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TEKsystems is a global technology consulting and workforce solutions company serving enterprise organizations. Its work spans cloud, data and AI, automation, application development, Agile and DevOps transformation, technology operations, and digital experience. The company also provides talent acquisition, recruitment, and managed services, supporting technology teams and large-scale workforce programs across sectors including financial services, healthcare, the public sector, telecommunications, retail, manufacturing, and energy. Its broad service model creates opportunities across consulting, engineering, technology operations, and recruitment-focused roles.
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.
Description
- 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.
Requirements
- 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.
Benefits
- 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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