What are the responsibilities and job description for the Insurance Verification Representative position at TEKsystems?
*Description*
The Patient Access Insurance Verification Representative's primary focus for this role is to mitigate the financial risks to our hospital clients. To do this this position is responsible for contacting insurance companies and physician offices directly and/or using alternative means to verify insurance/coverage and clinical information needed to determine patient's eligibility, coverage, insurance limitations. This position is also responsible for verifying insurance pre-authorization requirements and approval status.
The Patient Access Insurance Verification Representative will use analytical skills to make decisions and explain limitations so that physician offices and schedulers completely understand the status of each patient encounter. Associates in this role are empowered to identify additional resources and refer patients who might have difficulty meeting their financial responsibilities. Success in this role is measured with the use of weekly productivity and quality scorecards.
*Skills & Qualifications*
* Initiates contact with insurance companies and physician offices via telephone, fax, websites, or other electronic means using appropriate scripting to ensure the required level of benefit and pre-certification/authorization details such as demographics, insurance/ coverage, procedure, and diagnosis information are obtained.
* Complete appropriate electronic forms with detailed benefit and pre-certification/ authorization information to ensure a clean claim.
* Identifies inaccurate plan codes and corrects in the hospital's main frame.
* Work directly with multiple insurance websites to obtain benefits and authorization validation.
* Adheres to the guidelines set forth in the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI).
*Pay and Benefits*
The pay range for this position is $19.00 - $19.00/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 Mar 28, 2025.
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.
The Patient Access Insurance Verification Representative's primary focus for this role is to mitigate the financial risks to our hospital clients. To do this this position is responsible for contacting insurance companies and physician offices directly and/or using alternative means to verify insurance/coverage and clinical information needed to determine patient's eligibility, coverage, insurance limitations. This position is also responsible for verifying insurance pre-authorization requirements and approval status.
The Patient Access Insurance Verification Representative will use analytical skills to make decisions and explain limitations so that physician offices and schedulers completely understand the status of each patient encounter. Associates in this role are empowered to identify additional resources and refer patients who might have difficulty meeting their financial responsibilities. Success in this role is measured with the use of weekly productivity and quality scorecards.
*Skills & Qualifications*
* Initiates contact with insurance companies and physician offices via telephone, fax, websites, or other electronic means using appropriate scripting to ensure the required level of benefit and pre-certification/authorization details such as demographics, insurance/ coverage, procedure, and diagnosis information are obtained.
* Complete appropriate electronic forms with detailed benefit and pre-certification/ authorization information to ensure a clean claim.
* Identifies inaccurate plan codes and corrects in the hospital's main frame.
* Work directly with multiple insurance websites to obtain benefits and authorization validation.
* Adheres to the guidelines set forth in the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI).
*Pay and Benefits*
The pay range for this position is $19.00 - $19.00/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 Mar 28, 2025.
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.
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