Insurance Verification Call Center

🔥 10 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $20 / hour

⏳ Contract/Temporary

🟠 Senior

🔴 Lead

📞 Call Center Representative

👻 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

• Investigate and verify patient medical and prescription insurance benefits • Process and monitor prior authorizations and appeals to support medication access • Communicate referral and authorization status with patients, healthcare providers, and insurance companies via phone, fax, and electronic systems • Assist provider offices throughout the prior authorization and appeal submission process • Collaborate with insurance payers, healthcare providers, and internal teams to obtain accurate coverage information • Document interactions and insurance information accurately within company systems • Identify and communicate alternative funding and financial assistance opportunities for patients • Review benefit verification information for accuracy and determine when additional investigation is needed • Escalate complex issues to management when appropriate • Maintain compliance with HIPAA, federal and state regulations, and company policies • Enter and update patient demographics and insurance information • Identify and report potential adverse events in accordance with FDA and company guidelines • Meet or exceed quality, productivity, and performance metrics • Participate in ongoing training, process improvements, and special projects as assigned

🎯 Requirements

• 13 years of experience in a healthcare, insurance, reimbursement, pharmacy, or customer service environment • Previous experience in a call center, healthcare office, insurance provider, pharmacy, or corporate setting • Strong customer service and communication skills • Ability to manage multiple tasks while maintaining accuracy and attention to detail • Proficiency in Microsoft Office and ability to learn new software systems quickly • Strong problem-solving and organizational skills • Access to a secure and private workspace • Pharmacy call center experience preferred • Healthcare call center experience preferred • Medical claims processing experience preferred • Insurance verification experience preferred • Knowledge of commercial and government insurance programs preferred • Understanding of prior authorizations, appeals, reimbursement processes, and specialty pharmacy operations preferred

🏖️ Benefits

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