[Hiring] Insurance Verification @TEKsystems

Role Description

Are you passionate about helping patients navigate complex insurance and reimbursement processes? We are seeking an Insurance Verifier to serve as a trusted resource for patients, healthcare providers, and payer organizations. In this role, you will use your knowledge of insurance verification, prior authorizations, reimbursement processes, and financial assistance programs to help patients gain timely access to critical therapies.

This is an excellent opportunity for professionals with healthcare, pharmacy, insurance, reimbursement, or call center experience who enjoy problem-solving, customer service, and making a meaningful impact on patient outcomes.

What You'll Do

• Investigating and verifying medical and pharmacy insurance benefits, reimbursement options, and financial assistance programs.
• Processing, monitoring, and managing prior authorizations and appeals to help patients initiate or continue therapy without interruption.
• Communicating with patients, healthcare providers, insurance carriers, and internal teams to ensure accurate and timely resolution of coverage issues.
• Reviewing insurance information, identifying discrepancies, and documenting findings in multiple systems.
• Researching pharmacy and medical benefits using payer portals, internal resources, and direct communication with insurance companies.
• Providing regular status updates to providers and patients via phone, fax, and electronic systems.
• Supporting quality initiatives by identifying issues, participating in audits, and ensuring compliance with established procedures.
• Maintaining accurate patient demographic and insurance information while safeguarding sensitive data.
• Ensuring compliance with HIPAA regulations, pharmacy laws, and organizational policies.
• Collaborating with cross-functional teams to improve processes and enhance the patient experience.

Qualifications

• High School Diploma or GED required; Associate's or Bachelor's degree preferred.
• 3-4 years of experience in a healthcare reimbursement, insurance verification or prior authorizations (REQUIRED).
• 3-4 years of healthcare call center experience (REQUIRED).
• Knowledge of commercial and government insurance plans, medical and pharmacy benefits, reimbursement processes, insurance verification, prior authorizations, appeals, and specialty pharmacy operations.
• Strong problem-solving, organizational, and multitasking abilities.
• Excellent verbal and written communication skills.
• Detail-oriented with a commitment to accuracy and quality.
• Proficiency with Microsoft Office applications and the ability to learn new systems quickly.
• Ability to work independently while maintaining productivity and quality standards.
• Access to a secure, private workspace for remote work.

Requirements

• Experience in one or more of the following areas is highly valued:
• Insurance Verification
• Prior Authorization Processing
• Pharmacy Benefits Investigation
• Medical Billing and Claims
• Specialty Pharmacy Operations
• Healthcare Customer Service
• Reimbursement Support
• Financial Assistance Programs

Benefits

• 100% Remote Work Environment
• Opportunity to make a direct impact on patient access to life-changing therapies
• Collaborative, mission-driven team culture
• Comprehensive training and professional development
• Exposure to healthcare reimbursement, insurance operations, and specialty pharmacy services
• Career growth opportunities within a dynamic healthcare organization

Job Type & Location

This is a Contract position based out of Houston, TX.

Pay and Benefits

The pay range for this position is $16.00 - $20.00/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)

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Jul 16, 2026.