Insurance Verification Specialist

TEKsystems; Chicago (IL); Remote; USD 23,000 - 32,000; Full time

Benefits offered by this job

Medical, dental & vision

401(k) retirement plan

Paid time off

Job summary

TEKsystems is seeking an Insurance Analyst I to support patients and healthcare providers with insurance benefits, claims, prior authorizations, and reimbursement needs. Telework options are available, with a contract-based schedule in Chicago, IL.

The role emphasizes outbound calls to payers, documentation, and collaboration with internal teams to keep patients informed and ensure timely access to prescribed therapies. Strong communication and healthcare insurance knowledge are essential.

Qualifications

• 13 years of experience in a healthcare or reimbursement-related environment.
• Experience in healthcare call center, medical claims or reimbursement, health insurance.
• Experience with pharmacy or specialty pharmacy preferred.
• Knowledge of medical and pharmacy insurance, verification, claims processing, billing, prior authorizations, and appeals.

Responsibilities

• Verify medical and prescription insurance coverage and benefits.
• Make outbound calls to insurance payers to obtain claim, coverage, and authorization status.
• Research and troubleshoot insurance billing, claims, reimbursement, and coverage issues.
• Assist healthcare provider offices through prior authorization and appeals.
• Monitor prior authorizations and appeals to ensure timely resolution.
• Communicate status updates to patients and providers via phone, fax, and systems.
• Enter and maintain accurate patient demographic and insurance information.
• Research benefits and identify potential financial assistance opportunities.
• Document all interactions and case updates accurately.
• Manage multiple cases and priorities while meeting productivity/quality expectations.
• Follow HIPAA, privacy, compliance, and healthcare regulations.
• Identify and report potential adverse events per procedures.

Skills

Healthcare experience

Outbound calling

Medical claims

Insurance verification

Healthcare/medical office

Written and verbal communication

Attention to detail

Multitasking

Microsoft Office

Tools

Microsoft Office

Job description

Position Overview

We are seeking an Insurance Analyst I to support patients and healthcare providers with insurance benefits, claims, prior authorizations, and reimbursement needs. This position is ideal for someone with healthcare call center, medical insurance, pharmacy, or claims experience who is comfortable communicating directly with insurance payers and healthcare providers.

The role will primarily involve outbound calls to insurance payers to obtain claim and authorization status, documenting updates, and creating cases to keep patients and providers informed. You will work closely with internal teams, insurance companies, and healthcare providers to help patients access and continue their prescribed therapies.

Key Responsibilities

• Verify medical and prescription insurance coverage and benefits.

• Make outbound calls to insurance payers to obtain claim, coverage, and authorization status.

• Research and troubleshoot insurance billing, claims, reimbursement, and coverage issues.

• Assist healthcare provider offices throughout the prior authorization and appeals process.

• Monitor prior authorizations and appeals to help ensure timely resolution.

• Communicate referral and case status updates to patients and healthcare providers via phone, fax, and internal systems.

• Enter and maintain accurate patient demographic and insurance information.

• Research commercial and government insurance benefits and identify potential financial assistance opportunities.

• Document all interactions and case updates accurately and thoroughly.

• Manage multiple cases and priorities while meeting established productivity and quality expectations.

• Follow all applicable HIPAA, privacy, compliance, and healthcare regulations.

• Identify and appropriately report potential adverse events according to established procedures.

Hours: Monday-Friday 7am-7pm, will be scheduled at 8 hour shift during this time

Qualifications

• 13 years of experience in a healthcare or reimbursement-related environment.

• Previous experience in one or more of the following:

• Healthcare call center

• Medical claims or reimbursement

• Health insurance

• Pharmacy or specialty pharmacy

• Healthcare/medical office

• Knowledge of medical and pharmacy insurance, insurance verification, claims processing, billing, prior authorizations, and appeals.

• Understanding of commercial and/or government insurance programs.

• Strong attention to detail and ability to accurately document patient and insurance information.

• Ability to manage multiple priorities and meet deadlines in a high-volume environment.

• Strong written and verbal communication skills.

• Comfortable making frequent outbound calls to insurance payers.

• Proficiency with Microsoft Office and ability to quickly learn new computer systems.

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 23, 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.