Insurance Analyst I (Healthcare Insurance & Prior Authorization Specialist)

Location: Remote

Schedule: Full-Time

Pay: [Insert Pay Rate]

About the Role

We are seeking a detail-oriented and customer-focused Insurance Analyst I to join a growing healthcare support team. In this role, you will help patients gain access to critical therapies by investigating insurance benefits, coordinating prior authorizations, supporting appeals, and identifying financial assistance options.

The ideal candidate has experience in healthcare, insurance verification, pharmacy operations, medical claims, or a call center environment and enjoys solving complex coverage issues while providing exceptional support to patients, providers, and insurance companies.

This is an excellent opportunity for professionals looking to expand their careers within healthcare reimbursement, specialty pharmacy, and insurance operations.

Key Responsibilities

Insurance Verification & Benefits Investigation

• Verify medical and prescription insurance benefits and coverage eligibility.
• Research and interpret commercial, Medicare, Medicaid, and other insurance plans.
• Investigate coverage determinations, reimbursement requirements, and patient out-of-pocket responsibilities.
• Maintain accurate documentation of insurance information and benefit verification results.

Prior Authorization & Appeals Support

• Assist providers throughout the prior authorization and appeals process.
• Gather and review required clinical and insurance documentation.
• Track authorization requests and follow up with payers to ensure timely decisions.
• Communicate status updates to providers and patients throughout the approval process.

Customer Service & Case Management

• Serve as a primary point of contact for patients, healthcare providers, insurance carriers, and internal teams.
• Handle inbound and outbound phone calls, electronic referrals, and fax communications.
• Answer questions regarding insurance coverage, claim status, authorization requirements, and financial assistance programs.
• Deliver compassionate, professional customer service while managing sensitive healthcare information.

Claims & Reimbursement Support

• Research claim issues and reimbursement challenges.
• Collaborate with payers and providers to resolve coverage barriers.
• Identify alternative funding resources and patient assistance opportunities.
• Support patients in accessing prescribed therapies as quickly as possible.

Documentation & Compliance

• Accurately enter patient demographics, insurance information, and case updates into company systems.
• Maintain HIPAA compliance and protect confidential patient information.
• Participate in quality assurance activities and identify opportunities for process improvements.
• Escalate reimbursement, authorization, or coverage concerns when appropriate.

Qualifications

Required

• 1-3 years of experience in healthcare, pharmacy, insurance, reimbursement support, or medical administration.
• Previous experience in a healthcare call center, medical office, pharmacy, insurance company, or related environment.
• Knowledge of insurance verification, prior authorizations, appeals, medical claims, or reimbursement processes.
• Strong customer service and communication skills.
• Ability to manage multiple priorities while maintaining accuracy and attention to detail.
• Proficiency with Microsoft Office and multiple computer systems.
• Ability to work independently in a remote environment with a secure and private workspace.

Preferred

• Specialty pharmacy experience.
• Pharmacy call center experience.
• Healthcare insurance or medical claims processing experience.
• Knowledge of commercial, Medicare, and Medicaid plans.
• Experience supporting prior authorizations and appeals.
• Familiarity with reimbursement assistance programs and specialty medication access.

What We're Looking For

Successful candidates are:

• Customer-focused and compassionate
• Strong problem-solvers with critical thinking skills
• Organized and detail-oriented
• Comfortable navigating multiple systems simultaneously
• Able to handle high-volume workloads in a fast-paced environment
• Passionate about helping patients access necessary treatments

Why Join Us?

• Fully remote opportunity
• Meaningful work impacting patient care and treatment access
• Exposure to insurance, pharmacy, and reimbursement operations
• Collaborative healthcare team environment
• Opportunity for career growth within healthcare services and specialty pharmacy

Job Type & Location

This is a Contract position based out of North Chicago, IL.

The pay range for this position is $20.00 - $20.00/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

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)

This is a fully remote position.

This position is anticipated to close on Sep 15, 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.