Remote Member Service Representative Jobs in Springfield, MA

Description

One of our clients, who delivers home health solutions, in partnership with payers and providers, is seeking remote patient service coordinators to join their growing team. Job Overview: The Patient Service Rep is responsible for reaching out to patients recently discharged from the hospital to schedule an initial assessment call with a Nurse Coach. The Patient Advocate is responsible for meeting and or exceeding weekly patient contact and engagement metrics. Monitors and supports clinicians to ensure service levels and requirements are met. The Patient Advocate will participate in the collection and documentation of all required data for end-to-end seamless care. This data generates reports and analysis to maintain the clinical program's goals. Job responsibilities: • Makes outbound calls to patients recently discharged from the hospital to schedule an initial assessment with the Nurse Coach. • Responsible for servicing patients making incoming calls with questions and/or returning messages to be scheduled with Nurse Coaches. • Understands that timely and accurate documentation is critical to the success of CareCentrix. • Provides non-clinical issue resolution and escalation of an issue to management when appropriate. • Participates in and contributes to performance and process improvement activities. • Must be committed to high quality standards • Responsible for speaking with physicians and coordinating in-home care for the patient • Participates and provides feedback when implementing process changes and raises opportunities to leadership ensuring compliance to policies, legal requirements and regulatory mandates. • Perform other duties as required or assigned. • Based on business needs, evening and weekend coverage may be needed. A Day in the Role: • As soon as someone is discharged from the hospital, the team reaches out to help accommodate their needs • Making outbound calls to patients to schedule nurse assessment (50-100 daily) • Reaching out to patient, explain the Nurse Coach program. • Then prepare cases to be sent to the nurse coach after the initial assessment (This includes discharge information, everything the nurse coach will need prior to speaking with patient) • Making follow-up calls to patients regarding feedback on service • Working through salesforce platform on “bins” and completing those calls • Some “bins” will have 50 people to call through and others 100; calls vary per day • Pre-assessment calls could be 3.5-4 minutes on average • Follow-up calls to check in on patients could be 2-3 minute calls on average • Everything is provided via script and well put together to ease all situations /calls

Skills

Patient service, patient admissions, patient access, medical terminology, healthcare, customer care, member service, insurance verification, patient intake, medical call center, call center, client service

Top Skills Details

Patient service,patient admissions,patient access,medical terminology,healthcare,customer care,member service,insurance verification,patient intake,medical call center,call center,client service

Additional Skills & Qualifications

• 1+ years of Call Center experience is REQUIRED • Sales/Outreach Experience and/or High-Volume Customer Service • Experience within Healthcare is preferred (enrollment, eligibility, claims processing, collections, reimbursement, insurance verification, medical billing/coding or RELATED FIELD) • Must be available to work an 8-hour shift, in a call center, stationary environment • Must be available to work weekends • Must meet internet speed requirements (will be tested) / Confidential workspace • High School Diploma or equivalent

Experience Level

Intermediate Level

This is a Contract to Hire position based out of Hartford, CT.

The pay range for this position is $17.50 - $17.50/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)

This is a fully remote position.

This position is anticipated to close on Jul 17, 2026.

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.

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.