LogoFresh Jobs Ahead
TEKsystems
TEKsystems
ConsultingEnterpriseRecruitment
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.
LinkedIn
Company Jobs

Remote Insurance Verification Call Center Representative

Verify health and prescription coverage, process prior authorizations and appeals, and help patients access medications. The role supports patients and provider offices through TEKsystems’ healthcare services.

USUnited StatesTXTexas
$20 / hour
RemoteContractSeniorLeadEnglish RequiredCall Center Representative

Description

  • Verify patients’ medical and prescription insurance coverage and benefits
  • Process and track prior authorizations and appeals to help patients access medication
  • Share referral and authorization updates with patients, providers, and insurers by phone, fax, and electronic systems
  • Guide provider offices through prior authorization and appeal submissions
  • Work with insurers, healthcare providers, and internal teams to confirm coverage details
  • Record communications and insurance information accurately in company systems
  • Find and explain alternative funding and financial assistance options for patients
  • Check benefit verification details for accuracy and identify cases requiring further review
  • Refer complex issues to management when needed
  • Follow HIPAA, federal and state regulations, and company policies
  • Add and update patient demographic and insurance records
  • Recognize and report potential adverse events under FDA and company guidelines
  • Achieve quality, productivity, and performance targets
  • Take part in ongoing training, process improvement, and assigned special projects

Requirements

  • Bring 13 years of experience in healthcare, insurance, reimbursement, pharmacy, or customer service
  • Have prior experience in a call center, healthcare office, insurance provider, pharmacy, or corporate environment
  • Demonstrate strong customer service and communication abilities
  • Manage multiple tasks while maintaining accuracy and attention to detail
  • Use Microsoft Office proficiently and learn new software systems quickly
  • Apply strong problem-solving and organizational skills
  • Have access to a secure, private workspace
  • Pharmacy call center experience is preferred
  • Healthcare call center experience is preferred
  • Medical claims processing experience is preferred
  • Insurance verification experience is preferred
  • Knowledge of commercial and government insurance programs is preferred
  • Understanding of prior authorizations, appeals, reimbursement, and specialty pharmacy operations is preferred

Benefits

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

Related Jobs