[Hiring] Insurance Verification Specialist @TEKsystems

Role Description

We are seeking an Insurance Analyst I to support patients and healthcare providers with insurance benefits, claims, prior authorizations, and reimbursement needs. This position is ideal for someone with healthcare call center, medical insurance, pharmacy, or claims experience who is comfortable communicating directly with insurance payers and healthcare providers.

The role will primarily involve:

• Outbound calls to insurance payers to obtain claim and authorization status.
• Documenting updates and creating cases to keep patients and providers informed.
• Working closely with internal teams, insurance companies, and healthcare providers to help patients access and continue their prescribed therapies.

Qualifications

• 1-3 years of experience in a healthcare or reimbursement-related environment.
• Previous experience in one or more of the following:
  • Healthcare call center
  • Medical claims or reimbursement
  • Health insurance
  • Pharmacy or specialty pharmacy
  • Healthcare/medical office
• Knowledge of medical and pharmacy insurance, insurance verification, claims processing, billing, prior authorizations, and appeals.
• Understanding of commercial and/or government insurance programs.
• Strong attention to detail and ability to accurately document patient and insurance information.
• Ability to manage multiple priorities and meet deadlines in a high-volume environment.
• Strong written and verbal communication skills.
• Comfortable making frequent outbound calls to insurance payers.
• Proficiency with Microsoft Office and ability to quickly learn new computer systems.

Requirements

• Follow all applicable HIPAA, privacy, compliance, and healthcare regulations.
• Identify and appropriately report potential adverse events according to established procedures.

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.