Healthcare Customer Service Representative

🔥 10 minutes ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

💵 $21 - $22 / hour

⏳ Contract/Temporary

🟢 Junior

💝 Customer Support

🚫👨‍🎓 No degree required

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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TEKsystems

WebsiteLinkedInAll Job Openings

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

• Serve as the primary point of contact for patients, healthcare providers, and specialty pharmacies regarding program support and therapy access • Assist with benefit verification, eligibility review, program enrollment, affordability assistance, and reimbursement support • Navigate payer-related challenges by researching coverage requirements and identifying appropriate solutions • Develop and maintain relationships with healthcare providers and patients through ongoing communication and support • Educate stakeholders on commercial and government insurance benefits, including Medicare, Medicaid, Veterans Affairs (VA), and Department of Defense (DOD) plans • Document and maintain accurate case records in compliance with program guidelines, company policies, and regulatory requirements • Collaborate with Program Management and internal teams to address patient needs, resolve issues, and improve program effectiveness • Escalate complex cases following standard operating procedures (SOPs) and program guidelines • Support inbound and outbound communications via phone and email • Monitor patient cases to ensure timely follow-up and positive outcomes • Handle sensitive information with the highest level of confidentiality and professionalism

🎯 Requirements

• Previous experience in a HUB, Patient Services, Case Management, or related healthcare support environment • Contact center/customer service experience required • Experience supporting pharmaceutical benefit processes and patient access programs • Working knowledge of commercial and government payers, including Medicare Part B • Experience communicating with patients, physician offices, and specialty pharmacies • Strong problem-solving, organizational, and relationship-building skills • Excellent verbal and written communication skills • Ability to work independently in a remote environment while managing multiple priorities • 1-2 years of experience in pharmaceutical benefits, reimbursement support, patient services, or healthcare case management • Familiarity with benefit verification, prior authorization processes, and insurance coverage navigation

🏖️ Benefits

• Fully remote work environment • Competitive pay rate • Opportunity to make a meaningful impact on patient access to care • Collaborative and supportive team culture • Growth opportunities within the healthcare and patient services industry • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan with 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)