Member Services Representative

Description

Identifying, triaging and transitioning continuity of care issues; selection of Primary Care Providers (PCP); explain program/benefits and make referrals to other programs, Community Based Organizations and services, as appropriate. • Assisting members with authorizations, assist with the coordination of health care services between the Plan, network providers (all), RBM, Specialty Pharmacy, DME, and tertiary care facilities such as UCLA and other centers of excellence to ensure continuity of care for member. • Assist with resolving issues relating to other health coverage, including researching and documenting changes to other health coverage and notifying Recoveries and DSS as appropriate. • Assist members with member portal guidance and questions; including proving information on what the portal provides, and general account guidance. • Assist the Call Center management team in responding and assisting members with their web inquiries

Skills

microsoft office, Customer service, Medi- Cal, medical terminology, call center, patient service, prior authorization, eligibility verification

Top Skills Details

microsoft office,Customer service,Medi- Cal,medical terminology,call center

Additional Skills & Qualifications

Must be able to maneuver and understand the following screens: Necessary Screens Eligibility and its nine sub-screens MEDSLite & CalSAWS Adjudication Member Grievance – COG HIS-Call Tracking System Provider Cisco Agent Desktop Medslite RBM Authorization Processing (TAR) Claim Search Problem Claim Check Standard Report Procedure

Experience Level

Entry Level

This is a Contract position based out of Santa Barbara, CA.

The pay range for this position is $26.00 - $26.00/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 hybrid position in Santa Barbara,CA.

This position is anticipated to close on Feb 26, 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.

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.