Healthcare Call Center

Job Description

Job Description

Healthcare Enrollment Specialist / Member Services Representative

Location: San Diego, CA (100% Onsite)

Duration: 13-Week Contract with Potential for Extension or Hire

Start Date: September 11

Openings: 13 Positions Available

About the Opportunity

Our healthcare client is seeking experienced Customer Service Representatives to support a high-volume Open Enrollment season. This is an excellent opportunity for individuals with healthcare call center experience who enjoy helping members understand and navigate their health plan benefits.

The ideal candidate thrives in a fast-paced environment, can handle a high volume of inbound calls, and is committed to delivering exceptional customer service while maintaining compliance and quality standards.

Key Responsibilities

• Handle high-volume inbound calls regarding health plan enrollment, eligibility, and benefits.
• Educate members on available medical, dental, vision, and supplemental benefit options.
• Assist with new enrollments, plan changes, and qualifying life event requests.
• Verify eligibility, enrollment status, and member information.
• Clearly explain premiums, deductibles, copays, coinsurance, and out-of-pocket expenses.
• Research and resolve enrollment-related concerns and complex inquiries.
• Escalate sensitive or unresolved issues as appropriate.
• Maintain accurate documentation of all member interactions in company systems.
• Ensure compliance with HIPAA regulations and organizational policies.
• Meet established quality, productivity, attendance, and customer satisfaction metrics.

Required Qualifications

• Minimum 6 months of recent call center experience.
• Previous healthcare, health insurance, managed care, Medicare, or open enrollment experience strongly preferred.
• Proven ability to work in a metric-driven environment with established KPI expectations.
• Strong customer service, communication, and problem-solving skills.
• Comfortable handling 60-80+ inbound calls per day.
• Basic computer proficiency and accurate data entry skills.
• Ability to research and investigate member inquiries effectively.
• Knowledge of HIPAA compliance and healthcare-related customer service practices.

Preferred Qualifications

• Experience with Medicare, grievance and appeals, or service recovery.
• Experience using Epic.
• Experience using TalkDesk or similar contact center platforms.
• Health plan, HMO, PPO, or insurance enrollment experience.

Training InformationPhase 1 Training

Duration: 6 Weeks

Location: Spectrum Training Facility

Address: 8695 Spectrum Center Blvd, San Diego, CA

Schedule: Monday-Friday, 8:30 AM-5:00 PM

Phase 2 Training

Duration: 1-2 Weeks

Location: Tech Way Facility

During this phase, representatives will begin taking member calls while continuing training support.

Important: Attendance during training is mandatory. Candidates must be able to attend onsite training daily.

Work Schedule

Candidates must be flexible to support business needs.

Potential schedules include:

• Monday-Friday between 8:00 AM-6:00 PM
• 11:30 AM-8:00 PM shifts
• Occasional weekend coverage as needed

Work Location

8520 Tech Way, San Diego, CA

What We're Looking For

• Candidates seeking a long-term career opportunity rather than temporary employment.
• Stable work history with demonstrated longevity in previous roles.
• Strong attendance and reliability.
• Local San Diego candidates who can commit to onsite training and work schedules.
• Passion for helping members navigate their healthcare benefits and enrollment options.

If you're an experienced healthcare customer service professional looking to join a respected healthcare organization during a critical enrollment period, we'd love to speak with you!

Job Type & Location

This is a Contract position based out of San Diego, CA 92123.

Pay and Benefits

The pay range for this position is $25.00 - $25.00/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

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 onsite position in San Diego,CA 92123.

Application Deadline

This position is anticipated to close on Aug 28, 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.

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.

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.