Insurance Eligibility Specialist (Telehealth)

The Insurance Eligibility Specialist plays a critical role in supporting both members and providers by managing insurance-related inquiries and ensuring accurate coverage information. This role operates in a high-volume environment and requires strong attention to detail, problem-solving skills, and clear communication.

Key Responsibilities:

• Manage a high volume of inbound insurance-related tickets from members and providers
• Respond to inquiries primarily via email, with some phone support as responsibilities expand
• Assist providers with questions related to:
  • Accepted insurance plans
  • Client volume and capacity
  • Payor status and credentialing updates
• Support members with inquiries including:
  • Insurance discrepancies and coverage issues
  • Adding or updating insurance information
  • Complex billing, technical, or investigative concerns
• Troubleshoot and resolve escalated or non-routine issues with accuracy and efficiency
• Maintain detailed documentation of interactions and resolutions

Role Progression:

• Begin with email-based support focused on foundational ticket handling
• Gradually take on more complex and investigative cases
• Transition into limited phone-based support once proficiency is established

Work Environment:

• Fast-paced, high-volume support setting
• Collaborative team focused on delivering accurate and timely resolutions

Skills

Customer service, Support

Additional Skills & Qualifications

• 2+ year of healthcare experience
• Experience working with health plans
• Knowledge of: billing, EOBs, deductibles, copays, coinsurance

Soft Skills

• Flexible and adaptable in a fast-changing environment
• Ability to take feedback well
• Comfortable with shifting priorities and evolving processes

Experience Level

Intermediate Level

This is a Contract position based out of Mountain View, CA.

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)

This is a fully remote position.

This position is anticipated to close on Jun 24, 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.