What are the responsibilities and job description for the Insurance Verification Specialist position at TEKsystems?
*Description*
The primary function of the Insurance Analyst I is to provides best-in-class customer services to patients Health Care Providers HCPs and their staff through referral and call management by investigating patients insurance benefits and financial assistance opportunities in addition to processing and monitoring prior authorizations to assist the patient in starting or continuing therapy.
This position will be a subject matter expert in insurance billing claims processing and prior authorizations. This position liaises between departments payors and providers to comprehensively determine patients overall prescription coverage. The Insurance Analyst I handles patient requests received by phone or electronically fax Humira Complete Pro or other systems and would complete related outbound calls. This position works collaboratively with other areas of the Pharmacy to maximize patients access to care.
*Hours: *
The hours of operation are 7am-7pm CST. Shifts will be assigned, candidates do not get to choose their shift
Training schedules will run 8:00 am - 4:30 pm CST 6-10 weeks
* Skills & Qualifications*
High school diploma or GED equivalent required - degree preferred.
1-3 years of work experience in insurance verification or prior authorization
1-3 years of healthcare call center experience (outbound calls)
Demonstrated strong, accurate technical skills. Must be detail oriented. Professional written and verbal communication skills required.
Ability to maintain a positive service image at all times even when dealing with challenging issues and unsatisfied customers.
Proven organizational and problem solving skills, elevating to management when appropriate.
Skilled with the use of the Microsoft Office suite and the ability to use and effectively learn and navigate other computer systems.
*Pay and Benefits*
The pay range for this position is $20.00 - $22.00/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 4, 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 primary function of the Insurance Analyst I is to provides best-in-class customer services to patients Health Care Providers HCPs and their staff through referral and call management by investigating patients insurance benefits and financial assistance opportunities in addition to processing and monitoring prior authorizations to assist the patient in starting or continuing therapy.
This position will be a subject matter expert in insurance billing claims processing and prior authorizations. This position liaises between departments payors and providers to comprehensively determine patients overall prescription coverage. The Insurance Analyst I handles patient requests received by phone or electronically fax Humira Complete Pro or other systems and would complete related outbound calls. This position works collaboratively with other areas of the Pharmacy to maximize patients access to care.
*Hours: *
The hours of operation are 7am-7pm CST. Shifts will be assigned, candidates do not get to choose their shift
Training schedules will run 8:00 am - 4:30 pm CST 6-10 weeks
* Skills & Qualifications*
High school diploma or GED equivalent required - degree preferred.
1-3 years of work experience in insurance verification or prior authorization
1-3 years of healthcare call center experience (outbound calls)
Demonstrated strong, accurate technical skills. Must be detail oriented. Professional written and verbal communication skills required.
Ability to maintain a positive service image at all times even when dealing with challenging issues and unsatisfied customers.
Proven organizational and problem solving skills, elevating to management when appropriate.
Skilled with the use of the Microsoft Office suite and the ability to use and effectively learn and navigate other computer systems.
*Pay and Benefits*
The pay range for this position is $20.00 - $22.00/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 4, 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.
Salary : $20 - $22
