[Hiring] Insurance Eligibility Specialist @TEKsystems

Role Description

The Insurance Eligibility Specialist plays a critical role in supporting both members and providers by managing insurance-related inquiries and ensuring accurate coverage information. This role operates in a high-volume environment and requires strong attention to detail, problem-solving skills, and clear communication.

• Manage a high volume of inbound insurance-related tickets from members and providers
• Respond to inquiries primarily via email, with some phone support as responsibilities expand
• Assist providers with questions related to:
  • Accepted insurance plans
  • Client volume and capacity
  • Payor status and credentialing updates
• Support members with inquiries including:
  • Insurance discrepancies and coverage issues
  • Adding or updating insurance information
  • Complex billing, technical, or investigative concerns
• Troubleshoot and resolve escalated or non-routine issues with accuracy and efficiency
• Maintain detailed documentation of interactions and resolutions

Qualifications

• 2+ years of healthcare experience
• Experience working with health plans
• Knowledge of billing, EOBs, deductibles, copays, coinsurance
• Flexible and adaptable in a fast-changing environment
• Ability to take feedback well
• Comfortable with shifting priorities and evolving processes

Requirements

• Intermediate Level
• This is a Contract position based out of Mountain View, CA.

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)

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Jun 24, 2026.