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TEKsystems
TEKsystems
ConsultanțăÎntreprindereRecrutare
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 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.

USStatele Unite ale AmericiiTXTexas
20 $ / oră
RemoteContractSeniorLiderLimbă Obligatorie: englezăReprezentant call center

Descriere

  • 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

Cerințe

  • 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

Beneficii

  • 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

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