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TEKsystems
TEKsystems
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TEKsystems este o companie globală de consultanță tehnologică și soluții pentru forța de muncă, care deservește organizații de mari dimensiuni. Activitatea sa acoperă serviciile cloud, datele și inteligența artificială, automatizarea, dezvoltarea aplicațiilor, transformarea prin Agile și DevOps, operațiunile tehnologice și experiența digitală. Compania oferă, de asemenea, servicii de atragere a talentelor, recrutare și servicii gestionate, sprijinind echipele de tehnologie și programele de forță de muncă la scară largă din domenii precum serviciile financiare, sănătatea, sectorul public, telecomunicațiile, retailul, producția și energia. Modelul său extins de servicii creează oportunități în consultanță, inginerie, operațiuni tehnologice și roluri axate pe recrutare.
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Locurile de muncă ale companiei

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.

USStatele Unite ale AmericiiILIllinois
20 $ / oră
RemoteContractJuniorNu este necesară o diplomăLimbă Obligatorie: englezăAsigurări

Descriere

  • 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.

Cerințe

  • 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.

Beneficii

  • 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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