LogoFresh Jobs Ahead
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.
LinkedIn
Darbai įmonėje

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.

USJungtinės ValstijosTXTeksasas
20 $ / valanda
NuotolinisSutartisVyresnysis specialistasVadovasPrivaloma Kalba: anglųSkambučių centro atstovas

Aprašymas

  • 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

Reikalavimai

  • 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

Privalumai

  • 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

Susiję darbai

Humana

Provider Contracting Executive – Georgia (Remote)

Humana
H1B vizos rėmėjasDraudimasSveikatos draudimasSveikatos priežiūra
USJungtinės ValstijosFLFloridaNCŠiaurės KarolinaSCPietų Karolina
94 900 $ – 130 500 $ / metai
NuotolinisVisas etatasVidutinis lygisVyresnysis specialistasPrivaloma Kalba: anglųVadovaujantis darbuotojas

Lead provider negotiations and network relationships across Georgia for Humana. Support Medicare Advantage and Medicaid networks through reimbursement analysis and value-based contracting.

Atidaryti
ACT | The Alliance for Climate Transition

Lead Embedded Firmware Engineer (Hybrid, Pennsylvania)

ACT | The Alliance for Climate Transition
11 – 50 Darbuotojai
H1B vizos rėmėjasEnergetikaKonsultavimasLogistika
USJungtinės ValstijosPAPensilvanija
155 000 $ – 209 000 $ / metai
HibridinisVisas etatasVyresnysis specialistasPrivaloma Kalba: anglųSistemų inžinierius
C++DebesijaRTOSRustTCP/IP

Lead firmware architecture and safety certification for ConnectDER’s clean energy hardware. Build secure metering, controls, communications, and over-the-air updates from prototype through production.

Atidaryti
WithCoverage

Client Service Manager, Commercial Insurance

WithCoverage
51 – 200 Darbuotojai
DraudimasKonsultavimasTeisė
USJungtinės Valstijos
100 000 $ – 140 000 $ / metai
NuotolinisVisas etatasJaunesnysis specialistasVidutinis lygisDiplomas nebūtinasPrivaloma Kalba: anglųKlientų aptarnavimo atstovasKlientų ryšių paslaugos

Support commercial insurance clients at WithCoverage by managing service requests, coverage questions, and policy renewals. Coordinate with Risk Advisors and clients to keep information, documentation, and renewal work on track.

Atidaryti
Hansen Technologies

Partner Manager, North America

Hansen Technologies
1 001 – 5 000 Darbuotojai
Kvalifikuoto darbuotojo vizos rėmėjasEnergetikaTelekomunikacijos
USJungtinės ValstijosDarbas vietojeVisas etatasVidutinis lygisVyresnysis specialistasPrivaloma Kalba: anglųKlientų vadybininkasPardavimai
Debesija

Build Hansen Technologies’ North American partner ecosystem from the ground up. Develop alliances, enablement programmes and partner-sourced pipeline to support enterprise software growth.

Atidaryti