Eligibility Specialist - $19-$21/hr

TEKsystems; United States; Hybrid; USD 22,000 - 31,000; Full time

Benefits offered by this job

Medical, dental & vision

401(k) Retirement Plan

Life Insurance

Disability insurance

HSA

PTO

Job summary

TEKsystems is hiring a Patient Services Representative for a 4-6 month contract in Richmond, VA. The role blends in-office and remote work, with a 8:30 AM-5:00 PM Monday-Friday schedule and an on-site interview process.

The ideal candidate will handle high-volume healthcare inquiries, ensure HIPAA compliance, and support insurance-related program eligibility while delivering empathetic, detail-oriented service.

Qualifications

• 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.

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 customer service

Inbound & outbound calls

HIPAA & PHI management

Medicare/Medicaid/Marketplace/Private

Education

Tools

Microsoft Office Suite

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.

Qualifications

Required:

• 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 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 & visionCritical Illness, Accident, and Hospital401(k) Retirement Plan Pre-tax and Roth post-tax contributions availableLife Insurance (Voluntary Life & AD&D for the employee and dependents)Short and long-term disabilityHealth Spending Account (HSA)Transportation benefitsEmployee Assistance ProgramTime 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

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

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.