Benefits Verification Specialist

TEKsystems

United States

Hybrid

USD 34,000 - 37,000

Full time

9 days ago

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Benefits offered by this job

Medical, dental & vision
401(k) Retirement Plan
Life Insurance

Job summary

TEKsystems is seeking a Benefits Verification Specialist to join a hybrid team supporting patients, providers, and physician offices through insurance verification, prior authorizations, and appeals for surgical procedures. You will advocate for patients by confirming coverage with commercial carriers, Medicare, and Medicaid, and collaborate with clinical staff to secure medically necessary approvals.

The role offers a Monday–Friday schedule, 8:00 AM–5:00 PM, with one day in the Minneapolis

Qualifications

  • 3+ years of medical insurance verification experience.
  • Experience verifying benefits in a medical setting (office, hospital, health system, or healthcare org).
  • Strong knowledge of benefit verification, prior authorizations, and payer requirements.
  • Familiar with commercial plans, Medicare and Medicaid, and medical claims processing.
  • Strong investigation and problem-solving abilities.
  • Ability to analyze complex benefit information and identify coverage solutions.

Responsibilities

  • Verify insurance benefits, coverage limitations, and eligibility for surgical procedures.
  • Obtain prior authorizations, pre-certifications, and referral approvals as required.
  • Contact commercial carriers, Medicare, and Medicaid to confirm coverage and requirements.
  • Review patient accounts and investigate complex insurance situations to determine next steps.
  • Collaborate with physician offices, clinical staff, and case reviewers to obtain medical documentation supporting medical necessity.
  • Assist with insurance appeals and coverage exception requests when needed.
  • Educate providers, office personnel, patients, and internal teams on payer requirements and guidelines.
  • Provide timely updates regarding authorization status and verification findings.
  • Research discrepancies, identify missing information, and resolve insurance-related issues.
  • Respond to inquiries with professionalism and empathy.
  • Maintain accurate records and documentation within internal systems.
  • Stay current on Medicare, Medicaid, and commercial payer requirements and trends.

Skills

Insurance verification
Prior authorizations
Medicare & Medicaid
Medical claims
Problem solving
Analytical thinking

Education

High School Diploma or equivalent

Job description

Help Patients Access Life-Changing Care

We are seeking a Benefits Verification Specialist to join a growing team supporting patients, providers, and physician offices through the insurance verification and authorization process for surgical procedures.

In this role, you will serve as an advocate for patients by helping them navigate insurance coverage, prior authorizations, benefit verification, and appeals. You'll work directly with physician offices, insurance carriers, and internal teams to ensure patients have the information and approvals needed to move forward with medically necessary procedures.

Schedule: Monday-Friday | 8:00 AM - 5:00 PM

Work Arrangement: Hybrid (1 day in office per week, Mondays)

Responsibilities
  • Verify insurance benefits, coverage limitations, and eligibility for surgical procedures.
  • Obtain prior authorizations, pre-certifications, and referral approvals as required.
  • Contact commercial insurance carriers, Medicare, and Medicaid to confirm benefit coverage and requirements.
  • Review patient accounts and investigate complex insurance situations to determine appropriate next steps.
  • Work closely with physician offices, clinical staff, and case reviewers to obtain medical documentation supporting medical necessity.
  • Assist with insurance appeals and coverage exception requests when needed.
  • Educate providers, office personnel, patients, and internal teams regarding payer requirements and authorization guidelines.
  • Provide timely updates regarding authorization status, benefit verification findings, and coverage determinations.
  • Research discrepancies, identify missing information, and resolve insurance-related issues.
  • Respond to incoming customer and patient inquiries with professionalism and empathy.
  • Maintain accurate records and documentation within internal systems.
  • Stay current on Medicare, Medicaid, commercial payer requirements, and reimbursement trends.
Qualifications
  • High School Diploma or equivalent
  • 3+ years of medical insurance verification experience
  • Experience verifying benefits in a medical office, hospital, health system, or healthcare organization
  • Strong knowledge of:
    • Insurance benefit verification
    • Prior authorizations
    • Commercial insurance plans
    • Medicare and Medicaid
    • Medical claims and reimbursement processes
  • Strong investigation and problem-solving abilities
  • Ability to analyze complex benefit information and identify coverage solutions
What Makes This Opportunity Unique?
  • Join a rapidly growing healthcare services program experiencing significant expansion
  • Play a direct role in helping patients gain access to medically necessary surgical procedures
  • Work in a highly visible role with meaningful impact on patient outcomes
  • Opportunity to convert to a permanent position; several previous contractors have successfully transitioned to full-time employment
  • Collaborative, small-team environment where your contributions make a difference
  • Hybrid work schedule offering flexibility and work-life balance
Job Type & Location

This is a Contract position based out of Minneapolis, MN.

Pay and Benefits

The pay range for this position is $25.00 - $27.00/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

Eligibility requirements apply to some benefits and may depend on your jobclassification and length of employment. Benefits are subject to change and may besubject to specific elections, plan, or program terms. If eligible, the benefitsavailable 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)
Job Type & Location

This is a Contract position based out of Minneapolis, MN.

Application Deadline

This position is anticipated to close on Nov 4, 2026.

Workplace Type

This is a hybrid position in Minneapolis,MN.

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.

About TEKsystems and TEKsystems Global Services

Were a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. Were a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. Were strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. Were building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.

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