Healthcare Call Center

🔥 0 minutes ago

🤠 Texas – Remote

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💵 $15 / hour

⏳ Contract/Temporary

🟡 Mid-level

🟠 Senior

📞 Call Center Representative

👻 Ghost score 0%

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Logo of TEKsystems

TEKsystems

10,000+ employees

Founded 1983

💼 Consulting

🎯 Recruiter

🏢 Enterprise

Consulting • Recruitment • Enterprise

TEKsystems is a global IT and business services firm that provides technology consulting, talent solutions, managed services and workforce recruitment to enterprise clients. The company delivers cloud, digital and data services (including AI/ML and automation), application innovation, Agile/DevOps transformation, technology operations and digital experience work, and operates large-scale talent and managed service programs. TEKsystems works across industries (financial services, healthcare, public sector, telecommunications, retail/manufacturing, energy and more), maintains technology partnerships with major cloud and software providers, and reports more than $7B in annual revenue and 100+ locations worldwide.

📋 Description

• Process cases through CMS and client portals by entering, reviewing, and verifying eligibility and case information. • Retrieve medical records from external client systems and upload documentation into internal databases. • Review records and supporting documentation for completeness, accuracy, and compliance. • Prepare, enter, track, and maintain case information across multiple systems and databases. • Respond to client inquiries regarding case status, reports, documentation requirements, and general requests. • Communicate with internal teams regarding pending reports, case progress, and workflow updates. • Coordinate with physicians, providers, and clinicians to assign cases and obtain required documentation. • Monitor case timelines and ensure information is accurately documented and updated. • Support the Independent Dispute Resolution (IDR) process by reviewing documentation before clinical review. • Maintain confidentiality and comply with HIPAA, CMS requirements, and company policies. • Perform data entry, filing, documentation management, and administrative support functions.

🎯 Requirements

• High school diploma or equivalent. • Strong data entry and administrative experience. • Excellent attention to detail and document review skills. • Strong written and verbal communication abilities. • Ability to navigate multiple systems and databases simultaneously. • Comfortable working with medical records, insurance documentation, and confidential information. • Strong computer skills and proficiency with Microsoft Office applications. • Reliable internet connection and a private workspace suitable for remote work. • Demonstrated ability to manage deadlines and maintain accuracy in a high-volume environment. • Previous experience in healthcare, insurance, utilization review, medical records, claims processing, or case coordination preferred. • Experience reviewing contracts, legal documents, or detailed reports preferred. • Familiarity with CMS portals, eligibility verification, or healthcare administrative processes preferred. • Experience working with regulatory and compliance-driven documentation preferred. • Knowledge of HIPAA and healthcare privacy requirements preferred.

🏖️ Benefits

• 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)

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