Insurance Verification Analyst - Remote

TEKsystems; Chicago (IL); Teletrabalho; USD 23 000 - 32 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Medical, dental & vision

401(k) retirement plan

Life Insurance

PTO / Vacation / Sick Leave

Resumo da oferta

TEKsystems is seeking an Insurance Analyst I to provide best-in-class customer service to patients and HCPs by investigating insurance benefits and financial assistance opportunities, and by processing and monitoring prior authorizations to support therapy initiation and continuation.

The role requires expertise in insurance billing, claims processing, and prior authorizations, acting as a liaison among departments, payors, and providers to determine overall prescription coverage.

Qualificações

• 1-3 years of work experience in a healthcare or reimbursement setting.
• Previous experience in a call center environment, healthcare office, corporate setting, or healthcare insurance provider or pharmacy is required.
• Thorough understanding of commercial and government pharmacy/medical insurance programs, billing, alternate funding resources, reimbursement processes, insurance verification, prior authorizations and appeal filings, and specialty pharmacy operations.

Responsabilidades

• Provide subject matter expertise on medical and prescription insurance coverage/verification, claim billing, prior authorization, and appeal filing.
• Communicate status of referrals to physicians and patients via phone, fax, and core pharmacy system.
• Assist offices through documentation and filing for prior authorizations and appeals; monitor status for rapid turnaround.
• Use internal and web tools to collaborate with health insurance payors and providers to investigate benefits and maintain payor intelligence resources.
• Enter patient demographic and health insurance information into the hub system and notify physicians of incomplete insurance data.

Conhecimentos

Pharmacy call center

Healthcare call center

Medical claims

Descrição da oferta de emprego

Job Description

The primary function of the Insurance Analyst I is to provides best-in-class customer services to patients Health Care Providers HCPs and their staff through referral and call management by investigating patients insurance benefits and financial assistance opportunities in addition to processing and monitoring prior authorizations to assist the patient in starting or continuing therapy. This position will be a subject matter expert in insurance billing claims processing and prior authorizations. This position liaises between departments payors and providers to comprehensively determine patients overall prescription coverage.

Responsibilities:

• Provide subject matter expertise on medical and prescription insurance coverage/ verification claim billing medication prior authorization and appeal filing and alternate financial assistance opportunities. Accurately documents information in the appropriate systems and formats.

• Communicate the status of the referral to the physician and the patient via phone fax and/or the core pharmacy system as per established policies and procedures.

• Assist offices through the entire documentation and filing process for prior authorizations and appeals. Monitor the status to ensure a rapid turnaround resulting in procurement of the drug product for the patient.

• Use internal and web tools and communicate and collaborate with health insurance payors and providers to investigate pharmacy and medical benefits. Obtain and confirm information to maintain Pharmacy Solutions payor intelligence resources.

• Enter patient demographic and health insurance information into the hub information system and notify the physician of any incomplete or incorrect insurance information

Qualifications

A+ Candidates will have pharmacy call center experience

A- Candidates will have healthcare call center and medical claims experience

• 1-3 years of work experience in a healthcare or reimbursement setting

• Previous experience in a call center environment, healthcare office, corporate setting, or healthcare insurance provider or pharmacy is required

• Must have thorough understanding and knowledge of commercial and government pharmacy and medical insurance programs, billing, alternate funding resources, reimbursement processes, insurance verification, prior authorization and appeal filings, and specialty pharmacy operations.

Job Type & Location

This is a Contract position based out of Chicago, IL.

Pay and Benefits

The pay range for this position is $20.00 - $20.00/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)

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Oct 16, 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.