Denials And Insurance Verification Specialist

TEKsystems; Tampa (FL); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading technology services firm is seeking a Patient Assistance Counselor II to provide support to patients with high medical expenses. This fully remote role requires expertise in insurance verification and call center experience. Candidates should possess a high school diploma and be reliable. The position offers a pay range of $18.00 - $23.80/hr along with several benefits including medical and retirement plans.

Benefits

Medical, dental & vision options

401(k) Retirement Plan

Employee Assistance Program

Time Off/Leave benefits

Qualifications

• 5+ years of experience in insurance verification and prior authorization.
• Experience with denied claims for both commercial and government payors.
• Reliable attendance and punctuality are essential.

Responsibilities

• Provide high-quality customer service regarding specialty prescriptions.
• Review and process patient applications.
• Maintain compliance with program guidelines.

Skills

Insurance verification expertise

Experience with denied claims

Call center experience

Excellent communication skills

Technical proficiency

Education

High school diploma or equivalent

Job description

About the Role

We are seeking a dedicated and experienced Patient Assistance Counselor II (PAC) to support patients who are uninsured, underinsured, or facing high out-of-pocket medical and prescription expenses. This role is integral to helping patients access specialty medications through a patient assistance program, ensuring compassionate and efficient service to both patients and healthcare providers. 100% remote

Key Responsibilities

• Provide high-quality customer service to patients and healthcare providers regarding specialty prescriptions.

• Review and process patient applications, including insurance investigations and financial assessments.

• Communicate outcome statuses clearly and professionally to patients and providers.

• Maintain compliance with all program guidelines and confidentiality standards.

Hours

• Will be ASSIGNED a shift between 7:00am-7:00pm CST Mon-Fri - Candidates do not get to pick their shifts

Requirements

• Insurance verification and prior authorization expertise (5+ years)

• Experience with working denied claims for commercial and government payors (5+ years)

• Call center experience (5+ years).

• High school diploma or equivalent.

• A secure, private location to work from daily with fast and secure internet access.

Preferred Skills

• Professional appearance and adherence to dress code.

• Strong attendance and punctuality; reliability is critical to contract extension.

• Deep understanding of commercial and government insurance programs, billing, reimbursement, prior authorizations, appeals, and specialty pharmacy operations.

• Ability to manage multiple priorities and meet deadlines with accuracy.

• Strong technical proficiency and attention to detail.

• Excellent written and verbal communication skills.

• Positive and empathetic approach to customer service, even in challenging situations.

• Minimum 5 years of experience in a regulated benefits environment.

#priorityeast

Pay and Benefits

The pay range for this position is $18.00 - $23.80/hr.

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. If eligible, the benefits available 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)

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Aug 19, 2025.

h4>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

We’re 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. We’re 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. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re 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.