call Handling (80%) Handle an average of 40–50 inbound customer service calls per dayProvide clear, accurate information regarding benefits, claims status, and coverageCollect and enter all required claim information accurately and efficientlyDocument detailed call summaries in the claims system ensuring clarity and accuracyIssue timely and accurate claim acknowledgement correspondenceProcess incoming documentation with high coding integrity and route appropriately Claims Registration (15%) Accurately register and enter incoming medical claimsMeet or exceed productivity and quality metricsProcess approximately 20 claims per day Additional Duties (5%) Perform other tasks or projects as assigned by management Required Qualifications (Must Haves) 1–2+ years of experience working with health insurance claims and benefits, specifically:Scheduled AccidentCritical IllnessHospital IndemnityMedical claims processing experience involving:Doctor visitsDiagnostic testingHospital staysStrong knowledge of CPT, HCPCS, Revenue Codes, and ICD‑10Hands‑on experience reading and interpreting:HCFA 1500UB‑04Ability to review and understand medical records and Explanation of Benefits (EOBs)1+ year of call centre experience (remote experience strongly preferred)Comfortable working in a high‑volume, metric‑driven environment Skills & Knowledge Medical Claims ProcessingHealth Insurance & Supplemental BenefitsCustomer Service (Call Centre)Claims Intake & RegistrationMedical Billing & Revenue CycleAppeals & DenialsCPT / ICD‑10 CodingHCFA 1500 & UB‑04 Forms Experience Level Expert Level Job Type & Location Contract‑to‑HireRemote positionProject based out of El Paso, TX Job Type & Location This is a Contract to Hire position based out of Salt Lake City, UT. Pay And Benefits The pay range for this position is $21.00 - $23.00/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 18, 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.