Care Coordinator

TEKsystems; Morrisville (NC); Ibrido; USD 30.000 - 47.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical benefits

401(k)

Life insurance

Disability coverage

HSA

Transit benefits

PTO

Descrizione del lavoro

TEKsystems seeks a compassionate Care Coordinator to support patients, providers, pharmacies, and payers through the treatment journey. You will verify benefits, assist with prior authorizations, and coordinate reimbursement while safeguarding HIPAA compliance.

In this hybrid role based in Morrisville, NC, you’ll educate patients on eligibility and affordability, document interactions in CRM, and liaise with internal teams to optimize program effectiveness and patient outcomes.

Competenze

• 2+ years of healthcare reimbursement, insurance verification, healthcare billing, or related experience with an associate or bachelor’s degree.
• Or 5+ years with HS diploma/GED.
• Previous Call Center, HUB Services, Patient Support Program, or healthcare customer service experience required.
• Strong understanding of insurance verification, prior authorizations, appeals processes, and commercial/government plans.

Mansioni

• Serve as the primary point of contact for patients, providers, caregivers, specialty pharmacies, and payers.
• Coordinate access to prescribed therapies through benefits verification, prior authorization support, appeals assistance, and reimbursement coordination.
• Educate patients and providers on program eligibility, enrollment requirements, affordability, and available support services.
• Build relationships with patients and provider offices while delivering outstanding customer service.
• Navigate insurance challenges and collaborate with payers to facilitate coverage and access to care.
• Document interactions in CRM systems and handle calls with accuracy.
• Act as liaison between providers, patients, internal teams, and client partners.
• Escalate complex cases per SOPs and program guidelines.
• Identify and report adverse events or safety information per pharmacovigilance rules.
• Maintain HIPAA and privacy compliance in all records and communications.
• Partner with internal teams to improve program effectiveness and patient outcomes.
• Manage multiple priorities to meet productivity and quality targets.

Conoscenze

Customer service

Insurance verification

Benefits investigation

Reimbursement support

Prior authorization

Healthcare call center

Patient support

Case coordination

CRM documentation

Formazione

Associate or Bachelor’s degree

HS Diploma/GED + 5+ yrs healthcare exp

Strumenti

CRM systems

Multi-line phones

Microsoft Office

Dual monitors

Descrizione del lavoro

• Appeals processes

Remote | Healthcare Patient Support Services

About The Role

We are seeking a compassionate and detail-oriented Care Coordinator to support patients, healthcare providers, pharmacies, and payers throughout the treatment journey. In this role, you will serve as a key point of contact, helping coordinate benefits, insurance coverage, prior authorizations, affordability programs, product orders, and appointment scheduling to ensure patients receive timely access to prescribed therapies.

Key Responsibilities

• Serve as the primary point of contact for patients, healthcare providers, caregivers, specialty pharmacies, and insurance payers.
• Coordinate patient access to prescribed therapies through benefits verification, prior authorization support, appeals assistance, and reimbursement coordination.
• Educate patients and providers regarding program eligibility, enrollment requirements, affordability assistance, and available support services.
• Build strong relationships with patients and healthcare provider offices while delivering outstanding customer service.
• Navigate insurance-related challenges and collaborate with payers to facilitate coverage and access to care.
• Handle inbound and outbound calls while documenting interactions accurately in CRM systems.
• Act as a liaison between healthcare providers, patients, internal teams, and client partners.
• Escalate complex cases according to established SOPs and program guidelines.
• Identify and report adverse events, product complaints, or safety-related information in accordance with pharmacovigilance requirements.
• Maintain accurate records while ensuring compliance with HIPAA, privacy regulations, and company policies.
• Partner with internal teams to promote positive patient outcomes and improve overall program effectiveness.
• Manage multiple priorities while meeting productivity, quality, and service expectations.

Required Qualifications

Education & Experience

• Associate or Bachelor's degree with 2+ years of healthcare reimbursement, insurance verification, healthcare billing, physician office, or health insurance experience preferred.
• OR High School Diploma/GED with 5+ years of related healthcare reimbursement, insurance, billing, patient support, or benefits coordination experience.
• Previous Call Center, HUB Services, Patient Support Program, or healthcare customer service experience required.
• Strong understanding of:
  • Insurance verification
  • Prior authorizations
  • Appeals processes
  • Commercial and government insurance plans (Medicare, Medicaid, VA, DoD)
  • Medical and pharmacy benefit terminology

Technology Requirements

Candidates should be comfortable working in a technology-driven environment and must have experience using:

• CRM systems
• Multi-line phone systems
• Multiple applications simultaneously
• Dual monitors and multi-screen navigation
• Microsoft Office Suite

Reliable high-speed internet is required to support remote work responsibilities.

Preferred Skills

• Customer Service
• Insurance Verification
• Benefits Investigation
• Reimbursement Support
• Prior Authorization Processing
• Healthcare Call Center Experience
• Patient Support Services (HUB)
• Case Coordination
• CRM Documentation

What Makes Someone Successful in This Role?

We're Looking For Someone Who

• Thrives in a fast-paced, high-volume environment.
• Demonstrates strong attention to detail and accuracy.
• Possesses excellent written and verbal communication skills.
• Can manage multiple priorities and deadlines effectively.
• Takes initiative, works independently, and exercises sound judgment.Embraces change and continuous learning.
• Collaborates well with teammates and contributes to a positive team culture.

Job Type & Location

This is a Contract position based out of Morrisville, NC.

Pay And Benefits

• Medical, dental & vision
• Critical Illness
• Accident
• 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)

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 job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms.

Workplace Type

This is a hybrid position in Morrisville,NC.

Application Deadline

This position is anticipated to close on Oct 15, 2026.

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.