[Hiring] Benefits Verification Specialist @TEKsystems

Role Description

Manage inbound and outbound communications with healthcare providers, physician offices, specialty pharmacies, and health insurance plans regarding patient insurance benefits and coverage details.

• Verify patients' medical and pharmacy insurance benefits, including eligibility, coverage limitations, copayments, deductibles, coinsurance, and out-of-pocket responsibilities.
• Conduct outreach to providers, insurance carriers, and other stakeholders to obtain required documentation, benefit verifications, and prior authorizations.
• Review patient cases and accurately assess insurance requirements, identifying any additional actions needed to facilitate access to treatment or services.
• Coordinate and track prior authorizations, appeals, referrals, and other reimbursement-related activities to ensure timely resolution.
• Document all interactions, benefit information, authorization statuses, and case updates in the appropriate systems.
• Identify coverage gaps, insurance denials, or reimbursement barriers and escalate issues as necessary.
• Schedule or coordinate follow-up activities, including provider outreach, patient communication, and appointment-related insurance requirements.
• Maintain compliance with HIPAA regulations and company policies when handling protected health information.

Qualifications

• HS Diploma/GED Equivalent
• 2+ years of healthcare call center experience
• 2+ years experience with insurance verification

Requirements

• This is a Contract position based out of Charlotte, NC.

Benefits

• 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)

Company Description

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.