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TEKsystems
TEKsystems
ĮdarbinimasĮmonėKonsultavimas
TEKsystems yra pasaulinė technologijų konsultavimo ir darbo jėgos sprendimų bendrovė, teikianti paslaugas stambioms organizacijoms. Jos veikla apima debesijos sprendimus, duomenis ir dirbtinį intelektą, automatizavimą, programų kūrimą, judrųjį kūrimą ir „DevOps“ transformaciją, technologijų operacijas bei skaitmeninę patirtį. Bendrovė taip pat teikia talentų paieškos, įdarbinimo ir valdomas paslaugas, padėdama technologijų komandoms ir įgyvendindama didelės apimties darbo jėgos programas finansinių paslaugų, sveikatos priežiūros, viešojo sektoriaus, telekomunikacijų, mažmeninės prekybos, gamybos ir energetikos srityse. Platus paslaugų modelis suteikia galimybių konsultavimo, inžinerijos, technologijų operacijų ir įdarbinimo srityse.
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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.

USJungtinės ValstijosILIlinojus
20 $ / valanda
NuotolinisSutartisJaunesnysis specialistasDiplomas nebūtinasPrivaloma Kalba: anglųDraudimas

Aprašymas

  • 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.

Reikalavimai

  • 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.

Privalumai

  • 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

Susiję darbai

ANGEHEUERT ⚓ | Recruiting as a Service & Employer Branding

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11 – 50 Darbuotojai
KonsultavimasLogistikaRinkodara
DEVokietijaHibridinisVisas etatasJaunesnysis specialistasVidutinis lygisDiplomas nebūtinasPrivaloma Kalba: vokiečiųPardavimai

Expand a sustainable smart locker network by developing B2B partnerships across grocery retail, fuel stations, and housing. The role combines regional field sales with customer management from first contact to contract.

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