TEKsystems
TEKsystems
TEKsystems एक वैश्विक प्रौद्योगिकी परामर्श और कार्यबल समाधान कंपनी है, जो बड़े संगठनों को सेवाएँ प्रदान करती है। इसका कार्य क्लाउड, डेटा और एआई, ऑटोमेशन, एप्लिकेशन विकास, एजाइल और DevOps रूपांतरण, प्रौद्योगिकी संचालन तथा डिजिटल अनुभव जैसे क्षेत्रों में फैला हुआ है। कंपनी प्रतिभा अधिग्रहण, भर्ती और प्रबंधित सेवाएँ भी प्रदान करती है तथा वित्तीय सेवाओं, स्वास्थ्य सेवा, सार्वजनिक क्षेत्र, दूरसंचार, खुदरा, विनिर्माण और ऊर्जा सहित विभिन्न क्षेत्रों में प्रौद्योगिकी टीमों और बड़े पैमाने के कार्यबल कार्यक्रमों का समर्थन करती है। इसका व्यापक सेवा मॉडल परामर्श, इंजीनियरिंग, प्रौद्योगिकी संचालन और भर्ती-केंद्रित भूमिकाओं में अवसर उपलब्ध कराता है।

Remote Insurance Verification Analyst – Illinois

Investigate medical and prescription coverage, claims, and prior authorizations. Coordinate referral updates and insurance documentation to help providers and patients access medication.

विवरण

  • Advise on medical and prescription coverage, insurance verification, claim billing, medication prior authorizations, appeals, and alternative financial assistance.
  • Record information accurately in the required systems and formats.
  • Update physicians and patients on referral progress by phone, fax, or the core pharmacy system.
  • Help offices prepare and file prior authorization and appeal documents.
  • Track authorization and appeal progress to support timely processing and medication access.
  • Research pharmacy and medical benefits using internal and online tools.
  • Work with health insurers and providers, and keep payer intelligence resources current.
  • Add patient demographic and insurance details to the hub information system.
  • Alert physicians when insurance information is missing or inaccurate.

आवश्यकताएँ

  • Have 1–3 years of experience in healthcare or reimbursement.
  • Have prior experience in a call center, healthcare office, corporate setting, health insurer, or pharmacy.
  • Understand commercial and government medical and pharmacy insurance programs.
  • Know billing, alternative funding resources, reimbursement processes, insurance verification, prior authorization and appeals, and specialty pharmacy operations.
  • Pharmacy call center experience is preferred for A+ candidates.
  • Healthcare call center and medical claims experience is preferred for A- candidates.

लाभ

  • Medical, dental, and vision coverage
  • Critical illness, accident, and hospital coverage
  • 401(k) retirement plan with pre-tax and Roth after-tax contributions
  • Life insurance, including voluntary life and AD&D coverage for employees and dependents
  • Short- and long-term disability coverage
  • Health Savings Account (HSA)
  • Transportation benefits
  • Employee Assistance Program
  • Paid time off or leave, including PTO, vacation, or sick leave

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