[Hiring] Healthcare Customer Service Representative @TEKsystems

Role Description

We are seeking a dedicated and customer-focused Case Manager to support patients, healthcare providers, and specialty pharmacies through the benefit coordination and therapy access process. In this role, you will serve as a subject matter expert on reimbursement, eligibility, coverage, affordability programs, and patient support services. You will act as a liaison between patients, providers, pharmacies, and internal stakeholders to help ensure timely access to prescribed therapies while delivering an exceptional customer experience.

Key Responsibilities

• Serve as the primary point of contact for patients, healthcare providers, and specialty pharmacies regarding program support and therapy access.
• Assist with benefit verification, eligibility review, program enrollment, affordability assistance, and reimbursement support.
• Navigate payer-related challenges by researching coverage requirements and identifying appropriate solutions.
• Develop and maintain strong relationships with healthcare providers and patients through ongoing communication and support.
• Educate stakeholders on commercial and government insurance benefits, including Medicare, Medicaid, Veterans Affairs (VA), and Department of Defense (DOD) plans.
• Document and maintain accurate case records in compliance with program guidelines, company policies, and regulatory requirements.
• Collaborate with Program Management and internal teams to address patient needs, resolve issues, and improve program effectiveness.
• Escalate complex cases as needed following standard operating procedures (SOPs) and program guidelines.
• Support inbound and outbound communications via phone and email while maintaining a high level of professionalism and customer service.
• Monitor patient cases to ensure timely follow-up and positive outcomes.
• Handle sensitive information with the highest level of confidentiality and professionalism.

Qualifications

• Previous experience in a HUB, Patient Services, Case Management, or related healthcare support environment.
• Contact center/customer service experience required.
• Experience supporting pharmaceutical benefit processes and patient access programs.
• Working knowledge of commercial and government payers, including Medicare Part B.
• Experience communicating with patients, physician offices, and specialty pharmacies.
• Strong problem-solving, organizational, and relationship-building skills.
• Excellent verbal and written communication skills.
• Ability to work independently in a remote environment while managing multiple priorities.

Preferred Experience

• 1-2 years of experience in pharmaceutical benefits, reimbursement support, patient services, or healthcare case management.
• Familiarity with benefit verification, prior authorization processes, and insurance coverage navigation.

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)

Job Type & Location

This is a Contract position based out of Morrisville, NC.

Pay and Benefits

The pay range for this position is $21.00 - $22.00/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:

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Oct 9, 2026.