Eligibility Specialist - $19-$21/hr

TEKsystems; Richmond (VA); Hybrid; USD 22,000 - 31,000; Full time

Benefits offered by this job

Medical benefits

401(k) plan

Time Off (PTO)

Job summary

TEKsystems is seeking a compassionate Patient Services Representative on a 4-6 month contract in Richmond, VA. This hybrid role involves handling 20-25 calls daily, assisting patients and providers, and safeguarding PHI under HIPAA guidelines.

The ideal candidate has healthcare customer service experience, knowledge of Medicare/Medicaid, strong communication skills, and proficiency with Microsoft Office. No weekends; benefits may apply for eligible temporary staff.

Qualifications

• 1+ years of healthcare customer service experience.
• Experience handling inbound and outbound calls.
• Knowledge of HIPAA regulations and PHI management.
• Understanding of Medicare, Medicaid, Marketplace, or private insurance plans.
• Strong communication and problem-solving skills.
• Proficiency with Microsoft Office Suite.
• Basic math skills and ability to calculate eligibility requirements.
• Ability to work independently and take initiative to find solutions.
• High attention to detail and strong documentation skills.

Responsibilities

• Answer and manage approximately 20-25 inbound and outbound calls daily.
• Assist patients, caregivers, providers, pharmacies, and insurance companies with program-related inquiries.
• Research and resolve issues by identifying appropriate resources and solutions.
• Handle Protected Health Information (PHI) in accordance with HIPAA guidelines.
• Document interactions accurately and maintain detailed records.
• Support Medicare, Medicaid, private insurance, and marketplace-related inquiries.
• Calculate eligibility and assist with financial assistance program requirements.
• Provide exceptional customer service using a person-centered approach.
• Collaborate with internal teams to ensure timely resolution of patient needs.

Skills

Healthcare experience

HIPAA knowledge

PHI handling

Medicare/Medicaid knowledge

Call center experience

Microsoft Office

Attention to detail

Problem solving

Tools

Microsoft Office

Job description

Patient Services Representative (Contract)

Location: Hybrid (Tuesday-Thursday in office, Monday & Friday remote)

Schedule: Monday-Friday, 8:30 AM-5:00 PM | No weekends

Duration: 4-6 Month Contract (Potential for Extension/Conversion)

Interview Process: One onsite interview with Hiring Manager (30-45 minutes)

About the Organization

Our client is a national nonprofit organization dedicated to providing financial assistance and support to individuals living with chronic illnesses. Through partnerships and donations from pharmaceutical companies, the organization has helped more than 5,000 patients access the care and resources they need. The team values compassion, advocacy, and a person-centered approach to service.

Position Overview

We are seeking compassionate and detail-oriented Patient Services Representatives to support a high-volume healthcare assistance program during open enrollment season. This role will assist patients, caregivers, healthcare providers, pharmacies, and insurance companies by handling inbound and outbound communications while ensuring compliance with HIPAA regulations and protecting sensitive patient information.

The ideal candidate is empathetic, patient, resourceful, and committed to helping individuals navigate healthcare and insurance-related processes.

Key Responsibilities

• Answer and manage approximately 20-25 inbound and outbound calls daily.
• Assist patients, caregivers, providers, pharmacies, and insurance companies with program-related inquiries.
• Research and resolve issues by identifying appropriate resources and solutions.
• Handle Protected Health Information (PHI) in accordance with HIPAA guidelines.
• Document interactions accurately and maintain detailed records.
• Support Medicare, Medicaid, private insurance, and marketplace-related inquiries.
• Calculate eligibility and assist with financial assistance program requirements.
• Provide exceptional customer service using a person-centered approach.
• Collaborate with internal teams to ensure timely resolution of patient needs.

QualificationsRequired:

• 1+ years of recent healthcare customer service experience.
• Experience handling inbound and outbound calls.
• Knowledge of HIPAA regulations and PHI management.
• Understanding of Medicare, Medicaid, Marketplace, or private insurance plans.
• Strong communication and problem-solving skills.
• Proficiency with Microsoft Office Suite.
• Basic math skills and ability to calculate eligibility requirements.
• Ability to work independently and take initiative to find solutions.
• High attention to detail and strong documentation skills.

Job Type & Location

This is a Contract position based out of Richmond, VA.

Pay and Benefits

The pay range for this position is $19.00 - $19.00/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 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)

Job Type & Location

This is a Contract position based out of Richmond, VA.

Application Deadline

This position is anticipated to close on Nov 6, 2026.

Workplace Type

This is a hybrid position in Richmond,VA.

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.