Insurance Verification Analyst

🔥 0 minutes ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $20 / hour

⏳ Contract/Temporary

🟢 Junior

🔒 Insurance

🚫👨‍🎓 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

• Provide subject matter expertise on medical and prescription insurance coverage, verification, claim billing, medication prior authorization, appeal filing, and alternate financial assistance opportunities • Accurately document information in appropriate systems and formats • Communicate referral status to physicians and patients via phone, fax, and/or the core pharmacy system • Assist offices through prior authorization and appeal documentation and filing • Monitor authorization and appeal status to support rapid turnaround and patient access to medication • Use internal and web tools to investigate pharmacy and medical benefits • Collaborate with health insurance payors and providers and maintain payor intelligence resources • Enter patient demographic and health insurance information into the hub information system • Notify physicians of incomplete or incorrect insurance information

🎯 Requirements

• 1-3 years of work experience in a healthcare or reimbursement setting • Previous experience in a call center environment, healthcare office, corporate setting, healthcare insurance provider, or pharmacy is required • Thorough understanding and knowledge of commercial and government pharmacy and medical insurance programs • Knowledge of billing, alternate funding resources, reimbursement processes, insurance verification, prior authorization and appeal filings, and specialty pharmacy operations • Pharmacy call center experience preferred for A+ candidates • Healthcare call center and medical claims experience preferred for A- candidates

🏖️ Benefits

• Medical, dental & vision • Critical Illness, Accident, and Hospital coverage • 401(k) Retirement Plan with pre-tax and Roth post-tax contributions • 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)