Benefits Verification Specialist

 Posted 2 hours ago
     
2-5 years experience
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AI Summary

Manage communications with healthcare providers and insurance plans to verify patient eligibility, coverage limitations, and out-of-pocket costs. Coordinate prior authorizations and appeals while documenting all interactions in compliance with HIPAA regulations.

Benefits Verification Specialist

Work Environment: Remote - Equipment Provided

Schedule: Monday - Friday, 8am - 4:30pm

Compensation: $23/hr

6 Month Contract

Description

  • Manage inbound and outbound communications with healthcare providers, physician offices, specialty pharmacies, and health insurance plans regarding patient insurance benefits and coverage details.
  • Verify patients' medical and pharmacy insurance benefits, including eligibility, coverage limitations, copayments, deductibles, coinsurance, and out-of-pocket responsibilities.
  • Conduct outreach to providers, insurance carriers, and other stakeholders to obtain required documentation, benefit verifications, and prior authorizations.
  • Review patient cases and accurately assess insurance requirements, identifying any additional actions needed to facilitate access to treatment or services.
  • Coordinate and track prior authorizations, appeals, referrals, and other reimbursement-related activities to ensure timely resolution.
  • Document all interactions, benefit information, authorization statuses, and case updates in the appropriate systems.
  • Identify coverage gaps, insurance denials, or reimbursement barriers and escalate issues as necessary.
  • Schedule or coordinate follow-up activities, including provider outreach, patient communication, and appointment-related insurance requirements.
  • Maintain compliance with HIPAA regulations and company policies when handling protected health information.

Skills

health insurance, Customer service, Health care, Call center, patient access, benefits verification

Additional Skills & Qualifications

  • HS Diploma/GED Equivalent
  • 2+ years of healthcare call center experience
  • 2+ years experience with insurance verification

Job Type & Location

This is a Contract position based out of Charlotte, NC.

Pay and Benefits

The pay range for this position is $23.00 - $23.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
Medical, dental & vision
Critical Illness, Accident, and Hospital
401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
Life Insurance (Voluntary Life & AD&D for the employee and dependents)
Short and long-term disability
Health Spending Account (HSA)
Transportation benefits
Employee Assistance Program
Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Jul 20, 2026.

About TEKsystems

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.

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